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H' ru• . r �{ <br /> APPLICATION FOR APPOINTMENT <br /> TO KITTITAS COUNTY BOARDS & COMMISSIONS <br /> Citizen boards and commissions are critical to the effective functioning of County government. <br /> We appreciate your interest in wishing to serve Kittitas County and ask that you complete this <br /> brief application. If you wish, please feel free to attach a fact sheet or resume to this application. <br /> This application form is considered a public document&is subject to Public Disclosure. <br /> PLEASE PRINT CLEARLY. <br /> BOARDS OR COMMISSIONS FOR WHICH YOU WOULD LIKE TO BE CONSIDERED: <br /> • Pln0i'C. Lcwicl�,, P,d, v RED <br /> List any specific seat you are interested in as well as the District you rea fC"I ''AS OUNTY OF <br /> �Irssivi�a�� <br /> Date: 2— 1'5-2 02-q <br /> Name: HcA l Me-1 e-n e r <br /> Business Address: Z gT i IN S�`' tt-�VC Home Address: {- (} Eju r <br /> tAF4 ? QVI <br /> City `state Zip City ��ale Zip <br /> Contact Number: j I'S_ 1 t"o q,- --I 0';!�/11 <br /> Email address: CI 64 14 ' • �]f l k.'t l `J <br /> Education: (High school,name and location of college or university,year graduated,and degree): <br /> f,r A bI U 01. e II 1i ik. l +'lt'1 C <br /> (n if". ('vl.�-'yI '�i1 1 i y wit~I�1 t, - �Lasw6fhvvwx' <br /> J <br /> Current Employment: (job title,employer,employment date,contact,phone): <br /> L` Yl <br /> j C s + <br /> PLEASE NOTE: ALL APPLICATIONS SUBMITTED TO THE BOARD OF COUNTY <br /> COMMISSIONERS FOR APPOINTMENT BECOME OFFICIAAL PUBLIC RECORDS. <br />