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I_6n 1M C <br />APPLICATION FOR APPOINTMENT <br />TO KITTITAS COUNTY BOARDS & COMMISSi5 9 <br />121'17'17'AS'1'tlUN ' ' <br />1 <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 />►1�sC;.\ I�,v����« P'�\off'_ sc�'t�. <br />co"' - i 10 nZ'r <br />List any specific seat you are interested in as well as the District you reside in. <br />Date: '2_©1 <br />Name: ;�JUv �- R��-` T , <br />Business Address: <br />City State <br />Zip <br />Home Address: \M-02- 9)U.S\'WSV.�"\Y'1 <br />Contact Number: S©q - <br />Email address:339 �" q��p0 Co' -1 <br />City State Zip <br />Education: (High school, name and location of college or university, year graduated, <br />Ca,r\ t res V c-�Jk1kh S -C_ �\w C�`ti r1'► rCAS <br />►�9 e. 2a <br />Current Emplo menta (job title, employer, employment date, contact, phone): <br />M <br />PLEASE NOTE: ALL APPLICATIONS SUBMITTED TO THE BOARD OF COUNTY <br />COMMISSIONERS FOR APPOINTMENT BECOME OFFICIAL PUBLIC RECORDS. <br />