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, APPLICATION FOR APPOINTNIENT AUG 14 <br />TO KITTITAS COUNTY BOARDS & COMMISSIONS <br />V <br />9 InITAN Cflk1N <br />TY <br />v <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 />a <br />List any specific seat you are interested in as well as the District you reside in. <br />Date: —;V/3A 0 <br />Name: GUV i o f #w /I <br />Business Address: 9 13 w 4f 74ve- Home Address: <br />SK; fC- /o <br />City State Zip <br />Contact Number: SD °1— 8IS717— 6 8 09 F <br />0 J/ <br />CIA1 -S <br />City State <br />Email address: YJ w <br />l,J✓�- GJ8��6 <br />Zip <br />Education: (High school, name and location of college or university, year graduated, and degree): <br />Current Employment: (job title, employer, employment date, contact, phone): <br />�7 �... � cam_ �� ��- �..� � k �. .�.� �-��.f• � �,�.� f !, ��rn �'%3 C,1 — a <br />!C I Ss .S urtt.1 'C11;?0 /� Ab Q t_-IG .;r]�o�^e-6.6 ►1'C.SAMbe- --x/ <br />PLEASE NOTE: ALL APPLICATIONS SUBMITTED TO THE BOARD OF COUNTY <br />COMMISSIONERS FOR APPOINTMENT BECOME OFFICIAL PUBLIC RECORDS. <br />