HomeMy WebLinkAboutBallardAPPLICATION FOR APPOINTMENT SEP 1$
TO KITTITAS COUNTY BOARDS & COMMISSIONS
Citizen boards and commissions are critical to the effective functioning of County government. We
appreciate your interest in wishing to serve Kittitas County and ask that you complete this brief
application. If you wish, please feel free to attach a fact sheet or resume to this application. This
application form is considered a public document. PLEASE PRINT CLEARLY.
BOARDS OR COMMISSIONS FOR WHICH YOU WOULD LIKE TO BE CONSIDERED:
Date:
Name: GI V` 1� `0, CA
Business Address: (._W\) Home Address: 6 -ale N- Tloml Me
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City State Zip City State Zip
Business Phone: ,5PI -- 91,3= I y I I _ Home Phone: _ � �� . 6 p a� � y Z 3
Email address _?q,rp
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Education: (High schaol, ame and io tin of co le a or university, year graduated, and degree
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C irrent Employ anent: (jolt title. 7enilr oyer, emplloNnicril date, contae 0wile):
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PLEASE NOTE: ALL APPLICATIONS SUBMITTED TO THE BOARD OF COUNTY
COMMISSIONERS FOR APPOINTMENT BECOME OFFICIAL PUBLIC RECORDS.
Special reasons for wishing to serve on the Board or Commission:
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What advisory panels, Boards/Commissions have you previously served on?
Please list any training or experience au have that would be
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1 to serving on_the.Board or
Are you available to attend board meetings during the day or evening M -F?
If no, please explain -
Ayes [ ] No
Please furnish two references who could speak to your qualifications for the desired appointment:
• Name: 0�� � t 1`GaA _Phone: (H) (W) fi ^ Iy(»
Address:�� �} �} G - {'.•-.. City: 51�-,n- �6v�— tate: Zip:_ Z
• Name: �� �+ � � � ,Phone: (H) (W) .7U�_' ��3 • l N � �
Address: N6 Z AI . U1"A City State: —V)A Zip: 6 toa 3
Your application will be placed with others interested in serving on the same board or commission.
When a vacancy occurs on the Board/Commission in which you have indicated an interest, the
Board of County Commissioners may desire to conduct an interview.
YOUR SIGNATURE: Date: • Z z'
Please return completed form to: Board of Kittitas County Commissioners
205 W. 5`h, Room 108
Ellensburg, WA 98926
509.962.7508 FAX: 509.962.7679
PLEASE NOTE: ALL APPLICATIONS SUBMITTED TO THE BOARD OF COUNTY
COMMISSIONERS FOR APPOINTMENT BECOME OFFICIAL PUBLIC RECORDS.
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October 12, 2017
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DEPARTMENT OF PUBLIC WORKS
Board of County Commissioners
205 W. 5th Room 108
Ellensburg, WA 98926
RE: Airport Advisory Board Appointment
Dear Board of County Commissioners,
The Airport Advisory Committee received an application from Paul Ballard, Dean, College of
Education and Professional Studies at Central Washington University to fill the Central
Washington University representative vacancy. The Airport Advisory Committee met on October
11, 2017 and reviewed Dean Ballard's application and are forwarding a recommendation.
The Airport Advisory Committee would like to recommend the appointment of Paul Ballard to the
Airport Advisory Board as the Central Washington University representative.
Sincerely,
J�L
Candie Leader
Administrative Assistant
411 N. Ruby, Suite #1 TEL (509) 962-7523
Ellensburg, WA 98926 FAX (509) 962-7663