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HomeMy WebLinkAboutMcClary ApplicationAPPLICATION FOR APPOINTMENT TO Kl'I TfTAS COUNTY BOAIZDS & COMMISSIONS Citizen boards and commissions are critical to the effective functioning of County government. appreciate your interest in wishing to serve Kittitas County and ask that you complete this application. If you wish, please feel free to attach a fact sheet or resume to this application. application form is considered a public document. PLEASE PRINT CLEARLY. BOARDS OR COMMISSIONS IFOR WHICH YOU WOULD LIKE TO BE CONSIDERED: • �_ rif.�t}ri' �Oli/1SDYl� �OW�W�[�� __ •�� Date: 2 Name: V kt v�� We brief This C;D 5 -rl rL U � Business Address: 'ik �� Home Address:- City State zip City State zip Business Phone: 'iV0) al (O�' + I S (47 Home Phone: L rl 11 TJ ' Email address: ►� Gl ►� r [' ©rr1 Education: (High school, name and location of college or university, year graduated, and degree): Current Employment: (job title, employer, employment date, contact, phone): PLEASE NOTE: ALL APPLICATIONS SUBMITTED TO THE BOARD OF COUNTY COMMISSIONERS FOR APPOINTMENT BECOME OFFICIAL PUBLIC RECORDS. V Are you available to attend board meetings during the day or evening M -V' If no, please explain: Special reasons for wishing to serve on the Board or Commission: b. ( 1 11 0, LI-) .— E tt What advisory panels, Boards/Commissions have you previously served on? GN� � 0 � a , ve Please list any training or experience you have that would be beneficial to serving on the Board or Omission: �1�CJ64T 5 1 �(J t,y i/� {•svFSt`tn� L1r� I i.r�•� (1u �Gi�n cella, l vires l 1 Ivo Please furnish two references who could speak to your qualifications for the desired appointment: • Name: Address: Phone: (H) City: State: (W) Zip: y51lb e Name: Phone: (H) '3`1i qZ - ,(W) ' 7$�Z� Address: `� b I `G . Y W rr i P,l�/ �� __City _ ��GytS�J c l ��j _State: �it)� Zip: Your application be placed with others interested in serving on the same board or commission. When a vacan occu , on the Board/Commissj'An in which you have indicated an interest, the Board of Coun Comm sioneies qfa`y�%ire to nd'ct an interview. © L 7 t_ YOUR SiGNATUR- �J Date: � �z r, Please return completed form to: Board of ICittitas C unty Commissioners 205 W. 5`", Room 1 8 Ellensburg, WA 9 926 509.962.7508 AX.: 509.962.7679 PLEASE NOTE: ALL APPLICATIONS SUBMITTED TO THE BOARD OF COUNTY COMMISSIONERS FOR APPOINTMENT BECOME OFFICIAL PUBLIC RECORDS.