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Home My WebLink AboutHollarAPPLICATION FOR APPOINTMENT FEB 40y 10" TO KITTITAS COUNTY BOARDS & COMMISSIONS C4nv l -k-, 441 U 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: 46 M +'fi'('if Date: f 11 IP Name: aref' Business Address: P "121 _ Home Address: S�-S-P42 kayle LP - F Y W &' City (e zip City5t� Zip Business Phone: rooq- 3D 6 - ?A DU Home Phone: �� - 626 2. 3 -)Oz. Email address:tit) It 4v Li (fJ A- t M zf ; 1 4 co -u' Education: (High school, name and location of college or university, year graduated, and degree): —Bl t aYa Yi�)ldSC-19401 Ns Current Employment: (job title, employer, employment date, contact, phone): —#�r��sL�hac�� C:cha•'T S��U � �e5 . .� _ ��a e� rt� � Lt c�.�r� �1�� in �,v,1� iiY] .n.A i t +.�!'ti �'l! ► le.n r•t d.l ! ltin n 1 1ii'� !1 a'i � f-r'Z s 1{ � d .�r] ,r A ... ..� -r.' � t ., ,.. L Wcd 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: What advisory panels, Boards/Commissions have you previously served on? Please list any training or experience you have that would be beneficial to serving on the Board or Commission: ::r Glrxjg_ gep j U ecj us .5t.ta �rfn t ►ac�r �� ?ci, ,.� + vt . tri J 1 o+.iq Co ,n� ni . A2e-4 Are you available to attend board meetings during the day or evening M -F? If no, please explain: ['Yes [ ] No Please furnish two references who could speak to your qualifications for the desired appointment: • Name:�',,e,! u cE,r,n4Ni Jl Phone: (H) SYJ-_3L)b-3Z'*I tW) Address: fN 2,y dE& S City: (�s�StaEe: to Ct Zip: • Name: :1L6n,,eS W^.3a. v Phone: (H) e?6,4 - `i 5Y (W) Address: c.,R.*r.J City j9/.1eq5bv,y State: W'1 Zip: '/ Z(� 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: 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. APPLICATION FOR APPOINTMENT 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: r ; ! � ►� 5 tom: ,� F : r «,n1 Date: Name: ^ae't * AQW, �r Business Address: V. 0, 2' Home Address:a b Ltd1 f ` &j-jj txi q841'4_- City 8ir'Z• .City State Zip City State Zip Business Phone: �!�Oel • 306- G ZOO Home Phone: . 0 t 9 - 31D z Email address: WA t -VL.S e ix:nn • Lv'M Education: (High school, name and location of college or university, year graduated, and degree): J: ' A .'x . (% W4 sw. � . 1 bN 1 Gt S ra 1~4 V'-4 k' '.d � Current Doti ry •C e� (job title, employer, employment date, contact, phone): .�iiL::.lLS "- '47l t► �L"►r C cY,i - c. .:s '�'L7�+ IUt - C �? a,� `S �vt � a'tt. ••�u•� ct� �ec� �. „^a , 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: � �� u •►,ted, t,. � �� Com; H r� � c�' �wt �h' � �n�A•-'��x,. � �,�..� (.Lj: r+'■ n A!Q t'► kir it + '�■ c� �.'yL Fc. r ,w L&yl� �G M {� \r 7. 1� {1�..�L j 1J�� ir�� 7 • ■ �'6,r ; > �1 �,p.e � `1:1..1k� . +.0 c� r t.� .'Ul •■ �'1 �.c.. �y r•c�..rGL �.� �. �c� 1r� �,� C� :.�f. �ar� �M�c•-h c:r k ��L...z Y.vr■� {+�c:,t=t-� t'+.c. �,+c.�L.11r rn b� _ c� �� tT caf- What advisory panels, Boards/Commissions have you previously served on? Please list any training or experience you have that would be beneficial to serving on the Board or Commission:_. TAc �3•.-; i f _r' �Jv iA - rV;� Sell ',Sc� z�iLV1 Coo i['A - Are you available to attend board meetings during the day or evening M -F? If no, please explain: _ IQ Yes [ ] No Please furnish two references who could speak to your qualifications for the desired appointment: • Name: ,t, - �•' '% Phone: (H) Address: (W) �� 3c I.. ILX*-1 City: lle 4 � State: � lily: -Z� • Name: C -I fi .r iIY1 Phone: (H) -1b l ~ f?'8 ks (W) (.jpp) 201_ Lf'&p 4 Address: 2351 5rraAJ' 4 e-( City alh-g5ho9 State: 1&-:1 zip: li3 q A 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: 142- 3 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.