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HomeMy WebLinkAboutAll 4 PLAC ApplicationsAPPLICATION 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: Date: Name: Business Address: City State zip Business Phone: Home Address: Ari CU., jea - c.c. 6PS 3 c,� A 73 �6 City State zip Home Phone: Q 2C% 7-86 qq address: r -S . y C- A1lX—T–L– . 5J4LNHigh schoolr name and 1` cation of college or university, year graduated, and degree): L ff Current Employment: (job title, employer, employment date, contact, phone): �N PLEASE NOTE: ALL APPLICATIONS SUBMITTED TO THE BOARD OF CO[IiVT7 L 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: Are you available to attend board meetings during the day or evening M -F? A]'�'es [ ] No If no, please explain: Please furnish two references who could speak to your qualifications for the desired appointment: • Name: J C)t� SA Vii.` oPhone: n6 Address: [3KrCK-,w=LL- TZD city: CIL6- 02(L State:v) Zip: • Name: Phone: (H) eel) 71P7-2 NO(W) Address:. q551 N Al EOVy— -9D City aC53� )96- State: U`44- Zip: W K'2 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: C` Date: s Pled,se return completed form to: Board of Kittitas County Commissioners 205 W. 5t", 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 MAR —7 ?ro�� TO KITTITAS COUNTY BOARDS & COMMISSION 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: �M �Cf►')S�n Business Address: Business Phone: Home Address: tqsqo r3r crfv-1C i1kl E eeil .,, 04, g3uz6 City State zip City State zip Home Phone:C�_Ci;),cl - g 1$ -7— Email Email address: z3 h0i " c d J - c ; 0-T" Education: (High school, name and location of college or university, year graduated, and degree): ElleMSbunq hiq% �iaoyi - jc%112 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. 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 Commission: 5Pe co have that would be beneficial to serving on the Board or Are you available to attend board meetings during the day or evening M -F? If no, please explain: A<Yes [ ] No Please furnish two references who could speak to your qualifications for the desired appointment: • Name: 5 -jot Phone: (H) 95R-65'12 _[w'' C-' Address: 7e tJ. Per City: j leAs6vig State: Zip: • Name: Nk UTc I PF Phone: (H) C -19 - y (W) Address: i qqr 51'io5m:jS K,;) R,Aa city E11C-fW b,.,r State: (J --j zip:'%E E 26 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: utdAV L' A Date: \j - — i 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 3--1q- KV, 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 COMMISrSIONS FOR WHICH YOU WOULD LIKE TO BE CONSIDERED: v RE"' Y� L 'MAR A 5 2016 C---D-S Date: 14, vz' Name: e. - .. Business Address: 7/ 3 go w c-rs J?� Home Address: z C� Cly '�k , z� 6 (t k S Lu_r_s �- City tacc Zip City State Zip Business Phone: Stn p - 5I gyp/— S 1(oq Home Phone: 5-0.9 - G 7 V -- S'S' -Y 3 Email address: 6 e Current (Iligh school, name and localitt z of C" ege or university, year gradua S and degree): rr,, rr_ . C — L��sr_Jn 7 on PLEASE NOTE: ALL APPLICATIONS SUBMITTED TO THE BOARD OF COUNTY COMMISSIONERS FOR APPOINTMENT BECOME OFFICIAL PUBLIC RECORDS. -=_-� - - - - ...— ' _�c -M. -=_-� - - - - ...— ' _�c Special reasons for wishing to serve on the Board or Commission: WhatJa�sory panels, Boards/Commissions have you previously served on? /IL OACA Please list any (raiding or experience you have that would be beneficial to s ving on the BCoard�`' Copiniss)OH: r s*u r 4. beneficial e r- 0 T � Ll, c liH Are you available to attend hoard meetings d.�] ri�] the day or eni g M -F? If no, please explain: _ _5v , 2. C' s C, f -HV�ea f ] No Please furnish two references who could speak to your qualifications for the desired appointment: / C • Name: _T 1 4 (l��� Phone: �H"j 4 7f — 138(0 (�N ) �_ V 6 FCiry:_ C L E State: Zip: J Zz Address: _ //--�r. � s v�_ ■ Name: ^ H r k4. L� 5 4 t_ _Phone: (H) (W) Address: Wb FW Q s, 6 City K�� State: Zip: 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 maLdesire to conduct an interview. YOUR SIGNATURE: '&_ _Date: Please return completed form to: Board of Kittitas County Commissioners 205 W. 5th, 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. mi . .. ........ ...... .. it ... ... ...... ... ........... ... ...................... ............ ... ...... ...................... . .... . ................... ........ ................ .............. ......... ............. ...... ... ............. ............ ... ....... ..... ........ .. ........ ...... ...... ............ .. ... .. ...... ....... ... ... ...................... ........ ... ................... ...... ................. .... .... ...... ...... ...... .. ............. ..... ...... .... ....... ... .. .... .......... .. . : : :: ........... . .. .. . ......... ... ... ...... 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WrAlm VM1.. ui: m I. "Al ........ . ... ....... ................. .. . .... ............ . ... ..... ....... ........... .. ... ... . . . ................... . . . .......... . ....... ...... ............ ... ....... . ... . .... ... ... ........................ .... ....... ..... .... ... ... ... ... ... ...... ..... ..... ... ... ........ ........ ... ... ... ... ........... ... ... . . . . . .... m ............. . ... ..... .. .......... .......... . ... . .. . . ......... ............ 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 WMCH YOU WOULD LIKE TO BE CONSIDERED: Nblic {ands Advisory Committee FEE 2 6 2616 Date: Feb 26, 2016 r�Alt[►.+:��= ti.7 Name: Chris Cruse Business Address: Cruse a_nd Assoc_ Home Address: 821 Robinson Canyon !fid P.O. Box 959 Ellensburg WA 98926 Ellensburg WA 98926 City State Zip City State Zip Business Phone: J62-8242 Home Phone: 962-2242 Email address: Qrhi intQfiy_e.Com _ Education: (14igh school, name and location of college or university, year graduated, and degree): Ellensburg High School Current Employment: (job title, emplover, employment date, contact, phone): Self Employed - Professional Land Surv6yor 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: I am a life long resident of Kittitas County and belive our access to the outdoors is one of our bMt-counly assets. 1 haVr,-en10yedAbU-uS�0Mill huw the . What advisory panels, Boards/Commissions have you previously served on? None. Please list any training or experience you have that would be heneficial to serving on the Board or Comntission: As a land surveyor I work on land development and planning daily. During these projects I most wor% with amld � uses, recreat€ m-,, uM s, etc. and undersMd-thu press -and tit Fie a[fids-ta-woTkwith-parbllt- agencies. Are you available to attend board meetings during the day or evening M -F? [VJ Yes [ ] No If no, please explain: Please furnish two references who could speak to your qualifications for the desired appointment: • Name: Brandon Drexler Phone: (H) 929-1156 _(w) 9Z5-9747 Address: PO Box 926 C'ic<<: EllensburgState: WA Zip: 98926 Name: Sean Jeffries Phone: (H) 607-4549 (w) Address: 51 Stone Tree Ln .....—City Ellensburg _ State: WA zip:98926 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: r; L't+ . -' �. ; -==- _ Date: Z�� y—.. 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.