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HomeMy WebLinkAboutMonahan & Martin Applications Dist. 1APPLICATION FOR APPOINTMENT MAR 10 216 TO KITTITAS COUNTY BOARDS & COMMISSIONS� / / ,- V t� 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: March 7, 2016 Name: Mary MOnaha Business Address: Business Phone: City State Zip ran,- LRUARr ■ Home Address: 50Z E. 3rd Avenue Ellensburg WA 98926 City State Zip Home Phone: 509-336-9464 Education: (High school, name and location of college or university, year graduated, and degree): Oak Creek WI �igh 'School -1976 niversi y of Nel5raska--C7m—affa—, SS in Mathematics aFid geTieral science 1995 Washington State ni er vir namcienci Engineering, 2002 Current Employment: (fob title, employer, emyloyment date contact, phone): Environmen al Engineer, Washington State epartment of tcology-Central Regional Office VT02010. 1elephone509;;454--7840 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: Since moving to Ellenbsurg, I've been following both city and county planning efforts, and have b -nn impressed WMAth PPS ptantn-9 upramattorT�-and-madelheZt I6rve Sortie free thne,a d wouldlave to gut 11 sv erFul W rrity-i -ful Way. What advisory panels, Boards/Commissions have you previously served on? Brownfields Advisory Committee -City of Ellensburg Please list any training or experience you have that would be beneficial to serving on the Board or Commission: .►- ■ ■ -i" ■- ■ ++" � ■Air ++- -•■- -■ ■ ■ Are you available to attend board meetm tluring th�daly or eg,mnj M J? If no, please explain: vening5 are e - wor in a ma uring he ay I100f Yes [ ] No Please furnish two references who could speak to your qualifications for the desired appointment: ■ Name: JIII Scheffer Phone: (H) _ (w) 509-962-1654 Address: Forterra Offices city:_ Ellensburg state: WA zip: 98926 • Name: Jeff Newschwander Phone: (H) (W) 509-454-7842 Address: Dept. of Ecology city Union Gap State: WA zip: 98903 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: ib a Date: Y' 016 , :(►, cc:,;, i', �on�,n t.; rot.:,i,: ,,�, i.: . Name: ❑ 3 0i P 1 N Business Address: A0 S r a h t Tome Address: �� Re, City State Zip City �-10�51 Zip I' 509 � j O •9 D3 $� Home Phone: d � ylr Br�sts- snr.�:rs Phone: _ `7 Email address:�L Iilc� Ti Auratinn! (Rivh school. name and location of college or university, year graduated, -and degree): Current I±Jtyployment; (job title, employer, employment date, contact, honeL ��1��r4�rtii��lTT,i��'r"Z�l:f�tll�rl�a£��=�1!ial�y*Jim _f: F7►.,�'!_I PLEASE NOTE: ALL APPLICATIONS SUBMITTED TO THE BOARD OF COUNTY COMMISSIONERS FOR APPOINTMENT BECOME OFFICIArL PUBLIC RECORDS. M Special reasons for wishing to serve on -the, -Board or Commission: What advisory panels, Boards/Commissions have you previously served on? 14 / I c� �/ Please list any tra' ing or experience ou have that ould be beneficial to serving on the Board or Commission: r " r4 y Ll Are you available to attend board meetings during the day or evening M -F? Yes [ ] If no, please explain: No Please furnish two referenceesj who could speak to your qualifications for the desired appointment: ■ Name: V ► ►C !j Phone: (H) ►S a2of �,► J�'6 (W) Address: �!d/ �e*f4& City: State: �Gi Zip; j` Name: 0 _%��c �27.ZIPhone: �l Address:C �� I ci�l'?�[ %� _City ��� �S 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 intergst,..the Board of County Commissioners may desire to conduct an interview. YOUR SIGNATURE:3 _ O�� IDate: Please return completed form to: Board of Kittitas County Commissioners 205 W. 5e41 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.