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HomeMy WebLinkAboutApplications from Ratcliff mitchell schwab (2)I_6n 1M C APPLICATION FOR APPOINTMENT TO KITTITAS COUNTY BOARDS & COMMISSi5 9 121'17'17'AS'1'tlUN ' ' 1 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 & is subject to Public Disclosure. PLEASE PRINT CLEARLY. BOARDS OR COMMISSIONS FOR WHICH YOU WOULD LIKE TO BE CONSIDERED:. ►1�sC;.\ I�,v����« P'�\off'_ sc�'t�. co"' - i 10 nZ'r List any specific seat you are interested in as well as the District you reside in. Date: '2_©1 Name: ;�JUv �- R��-` T , Business Address: City State Zip Home Address: \M-02- 9)U.S\'WSV.�"\Y'1 Contact Number: S©q - Email address:339 �" q��p0 Co' -1 City State Zip Education: (High school, name and location of college or university, year graduated, Ca,r\ t res V c-�Jk1kh S -C_ �\w C�`ti r1'► rCAS ►�9 e. 2a Current Emplo menta (job title, employer, employment date, contact, phone): M 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: = V„ovc-- nq gek)eca'\ o,v`ko,-�i©n arc aak-�- since Ta\\ 1g1l �1 c� s ve '��eelY\ i 1cin 0A �a rS +r►e1Ca i E -,+r r,,-,ccrir\d eiv%nc)L C a ft VMKSQA cA tOu f\A +QfoYr WNA4i 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? If no, please explain: e Please furnish two references who could speak to your qualifications for the desired appointment: Name: c�S S \Gh� Phone: (H) 0R- aS - bY1 (W) �— �,e cge�ca es Address: '1O Sh�S�uSu.:n e city: V_1NeV)S\U0State:VJA Zip:°�$�2� • Name: �° t r1 Y1lJV-\Phone: (H) 509"ck2q-'A1$2. (W) Address: �3�-10 QX"/ City _'-1\ZhS�y ccs State: VJ/"N Zip: gBgZ(�o 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. We will retain your application for 2 years from the date it is received. YOUR SIGNATURE: y« Date: q 2O r Please return completed form to: Bon/d of Kittitas County Commissioners 205 W.Sth, Room 108 Ellensburg, WA 98926 509.962.7508 or bocc@co.kittitas.wa.us 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: Date: I 1A28 Name:v� m 1 Business Address: 12-0-1 S JAN 16 �o JZM Home Address:QUA EAU w C6- 9S City State Zip City State Zip Business Phone: 50g 9GI-1gSC . Home Phone: SC) 4(4)-- 057 Email address:_IrO 0, "'4X, WN "-� 6-k.1r � Z 1 11`V' 4'e Education: (High school, name and location of college or university, year graduated, and degree): Current Employment: (job title, employer, employment date, contact, phone): -0 n. s . � , _ I , - . , — ^r . _ .1.. c c -r,. r.. k Wi -1 - ❑ C PLEASE NOTE: ALL APPLICATIONS SUBMITTED TO THE BOARD OF COUNTY COMMISSIONERS FOR APPOINTMENT BECOME OFFICIAL PUBLIC RECORDS. ►�t�-zl�oa 5(O217 M21 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 y u have that v ould be beneficial to serving on the Board or Commission: Com' ►' �r P i I V1t . �i.l QLIL�-- 9V -CS!+ VN' C.CL1'C' {- 0-o,^Vti.y W t tt Are you available to attend board meetings during iEie day or even\ing -F? }j Yes [ ] No If no, please explain: �+.� V -<i Please furnish two references who could speak to your qualifications for the desired appointment: • Name: GaeC4ck. PhoitC. (I-1) (WUSI) 99J-42-73 Address: k 7I,4CP city:_C��; �"� state: _LoeL Zip: gBo4 � • Name: 'M`f': ► � _rnune: (H) (W) f fed } :19 C- ' T?S 2— Address: Address: ;-% r`,�lrt' _� �aSC••^tCity M a State: Qd,- Zip: Q Your application will be placed with othere 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 SIGNATURC: �\� Date: i S 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 & is subject to Public Disclosure. PLEASE PRINT CLEARLY. BOARDS OR COMMISSIONS FOR WHICH YOU WOULD LIKE TO BE CONSIDERED: r JUL 11 7-1110 i List any specific seat you're interested in as well as the District you reside in. Date: Name: BUSiness Address: �� Home Address: /'O 2— city City State Zip Contact Number: Email address: &//rx J 6 0- 7 w,# Q z4 City Zip L' ur L-4" esK Education: (High school, name and location of college or university, year graduated, and Pi °-S baa S. o s fWw d- IV6 Jo, C crept Employment: (jo title, employer, em&yment date, contact, ph( ii 6e 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: n 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? If no, please explain: (-%.a Please furnish two references who could speak to your qualifications for the desired appointment: • Name: �"^- ``' Phone: (H) (W 9 -q6 3— l ( Address: Ste''- as M . VIC— City - State: Zip: • Narne: LaA 4 Pho e: 03 �ddress: City ,State �T Zip: lie' Your application will he placed with ofeers interested4a 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. We will retain your application for 2 years from the date it's received. YOUR SIGNATURE: [Jatc:- Please return completed form to: Board of Kittitas County Commissioners 205 W. 5th, Room 108 Ellensburg, WA ,98926 509.962.7508 or bocc@co.kittitas.wa.us PLEASE NOTE: ALL APPLICATIONS SUBMITTED TO THE BOARD OF COUNTY COMMISSIONERS FOR APPOINTMENT BECOME OFFICIAL PUBLIC RECORDS.