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Advisory Board or Commission Application
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This form has been modified since it was saved. Please review all fields before submitting.
I am interested in the following Board(s)/Commission(s):
*
Civil Service Commission
Lodging Tax Advisory Committee
Housing Authority
Planning Commission
Salary Commission
Parks & Recreation Commission
Arts Commission
Municipal Airport Advisory Board
PERSONAL INFORMATION
First Name
*
Last Name
*
Telephone: Home/Cell
*
Telephone: Work
Address1
*
Address2
City
*
State
*
Zip
*
Email
Length of Residency
*
Availability
*
Day
Evening
Anytime
PROFESSIONAL AND/OR PERSONAL REFERENCES
Name
Position
Phone Number
Address1
Address2
City
State
Zip
Name
Position
Phone Number
Address1
Address2
City
State
Zip
EDUCATION AND TRAINING COURSES
List below past education and training courses, with the most current education listed first.
Institution
Dates Attended (Mo/Yr)
From:
To:
Course of Study
Degree
Institution
Dates Attended (Mo/Yr)
From:
To:
Course of Study
Degree
SUPPLEMENTAL QUESTIONS
Please respond, in your own words, to the following questions.
1. Why are you seeking appointment to this particular board or commission?
2. What special skills, knowledge, experience and/or talent do you have to contribute to this particular board or commission?
3. What community activities have you participated in during the past five years?
4. Please provide brief background information including job experience, hobbies and special areas of interest.
5. Have you previously served on one of our boards or commissions?
Yes
No
Please attach resume to this application.
A letter of interest is optional
Please be advised that this application or information in this application may be subject to disclosure to other governmental agencies, or to the public pursuant to request under the Public Disclosure Act (RCW 42.56).
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