2. Application for Appointment
   For volunteering to serve on a Board or Commission
4. Boards & Commissions*
   -- Select One --Affordable Housing CommissionArts CommissionBuilding Appeals BoardCable Television CommissionCivil Service CommissionDiversity, Equity, and InclusionEllensburg Business Development AuthorityEnvironmental CommissionLandmarks and Design CommissionLibrary BoardLodging Tax Advisory CommitteeParks and Recreation CommissionPlanning CommissionPublic Transit Advisory CommitteeSenior Citzens Advisory CommissionUtility Advisory Commission
6. Have you attended a meeting for the board or commission you are applying to?*
   -- Select One --YesNo
8. Name of Applicant:*
10. Address*
12. Mailing Address (If Different)
14. City*
15. State*
16. Zip*
18. Email Address*
19. Phone Number*
21. Length of Residency in Kittitas County*
22. Do you live within the city limits?*

    1. Yes

    1. No
24. ECC 1.12.120 Residency qualification. Except where a commission, board or committee specifically requires city residency as a condition of appointment, members of all other commissions, boards and committees shall maintain residency within the Kittitas County limits. “Residency,” as used herein, means residing within the city or county limits, as applicable, both at the time of appointment and for at least 270 days within each calendar year for the duration of the member’s term, but shall not include any period for which a member is absent due to military service.
26. If applying for the Sr. Citzens' Advisory Board, are you at least 55 years of age?

    1. Yes

    1. No
28. Occupation Status and Background:*
30. Organization Affiliations:*
32. Why are you seeking appointment?*
34. Will you be able to attend meetings regularly if appointed?*

    1. Yes

    1. No
36. If your first choice, as listed above, is not available, which other boards or commissions would you be interested in serving on?
38. Boards & Commissions
    -- Select One --Affordable Housing CommissionArts CommissionBuilding Appeals BoardCivil Service CommissionEllensburg Business Development AuthorityEnvironmental CommissionLandmarks and Design CommissionLibrary BoardLodging Tax Advisory CommitteeParks and Recreation CommissionPlanning CommissionPublic Transit Advisory CommitteeSenior Citzens Advisory CommissionUtility Advisory Commission
40. Boards & Commissions
    -- Select One --Affordable Housing CommissionArts CommissionBuilding Appeals BoardCivil Service CommissionEllensburg Business Development AuthorityEnvironmental CommissionLandmarks and Design CommissionLibrary BoardLodging Tax Advisory CommitteeParks and Recreation CommissionPlanning CommissionPublic Transit Advisory CommitteeSenior Citzens Advisory CommissionUtility Advisory Commission
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42. 1. Receive an email copy of this form.
43. Email address

    This field is not part of the form submission.

44. Submit

* indicates a required field