Application for Appointment to City Council

2. 

3. Application for Appointment to City Council

5. Date of application*
   Date of application

7. Name of Applicant:*

9. Address*

11. Mailing Address (If Different)

13. City*

14. State*

15. Zip*

17. Email Address*

18. Phone Number*

20. Length of Residence in Ellensburg*

21. Do you live within the city limits?*

    1. Yes

    1. No

23. Occupation Status and Background:*

25. Organization Affiliations:*

27. Why are you seeking appointment?*

29. Will you be able to attend meetings regularly if appointed?*

    The City Council meets in the evening on the first and third Monday of each month.

    1. Yes

    1. No
Leave This Blank:


31. 1. Receive an email copy of this form.
32. Email address

    This field is not part of the form submission.

33. Submit

* indicates a required field