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HomeMy WebLinkAboutKirsch Application 01/31/2018 The City of Port Angeles Avolication for Aivointment to Board Commission or Committee . ij. 1 � � '�I JANE' & 018 , , Li Board,Commission or Committee to which you are seeking appointment: F: k"... Parks, Recreation and Beautification Commission Applicant Name and General Information Matthew P Kirsch First M1 Cast 434 W 3rd at Port Angeles WA 96362 Address City State Zip (3601)490-6441 (509) 996-6403 ursine Phone dark phone Cell Phone chickenhawk911 @gmail.com E-mail address Certification and Location Information (circle one) Are you employed by the City of Port Angeles"!,,,,,-,,,,,, a _,...,__.. _ ,,,,,,,,,,Yes l cs Are you a citizen of ti e United States?.... Yes No Are you a Registered"'water?,... ......... ,..._... µ... ............................. ......... ..... t es No ,Are you a City resident?....,....... ..-- ... . __. .,.... ............ ....... No If spa,how long: total of 25 yrs Do you own/tnana e a business in the C"ity..,..... Do you hold any professional licenses,registrations or certificates in any field? ........,, `ties I No If so,please,list. Are;you aware of any conflict of interest which might arise by your service can the advisory beard that you are applying for"? If so,please explain Ione Work or Professional Experience - List most recent experience first, or attach a resume State of Washington Employer DLR Licensing/ARU Supervisor Supervise foster home licensing and background clearance specialists in muliple I= BriefJob description State of Washington Employer Home Study Specialist Wrote home studies and licensed foster home for the State. Brief job description US Courts Employer, Administrative Supervisor Supervised courtroom deputies and court reporters for a large Federal District Court Brict'job description Education—List most recent experience first Washington State University BA in Criminal Justice Yes 0 Institution/Location Degree earned/Major area of Study Graduated? Port Angeles High School Diploma =0 Institution/Location Degree earned/Major area of Study Graduated? Yes No .............................. ------- Institution/Location Degree carred/Major area of Study Graduated? Charitable,Social and Civic Activities and Memberships—List major activities you have participated in during the last five years WSU Alumni Association Host alumni events Organization/Location Group's purpose/objective Deputy,Area Director, helped arrange, plan and run meetings, events Brief description of your participation: Port Angeles Youth Soccer Soccer Organization Organization/Locat ion Groups purpose/objective Coached youth soccer for many years in various communities Brief description of your participation: Submit completed forms to: Office of the City Clerk Jennifer Veneklasen City of Port Angeles 360-417-4634 321 East 5"Street jvenekla(a ,)cityofpa.us Port Angeles,WA 98362 In compliance with the Americans with Disabilities Act,if you need special accommodations because of a physical limitation, please contact the City Manager's Office at 360-417-4500 so appropriate arrangements can be made. This document and all attached information is considered a public record and may be distributed to members of the City Council for appointinent consideration. Additionally,it may become a part of a City Council packet.