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HomeMy WebLinkAboutBailey Application 09/13/2018Parks, Recreation and Beautification Commission U U I 3r -r I 'j "I'll LJ CITY OF PORT ANGELES Applicant Name and General Information First Mi Last City Certification and Location Information Areyou employed by the City of Port Angeles? .................................................................................................................................................................. Yes Areyou a citizen of the United States? ........................................................................................................................................................................................... es) No Are you a Registered Voter? ................... ................................................................................................................................................................................................. Yes No Areyou a City resident? ............................................................................................................................................................... ................................................................ (Yes No Ifso, how long: ...................................................................................................................................................................................................................................... ............... I I Doyou own/manage a business in the City? ......................... ........................................................................................... ...................................................... Yes �o Do you hold any professional licenses, registrations or certificates in any field? ...................................................... ....................... Yes (:N::o" If so, please list: V11 -11 -Pr Are you aware of any conflict of interest which might arise by your service on the advisory board that you are applying for? If so, please explain: V_/� The City of Port Angeles 1 Advisory Board Application Work or Professional Experience - List most recent experience first, or attach a resume Employer Brief job description V A Employer �b�ygo� Brief job description Employer Brief job description Education — List most recent experience first Institution/Location Institution/Location Institution/Location Yes Degree earned/Major area of Study Graduated'? Yes No Degree earned/Major area of Study Graduated? Yes No Degree earned/Major area of Study Graduated? Charitable, Social and Civic Activities and Memberships — List major activities you have participated in during the last five years Organization/Location Brief description of your participation Organization/Location Brief description of your participation Group's purpose/objective Group's purpose/objective t i ir The City of Port Angeles Advisory Board Application i F Parks, Recreation and Beatification Commission Applicant Supplemental Questionnaire 1. This Commission focuses on three areas: parks, recreation, and beautification. If you had to choose, which of these three areas would be the primary one in which your interests and experience would be aimed? -7-b i T Ai 2. What is your favorite City of Port Angeles parks and recreation facility and why? A J, 1v p 3. Think of a Port Angeles park you visit. What would you do, or like to have done, to improve your experience? What do you love about this park`? Applicant Signature Submit completed forms to: Office of the City Clerk City of Port Angeles 321 East 5"' Street Port Angeles, WA 98362 Date Kari Martinez -Bailey 360-417-4634 krnbailey(q_,)eityofpa.us 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 appointment consideration. Additionally, it may become a part of a City Council packet.