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(D City of Tukwila RECEIVED <br />Tukwila City Hall Email: BoardsComms65).tukwiIawa.qov <br />6200 Southcenter Blvd Website: www,tukwilawa.go <br />Tukwila, WA 98188 <br />Phone: (206) 433-1800 Fax: (206) 433-1833 <br />Application for Appointment <br />BOARDS AND COMMISSIONS <br />Please complete the ENTIRE application form. Applicants may attach a cover letter and/or a resume <br />totaling no more than three pages, 01/26/2017 <br />DATE: <br />NAME: Sean Goode D <br />Last First M. 1. <br />ADDRESS. Tukwila 98168 <br />Street City Zip <br />MAILING ADDRESS (if different): <br />HOME PHONE: CELUMOBILE PHONE. <br />EMPLOYER: CLRS E-MAIL: <br />Please check all that apply to you within the City of Tukwila limits: <br />2 Resident ❑ Business Owner/Representative <br />❑ School District Representative ❑ High School Student <br />I wish to be considered for appointment to the following board or commission (check all that apply): <br />COMMISSIONS: <br />❑ <br />Arts <br />❑ <br />Civil Service <br />❑ <br />Equity & Diversity <br />❑ <br />Parks <br />❑ <br />Planning <br />BOARDS & COMMITTEES: <br />❑ Community Police Advisory <br />❑ Human Services <br />❑ Library <br />❑ Lodging Tax <br />0 Other/Special Committee: Safety Bond Financial Oversight <br />HAVE YOU PREVIOUSLY SERVED ON ONE OF THESE BOARDS OR COMMISSIONS? ❑ Yes 2 No <br />If "yes", please <br />AVAILABLE TO ATTEND MEETINGS: W Daytime 2 Evenings <br />Please contact me regarding other City of Tukwila volunteer opportunities (check box): RI <br />FOR CITY USE ONLY: <br />INTERVIEW DATE: <br />APPOINTED: ❑ Yes ❑ No TERM EXPIRES: <br />11 <br />