Laserfiche WebLink
City of Tukwila My WebLink |HelpSearch Tips |About |Sign Out
City of Tukwila <br />mm� <br />Tukwila City Hall Email: BoardsComms @tukwiiawa.gov <br />6200 Southcenter Blvd Website: WWW.tUkwi1awa.qov <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. DATE: 02/15/2017 <br />NAME,Coplen <br />Last <br />ADDRESS: <br />Street <br />MAILING ADDRESS (if different): <br />HOME PHONE: <br />EMPLOYER. Self Employed <br />Randy C <br />First M.1. <br />Burien 98166 <br />City Zip <br />CELL/MOBILE PHONE: <br />E-MAIL: <br />Please check all that apply to you within the City of Tukwila limits: <br />❑ Resident El Business Owner/Representative <br />School District Representative 171 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 />171 <br />Equity & Diversity <br />❑ <br />Parks <br />Planning <br />❑ Other/Special Committee: <br />BOARDS & COMMITTEES: <br />❑ Community Police Advisory <br />❑ Human Services <br />❑ Library <br />❑ Lodging Tax <br />HAVE YOU PREVIOUSLY SERVED ON ONE OF THESE BOARDS OR COMMISSIONS? El Yes ❑ No <br />If "yes", please list: Planning Commission <br />AVAILABLE TO ATTEND MEETINGS: El Daytime El Evenings <br />Please contact me regarding other City of Tukwila volunteer opportunities (check box): ❑ <br />FOR CITY USE ONLY: <br />INTERVIEW DATE: APPOINTED: ❑ Yes ❑ No TERM EXPIRES: <br />