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City of Tukwila <br />Tukwila City Hall <br />6200 Southcenter Blvd <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. 2017-12-13 <br />DATE: <br />NAME: David <br />Last <br />ADDRES <br />Street <br />Traub <br />RECEIVED <br />Email: BoardsComms(d)jukwilawa.qov <br />Website: www.tukwiLavva.gov <br />First <br />K <br />M.I. <br />City Zip <br />MAILING ADDRESS (if different): 18375 Olympic Ave. S, Tukwila WA. <br />HOME PHONE: - <br />EMPLOYER: Rainier Industries <br />CELL/MOBILE PHONE <br />E <br />Please check all that apply to you within the City of Tukwila limits: <br />D Resident 0 Business Owner/Representative <br />0 School District Representative 0 High School Student <br />I wish to be considered for appointment to the following board or commission (check all that apply): <br />COMMISSIONS: <br />• Arts <br />▪ Civil Service <br />0 Equity & Social Justice <br />D Park <br />ID Planning <br />0 Other/Special Committee: - <br />BOARDS & COMMITTEES: <br />D Community Police <br />O Human Services <br />0 Library <br />O Lodging Tax <br />HAVE YOU PREVIOUSLY SERVED ON ONE OF THESE BOARDS OR COMMISSIONS? 0 Yes 0 No <br />If "yes", please list: - <br />AVAILABLE TO ATTEND MEETINGS: 0 Daytime 0 Evenings <br />Please contact me regarding other City of Tukwila volunteer opportunities (check box): El <br />FOR CITY USE ONLY: <br />INTERVIEW DATE: APPOINTED: I1 Yes Ej No TERM EXPIRES: <br />9 <br />