Reg 2019-03-18 Item 3 - Appointment - Arts Commission

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City of Tukwila Tukwila City Hall 6200 Southcenter Blvd Tukwila, WA 98188 Phone: (206) 433-1800 Fax: (206) 433-1833 Application for Appointment BOARDS AND COMMISSIONS RECEIVED Email: BoardsComms@,tukwilawa.gov Website: www.tukwilawa.qov Please complete the ENTIRE application form. Applicants may attach a cover letter and/or a resume totaling no more than three pages. 2/03/2019 DATE: NAME: Estell ADDRESS: Last Street MAILING ADDRESS (if different): HOME PHONE: Pinky J First M.I. Tukwila 98188 EMPLOYER: Cornish College of the Arts City CELL/MOBILE PHONE: Zip E-MAIL: Please check all that apply to you within the City of Tukwila limits: El Resident 0 Business Owner/Representative 0 School District Representative 0 High School Student I wish to be considered for appointment to the following board or commission (check all that apply): COMMISSIONS: El Arts ❑ Civil Service ❑ Equity & Social Justice ❑ Park ❑ Planning BOARDS & COMMITTEES: ❑ Community Police ❑ Human Services ❑ Library ❑ Lodging Tax ❑ Other/Special Committee: HAVE YOU PREVIOUSLY SERVED ON ONE OF THESE BOARDS OR COMMISSIONS? 0 Yes p No If "yes", please list: AVAILABLE TO ATTEND MEETINGS: ❑ Daytime 0 Evenings Please contact me regarding other City of Tukwila volunteer opportunities (check box): El FOR CITY USE ONLY: INTERVIEW DATE: APPOINTED: ❑ Yes ❑ No TERM EXPIRES: 5