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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 />RECEIVED <br />Email: BoardsComms(a tukwilawa.gov <br />Website: www.tukwilawa.gov <br />Please complete the ENTIRE application form. Applicants may attach a cover letter and/or a resume <br />totaling no more than three pages. 3/6/2019 <br />DATE: <br />NAME: Fabian <br />ADDRESS: <br />Last <br />Street <br />MAILING ADDRESS (if different): <br />HOME PHONE: <br />JoAnne <br />First <br />M.I. <br />EMPLOYER: Tukwila School District <br />City <br />CELL/MOBILE PHONE: <br />E-MAIL: <br />Please check all that apply to you within the City of Tukwila limits: <br />❑ Resident ❑ Business Owner/Representative <br />p School District Representative 0 High School Student <br />Zip <br />I wish to be considered for appointment to the following board or commission (check all that apply): <br />COMMISSIONS: <br />p Arts <br />❑ Civil Service <br />❑ Equity & Social Justice <br />❑ Park <br />❑ Planning <br />BOARDS & COMMITTEES: <br />p Community Police <br />❑ Human Services <br />❑ Library <br />❑ Lodging Tax <br />❑ Other/Special Committee. I am happy to serve where I am needed <br />HAVE YOU PREVIOUSLY SERVED ON ONE OF THESE BOARDS OR COMMISSIONS? ❑ Yes E No <br />If "yes", please list: <br />AVAILABLE TO ATTEND MEETINGS: 0 Daytime [] Evenings <br />Please contact me regarding other City of Tukwila volunteer opportunities (check box): ❑ <br />INTERVIEW DATE: <br />FOR CITY USE ONLY: <br />APPOINTED: ❑ Yes ❑ No <br />TERM EXPIRES: <br />7 <br />