HomeMy WebLinkAboutCochran, Bicycle Board Application, 12-10 Print form email form
CITY OF BOZEMAN, MONTANA
APPLICATION FOR THE BOZEMAN AREA BICYCLE ADVISORY BOARD
Date: /a— /Z
Name:
Physical Address: �� �,� Z?4'-� A
Mailing Address (if different):
Email:
Phone(s):
Length of time in the Bozeman area:
Occupation:
Employer:
Have you ever served on a City or County board? TES
(If so, where, what board and how long?)
Please explain your relevant qualifications, interests, and experiences.
C�vr/ut'�(/e� q.-i �a'7�ne�/C !'qi! ✓✓G6r/i�er (QUO Gi .7.hC ��/uG�/�
References (Individual or Organization) Name: Phone:
?1117eLc ����� 6111-1
This application is considered public record. Application contact information may be displayed
on the City of Bozeman website.
PLEASE NOTE: Per Ordinance No. 1759,revising Chapter 2.01 of the Bozeman Municipal
Code, all board members are required to attend a yearly ethics workshop provided free of charge
by the City as a condition of service as a member of a board.