Loading...
HomeMy WebLinkAboutKarls, Alcohol application 5-14-09Fill out the following information and click send to apply for the Community Alcohol Coalition Board. Date: 5/14/09 Name: Jason Karls Physical Address: 2310 N 7th Bozeman, MT 59715 Mailing Address (if different): Email: jmkarls@imt.net Phone(s): 406-586-5908(work) 406-698-4495(cell) Length of time in the Bozeman area: 9 months Occupation: Prevention Specialist Employer: ADSGC Have you ever served on a City or County board? (Yes/No) no (If so, where, what board, and how long?) Please explain your relevant qualifications, interests, and experiences. As the newly hired Prevention Specialist for Gallatin County I am interested in being involved in the community as a resource for drug and alcohol prevention. References (Individual or Organization) Please include name and phone for three references. Three Rivers Montana- PJ Issacson 406 581 5960 Boys and Girls Club of Red Lodge- Dave Kallenbach 406-425-1944 Billings Catholic Schools- Deanna Mydland 406-652-8362 I understand that sending this email is the same as signing my name. (Yes/No) Yes Special Note: This application is considered public record. Application contact information may be displayed on the City of Bozeman website.