Loading...
HomeMy WebLinkAboutMoe COC appliation Print form -1 E-mail form CITY OF BOZEMAN, MONTANA APPLICATION FOR THE COMMUNITY ALCOHOL COALITION Date:9/29/2011 Name: Tanner Scott Moe Physical Address: 711 S.16th Ave, Bozeman,MT 59718 Mailing Address(if different): Email: tsmoe@hotmail.com Phone(s): (406)548-7981 Length of time in the Bozeman area: 5 years Occupation: Waiter Employer: Buffalo wild wings Have you ever served on a City or County board? No (If so,where,what board, and how long?) Applicants should apply as one of the following: hospitality industry representative; member of law enforcement; prevention specialist; MSU student; MSU staff or faculty member; Bozeman High School student; Bozeman School District representative; medical community representative; non-hospitality local business representative; neighborhood association representative; or interested citizen who may or may not qualify in another capacity. Please explain your relevant qualifications, interests, and experiences. I am applying as a current MSU student. I am a recovering alcoholic, convicted DUI felon, WATCH program graduate, and current MSU sober organization president. References (Individual or Organization)Name: Phone: Michelle Jermunson 406.600.7470 Jason Karls 406.586.4495 Amberlee Beardsley 406.581.4753 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.