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HomeMy WebLinkAboutDorgan application, Ethics, 12-10 Print form E-mail form CITY OF BOZEMAN, MONTANA APPLICATION FOR THE BOARD OF ETHICS Date: Name: D iao c /+'i Physical Address: 3 »y� if sfi . �D r�ma-"� _ 5G 1-7 Mailing Address (if different): Email: dom A'nArn Pr ✓� r= - n Phone(s): q©fe qQ4 Length of time in the Bozeman area: 2j g�C/ JG/cj q Occupation:AA iSS,Ui,S 'CA/cc I J a-- e Employer: 0V 1 A n aL_ Are you an appointed or elected official for the City of Bozeman? 1-1 YES 10 Are you currently serving on a board(s) and if so which board(s)? YES ©NO Have you ever served on a City or County board in the past? 1-1 YES Ej_NO (If so, where, what board, and how long?) Please explain your relevant qualifications, interests, and experiences. C�i��y,e� �-►-,r. 144a_ic-Fer s f-�/ b 1 i'C AA of Y l �s n�'1 �-�'h e Gam% top�-�'`�_r'_4 nd F' 4�'1� 0 ri af—e-y _ l�� �' GC rn --f,Z Y1,Y ct Y �J 1`i LI l T� Yn't�S D � �►'OGPA {gt��-n/f vt,it✓� 2��J(J id�f' GG^'-fin (�v-�►'�� --}'G''�- �` 'r P v 2 mom^ ,�wfi✓ 1tic .Few'-Es S rt�1� References (Individual or Organization)Name. Phone: .1 a it fi` r n-(- >, P 70 f4 le - Er 16 .Ajs M.-P/4- �, qra wt D)redr,,- 0 4> 5-1 4-vhl Wd,�- F,-jel?4 - 49& .gq:?4 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.