HomeMy WebLinkAboutBischlke, Green Ribbon application CITY OF BOZEMAN, MONTANA
APPLICATION FOR THE MAYOR'S GREEN RIBBON TASK FORCE
Date: 9-1`i - C G
Name: S,.-� 7�1SC G --e _
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Mailing Address(if different): (� S
Email: S c c cx, b C e ram_
Phone(s): 1-/06 - S 2- �l`/yz
Length of time in the Bozeman area: ,S i.-�C.e- )9 9 e,Ij C %9-7 7
Occupation: _ t er e ���v-
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Have you ever served on a City or County board?
(If so, where, what board,and how long?)
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Please explain your relevant qualifications, interests, and experiences.
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References(Individual or Organisation)Name: Phone: -/ C4C�Y�
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This application is considered public record. Application contact information may be diWlayed
on the City of Bozeman website.
Please return application to:
City Clerk's Office ��'✓ e���� U
121 N. Rouse, Suite 102/P.O. Box 1230, Bozeman, MT 59771
azenda a:bozeman.net
Fax: 406-582-2344 l•�' 1