HomeMy WebLinkAboutSmith, Green Ribbon application CITY OF BOZEMAN, MONTANA
APPLICATION FOR Tl- F MAYOR'S GREEN RIBBON TASK FORCE
Date:
Physical Address: C�
Mailing Addr ss(if different)-
Email: nAv =v-X C ffC;Y�A n-,n
Phone(s): -�W __� _
Length of time in the Bozeman area:
Occupation:
Employer: -'
Have you ever served on a City or County board?
(If so,where,what board,and how long`?)
Please explam your relevant qualiKrati Is,interests,and experiences.
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{References (Individual or Organization)Name: Phone;
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This application is considered public record. Application coritact information may be displayed
can the City of Bozeman website.
Please return application to:
City Clerk's Offlme
12 t N.Rouse,Suite 142/P.O.Box 1230, Bozeman,MT 59771
a y,nd-a ir.,boccman.net
Fax: 406-582-2344