HomeMy WebLinkAboutVodehnal Pedestrian application, 11-10 Print form E-mail form
CITY OF BOLEMAN, MONTANA
APPLICATION FOR THE PEDESTRIAN AND TRAFFIC SAFETY COMMITTEE
Note: This is a joint board. This application for the City representati�e postions only.
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C`ont, t the Count} clerk for an application for other positions.
Date: �—�
Name: GV' � C?fjd_-7�N 2
Physical Address: 6 1 [ S -�' =
Mailing Address (if different):
Email: aV'4 (:W ":�y (+ ov �
s Phone
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Length of time in the Bozeman area:
Occupation: 0-v� Q T b-vpdet
Employer: cz�2 L`[�
Have you e�er served on a Cite 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 Organization) ame: Phone: �^
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This application is considered public record. Application contact information may be displayed
on the Cite of Bozeman Aebsite.
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.