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HomeMy WebLinkAboutSmith Senior Application, 6-11 Print form E-mail form CITY OF BOZEMAN, MONTANA APPLICATION FOR THE SENIOR CITIZENS' ADVISORY BOARD Date:5/17/2011 Name: Susan Smith Physical Address: 161 Barnes Rd Belgrade, MT 59714 Mailing Address (if different): Email: susantaysmith@yahoo.com Phone(s): 406-522-0621 Length of time in the Bozeman area: 9-1/2 years Occupation: Executive Director, Program Coordinator Employer: Befrienders, Eagle Mount Have you ever served on a City or County board? no (If so, where, what board, and how long?) Please explain your relevant qualifications, interests, and experiences. BS Health and Human Development from MSU, Internship at Bozeman Senior Center, Personal Care Aide, Director of Befrienders, member of Senior Center References (Individual or Organization)Name: Phone: Mary Peterson, Eagle Mount 586-1781 Katherine Atteberry, Befrienders 587-1607 Donna McCullough, Blind/Low Vision 556-7103 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.