HomeMy WebLinkAboutTombre Senior Citizens board app, 12-11 Print form E-mail form
CITY OF BOZEMAN,MONTANA
APPLICATION FOR THE SENIOR CITIZENS' ADVISORY BOARD
Date: 4�4 S; -ao/ /
Name: L--x,zla�z 2f_7 z '.��1�
Physical Address:
Mailing Address (if different
Email:
Phone(s): `-
Length of time in the Bozeman area:
Occupation:
Have you ever served on a City or County board? L/ �1_S
(If so,where, what board, and how long?)
Please explain your relevant qualifications, interests, and experiences.
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References (Individual or Org ization)Name: Phone: r 'J
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This application is considered public record'. Appl' ation 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.
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