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Washington State
Association of Counties
206 Tenth Avenue SE
Olympia, WA 98501
(360) 753-1886
(360) 753-2842 (fax)
Boards and Commissions Member Interest Form
Position of Interest:
Name:
Title:
County:
Address:
City:
Zip:
Phone:
Fax:
Email:
Term in office, if applicable:
Have you contacted the Board or Commission of interest to review their meeting schedule and to determine if you are able to meet their requirements?
Yes
No
As an appointee or nominee of WSAC, you will represent the interests and positions of the Association and act in the best interests of all counties. You may be required to report back to the WSAC Board verbally or in writing, upon request, about activities and decisions of the Board or Commission on which you serve. Do you agree to these responsibilities?
Yes
No
Statement of Interest (limit to 150 words)
– Why are you interested in serving on this Board or Commission? What specific expertise do you bring to the subject area(s)?
Please send your resume to
info@wacounties.org
.
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