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1.	Please select the board or commission you wish to apply for:*
	--Please Select--Light Rail Permitting Citizen Advisory Committee

2.	Name:*

3.	Home Address, City, Zip Code*

4.	How can you be reached?*
	Email Address   Home Phone #   Work Phone # Contact Information

5.	Length of Residency:
	Less than one year More than one year More than five years More than ten years

6.	List your educational background.

7.	Please state your occupational background, beginning with your current occupation and employer.

8.	Describe your involvement in the Bellevue community.

9.	Describe your leadership roles and/or any special expertise you have which would be applicable to the position for which you are applying.

10.	Describe why you are interested in serving in this position.

11.	Appointment to the Boards and Commissions require your attendance at regularly scheduled meetings. Are you available for daytime and/or evening meetings?
	Daytime  Evening  Both