City of Burien, Washington CITIZEN ADVISORY BOARDS APPLICATION

Name:

Home Address:

                                                                Street                                  City                       State                    Zip Code

Home Phone:   Business Phone:

E-Mail:

Board, Committee or Commission for which you are applying:

Current Occupation:   Employer:

1. Why are you interested in serving in this position?

2. What community activities or other experience do you bring to this position,

including leadership roles?

3. Do you have any special skills or expertise applicable to this position?

4. Educational/occupational background:

Are you available for evening meetings?   Daytime meetings?

If yes, are there any evenings that are unacceptable?

City of Burien residency is required for most positions.  For more information,

please contact the City Clerk at (206) 248-5517

Signature:    Date: 

Return this form with resume, if available, to: City Clerk, City of Burien,

15811 AMBAUM BLVD. SW, STE.C, BURIEN, WA 98166.