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From: Kelly Elam To: Marty Rehbein Subject: FW: Online Form Submittal: Application Form--Greenhouse Gas & Energy Conservation Team Date: Wednesday, August 12, 2009 9:41:22 AM From: [EMAIL REDACTED] [mailto:[EMAIL REDACTED]] Sent: Wednesday, July 01, 2009 11:16 PM To: Kelly Elam; Nikki Rogers Subject: Online Form Submittal: Application Form--Greenhouse Gas & Energy Conservation Team If you are having problems viewing this HTML email, click to view a Text version. Application Form--Greenhouse Gas & Energy Conservation Team Greenhouse Gas Energy Conservation Team Application Please note: All applications are included in Council packets and are published on the City website. What position(s) are you applying for (check all you are interested in being considered for)?* Commercial/Institution/Business Sector Representative Industry Representative [ ] Alternate (serves in the absence of another member) Applicant Contact Information: Name:* John Freer Email: [EMAIL REDACTED] Daytime Phone:* [PHONE REDACTED] Alternate Contact Phone: [PHONE REDACTED] Street Address:* 3204 Meagher Lane City, State:* Missoula, MT Zip:* 59802 Mailing Address:* 3204Meagher Lane City, State:* Missoula, MT Zip:* 59802 Applicant Background: Are you a city resident* Yes ( ) No If you answered "yes" to being a city resident, please tell us how long you've lived in the city and what ward you live in: How long immediately prior to today's date have you been a city resident? 3 years In which ward do you reside? [1 Are you a U.S. citizen?* Yes ( ) No Are you registered to vote?* Yes ( ) No Current Occupation:* Business Owner Current Employer:* Riverworks,Inc. If you'd like, you can attach a resume or other document for the City Council to consider John CV 5-12-09.doc Briefly describe your educational background:* See Attached CV List of community service experience:* See Attached CV What is your interest in serving on this board, commission, or committee?* I feel with my backround, experience, expertise and local, regional, and national network of industry peers I could help to advance the accomplishments of the GGEC Team. Do you have any special knowledge, interest, or experience that would qualify you for a position on this board, ---PAGE BREAK--- commission, or committee?* See Attached CV References: Please provide two personal references. Reference 1 Name:* Bill Clawson Phone:* 880-8051 Address:* 2464 Larch Camp Road City, State:* Missoula, MT Zip:* 59803 Reference 2 Name:* Don Garramone Phone:* [PHONE REDACTED] Address:* PO Box 9348 City, State:* Missoula, MT Zip:* 59807 If you'd prefer, you can mail or delive your completed application and attachments to: City Clerk Office 435 Ryman St. Missoula, MT 59802 * indicates required fields. The following form was submitted via your website: Application Form--Greenhouse Gas & Energy Conservation Team What position(s) are you applying for (check all you are interested in being considered for)?: Commercial/Institution/Business Sector Representative,Industry Representative Name:: John Freer Email:: [EMAIL REDACTED] Daytime Phone:: [PHONE REDACTED] Alternate Contact Phone:: [PHONE REDACTED] Street Address:: 3204 Meagher Lane City, State:: Missoula, MT Zip:: 59802 Mailing Address:: 3204Meagher Lane City, State:: Missoula, MT Zip:: 59802 Are you a city resident: Yes How long immediately prior to today's date have you been a city resident?: 3 years ---PAGE BREAK--- In which ward do you reside?: 1 Are you a U.S. citizen?: Yes Are you registered to vote?: Yes Current Occupation:: Business Owner Current Employer:: Riverworks,Inc. If you'd like, you can attach a resume or other document for the City Council to consider: John CV 5-12-09.doc Briefly describe your educational background:: See Attached CV List of community service experience:: See Attached CV What is your interest in serving on this board, commission, or committee?: I feel with my backround, experience, expertise and local, regional, and national network of industry peers I could help to advance the accomplishments of the GGEC Team. Do you have any special knowledge, interest, or experience that would qualify you for a position on this board, commission, or committee?: See Attached CV Name:: Bill Clawson Phone:: 880-8051 Address:: 2464 Larch Camp Road City, State:: Missoula, MT Zip:: 59803 Name:: Don Garramone Phone:: [PHONE REDACTED] Address:: PO Box 9348 City, State:: Missoula, MT Zip:: 59807 Additional Information: Form submitted on: 7/1/2009 11:16:26 PM ---PAGE BREAK--- Submitted from IP Address: 66.174.93.99 Form Address: http://www.ci.missoula.mt.us/forms.aspx?FID=102