Full Text
BOARD APPLICATION Pahrump Town Office Nye County Administration 2100 E. Walt Williams Dr. . 2100 E. Walt Williams Dr. Suite #100 s Suite #100 Pahrump, NV 89048 Pahrump, NV 89048 (775) 727-5107 1Y1VAD1 (775) 751-7075 Name of Board: Pahrump Nuclear Waste and Environmental Advisory Committee or Pahrump Environmental Management Advisory Committee Applicant Name: Today’s Date: John M. Pawlak 21 SEP 2020 Home Address: City: State: 3821 So. Tumbleweed Ave. Pahrump Nevada Mailing Address: City: State: Same as above Home Telephone: Other Telephone: E-mail address: N/A (702) 767-0678 Are you currently employed by Nye County: If yes, which Department: I have attached my resume/letter of interest: yesLI No LIX (No) yesEl No Lix (No) Please provide a brief description of your qualifications, experience, or interests that would be considered an asset to this Board: Member, Secretary and chair of this board since 1999. U.S. Army Viet Nam Veteran. U.S. AmeriCorps Veteran. Former or current member of Federal, Nevada State, Nye County, Pahrump Town and Electrical Coop citizen boards. Former Dept. of Energy contractor employed by the Yucca Mountain Project. Initiated Pahrump’s 1st Earth Day event beginning in 2003. Former Chair/Co-chair of past Pahrump Town Clean-ups. 17 year Host of KPVM-TV’s Community Viewpoint program dealing with local current events. I certify that I am a QUALIFIED ELECTOR, that I MEET STATUTORY REQUIRMENTS of the Board area to which I am applying, and that the information is true and accurate to the best of my knowledge. Signare The Board to which you are applying meets at least once a month and possibly evenings. Mail or deliver completed form to: Pahrump Town Office 2100 E. Walt Williams Dr., Suite #100 Pahrump, NV 89048 (This document becomes a public record once it has been received by Nye County)