souSit�� + CHAMBER OF COMMERCE 2017 Candidate Questionnaire Candidate's Name: / J f £ / Candidate for Position: � c u 1v auc, I - h5 1 a : I Home Address: City Seuc . WA Zip f /9 Personal E-mail: Lvfl f er/ , ,� Contact Information: Employment Status: D Currently Between Jobs Page 11 of 4 D Currently Employed � Retired Since D O ther _____ _____ _ Company/Organization: ________________ H ow Long? ___ _ Position: Employment Address: __ _ Zi p_ ____ _ Please fill out (feel free t use additional space to complete your answers) and return to: Email: Andrea@Seattl SouthsideChamber.com or Fax: (206) 575 2007 Post: Seattle Southside Chamber of Commerce 14220 Interurban Ave S Suite #134 Tukwila, WA 98168 ALL QUESTIONNAIRES MUST BE RECEIVED BY 5PM on AUGUST 9 th TO BE POSTED TO OUR WEBSITE WWW.SEATTLESOUTHSIDECHAMBER.COM AND SHARED WITH OUR MEMBERSHIP We are looking forward to your participation! Thank you for your consideration.