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2022 Board of Adjustment <br />Page 2 of 2 <br />WEti ouisville <br />COLORADO • SINCE 1878 <br />What technical/professional qualifications, skill sets and relevant experiences do you have for this <br />position (such as specialized training, service on governing or decision -making boards, etc.)? <br />I am a physician, specifically an anesthesiologist, by education and training. An <br />operating room relies on communication and a team environment to function properly. In <br />terms of decision making boards, I served on the Good Samaritan Hospital Peer Review <br />committee from 2004-2015 and as chairman from 2012-2015. The ability to <br />communicate effectively, think critically and occasionally use some common sense are <br />some of my attributes. <br />APPLYING FOR REAPPOINTMENT ONLY: Should you be reappointed, what would you like to see the <br />BOA accomplish in your next term? <br />Submit this questionnaire with your general application form by email to <br />MeredythM(abLouisvilleCO.gov or deliver it to City Hall, 749 Main Street. City Hall is open Monday — <br />Thursday, 9 am — 2 pm. <br />Applications are due by November 8 at 4:00 pm. <br />Please contact Meredyth Muth at MeredythM(a)louisvilleco.gov or 303.335.4536 if you have questions <br />or need assistance with language access resources or other accommodations. <br />Interviews may be scheduled for December 13; you may need to be available that evening for a short interview <br />with the City Council. <br />25 <br />