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SCOTT WALKER

OFFICE OF THE GOVERNOR


P.O. BOX 7863
STATE OF WISCONSIN MADISON, WI
53707

APPLICATION FOR A GUBERNATORIAL APPOINTMENT

INSTRUCTIONS

Thank you for expressing an interest in serving Wisconsin. Generally, the Governor fills most senior level
positions in the various departments, positions in the Governor's executive office, and any vacancies on the
many Boards and Commissions that operate under state law through the Gubernatorial appointment process.
To be considered, please complete the application below.
PART I

Name (First, Middle Initial, Last): Kevin J. Hermening


Home Address 1: 2245 County Rd. KK
Address Line 2: Mosinee, WI 54455
Home Phone: 715-693-4750 Cell Phone: 715-571-0950
E-mail Address: kevinh@hermeningfinancialgroup.com
State Senator: Pam Galloway State Representative: Jerry Petrowski
Job Title, Company: Owner/CEO - Hermening Financial Group LLC
Work Address 1: 200 Washington St., Ste. 280
Address Line 2: Wausau, WI 54455
Work Phone: 715-842-1916 Fax Number: 715-842-2907
Preferred Mailing Address (please check one): Home Work
What is your state of residence? WI
Are you a state employee? Yes No
If yes, list your Department and Division.
Are you an elected official? Yes No
If yes, what is your position? Formerly on the Mosinee Board of Education; 10 years, including as Board President

Are you a licensed/certified professional? If so, please specify.


Yes, CERTIFIED FINANCIAL PLANNER™
Do you belong to any professional groups? If so, please specify.
Financial Planning Association, 3 Chambers of Commerce: Wausau, Mosinee, & Stevens Point

*Demographic Information Is Optional


Disability: Yes Veteran: Yes - United States Marine Corps
Sex: Male Female Date of Birth: 07-14-1959
Ethnicity: Caucasian
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WISCONSIN IS OPEN FOR BUSINESS


WWW.WALKER.WI.GOV ▪ (608) 266-1212 ▪ FAX: (608) 267-8983
Application for a Gubernatorial Appointment continued page 2

Part II

Boards Sought (Please list in order of preference and specify member type, if known.):

1. Board of Veterans Affairs


2.
3.
4.

In the space provided below, please list the names of three people who are willing to serve as references. Please also
include phone numbers and their relationship to you.
Name Phone Number Relationship to You
1. Gerald Whitburn 715-551-5049 Chairman, Church Mutual Insurance
2. LaMont Bonham, MSgt., USMC, Retired 715-571-1443 Friend
3. James Campbell, LtCol., USMC, Retired 715-573-9496 Former Exec. Officer, Glenview NAS

Did anyone refer you to this board? If so, who?


1. No

RESUME
Please attach a copy of your resume to this application. Please include all relevant work experience, education,
community involvement, government or military service, honors, awards and other talents.

ESSAY
Please attach a separate document of 500 words or less on the following essay question.
Please describe why you are interested in working for Governor Scott Walker and the State of Wisconsin.

 By submitting this application you are affirming that all the statements you have made in this document are true and that
you understand that an extensive background check may be conducted if you are considered for appointment.

 Under Wisconsin Statutes 19.36 (7)(b), as an applicant for this position, you have the limited right to request that your
identity be kept in confidence. If you wish to preserve this right, you must attach to your application a letter requesting
confidentiality of your identity with respect to this application.

 This right prevents your identity from being released in response to a public records request unless; you are appointed
to the position or you are a finalist for the position as defined by Wisconsin Statute 19.36(7)(a).

Applications should be e-mailed to: Applications should be mailed to:

Governor Scott Walker


GovAppointments@wisconsin.gov Appointments Department
P. O. Box 7863
Madison, WI 53707 -- 7863
(608) 266 -- 1212

This document can be made available in alternate formats to individuals with disabilities upon request.

OFFICE OF THE GOVERNOR


CAPITOL, ROOM 115 E.
MADISON, WI 53702
608-266-1212