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Please state your reasons for wanting to serve an the CammissiQnlCommitteelTask Force: <br />(Please be as specific as possible - use additional sheet if necessary) <br />'what_ is your view of the role of this Conimissiun/ ornmittee `ask Force? <br />Other Comments: (Include anvAr ther in orniation Cori vt)ould like the 0tv Councd to consider or <br />thfit yozifeei is r elevarrt to the appointnient i)ou ar a seekin . Yoti may also a ttac r other materials you <br />�vould like the Council to consider.) <br />�'ennessen <br />Warning - Some or all the information that you are asked to provide is classified by State law as either private <br />or confidential. Pn'vate data is infonmtion that generally cannot be given to the public but can he givers to the subject of <br />the data. Confidential data is information that generally cannot be given to either the public or the subject of the data. <br />The City of Roseville is collecting the information to determine qualifications to serve on a Citizen Advisory Commission. <br />You are not legally required to provide this tinfom- ration. However, if you do not supply the information, you rrmay not <br />serve on a Citizen Advisory Cor=ssion. <br />Other persons or entities autho rued by law to receive this information are City Council members, staff, residents of <br />Roseville and interested others. <br />I undmtand: <br />This application is public information. <br />i will he invited to an interview by the City Council that maybe audio or video taped. <br />This a plieation may be discussed at a public meeting. <br />IMP <br />i <br />F <br />r F+ ■ It Date of Appkation <br />Commission appiication.doc Rev 07130102 <br />