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Office Use Only Appi. by AA Res Cate
<br />MINNESOTA OPEN APPOINTWENTS, ACT APPLICATION FOR SERVICE ON STATE AGENCY
<br />Appointment
<br />Souiqht:
<br />Appiicant
<br />Name.'-
<br />Member Metropolitan Council (District 3)
<br />(Enter the name of the agiency for whilich applicant seeks appointment)
<br />(First IN ame)
<br />(m,) (Last Name)
<br />Applicant I
<br />Address: 2185 Draper Avenue Rio, s ev 1, 11 e
<br />(Street), (City)
<br />Daytime (612)
<br />- 631-0271 Rawley
<br />Phone. County:
<br />Did the appointing authority as you to submit this application? I YES El
<br />STATISTtCAL WFORMAT!,GN
<br />55113
<br />(State) (Zip)
<br />Legislative
<br />District: 63A
<br />7w id
<br />The f o llowinig inf ormatillon is optional and soulgM only f or the plu rposle of ico mpili nig a reqlui red annual report to
<br />thie goverinor, and the legislature. Put an X in each aippriolpIriiatie box.
<br />Sex Political Party Ralicie Natillonal Grigin
<br />M l D R N III A B C 0
<br />11 /11;sz
<br />x x
<br />4N
<br />A IQ
<br />F44,
<br />STATWEN'T 01,F QUALIFICATION
<br />MR
<br />i� n n e sotia Statutes 1151.0115'917 rewires that thie a p, p I i cat io n i n c I, u id ie "'a staitie irn le nt that the In 01 m i neie s ati sfi es
<br />any I eig a I ly p riels lic r i b ed q u a I ifi c at io n s a n d any other i nf o irm a�ti o n the n o, m i in ati n g pie rsol n f eie I s w o �u I id be h e I pfu I
<br />to the appointing author"ity." (MaV Inictude employment, , community slervilice, ledulication.)
<br />0,
<br />See attached resumei. �dao, 'I bielillieve that my engineleriLng career,, management
<br />0 w, 0 0 a 01 ,
<br />exper'lence, CIV11c aictilvitipleis and residential loinglevity in �th,e miletriopol Itian area w1,11
<br />3.
<br />enabile me, tiol make" meianl"Lngful contributions to, the wokk of' the MietriapoI t,an Clounc 1 as,
<br />a representative of District 3,.
<br />References:
<br />John J., Marty IS enator Dilstri ict 63
<br />,Charles WILgier, Member Metropolitan Council,, District 31
<br />Steve North ,,'Ass istant City 'Anil trator, I City of Roseville
<br />I
<br />Way continuie on baick)
<br />1, the undersigned., hereby state that II satisfy, to thle blest of my knowledge, all legally prescribed qualifica-
<br />tions for the position sought,
<br />od of - 4WIA op
<br />L14 .1 W J
<br />(Signature of Applicant) (Date)
<br />0
<br />If applicant is biei�ng nominated by, another person or group, signature indilicates clonsient tio nominiation.
<br />al a 0,
<br />You will not reicieivie an acknowledgment of' this application but the appoinitin g authority will notify you if an ljnteIr-
<br />view is desired K
<br />RETURN THIS COMPLUED APPLICATION TO: JOANANDERSG14 GROWE,, SECRETARY OF STATE
<br />Open Appoinmilents bliectilio�n
<br />, W �� � � �. ��
<br />w. 0,
<br />.180 State Office Buildin N
<br />g
<br />(61,21) 21196-28105 St. Paul, MN 551 65-1 2,91�9
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