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PR—Carrico you feel is rel evant to the appoi ntm�e�nt or re�appoi ntm�e�nt you are se�e�ki ng. AS an active member of Roseville with 2 young daughters I utilize many of the Roseville parks, as well as parks outside of Roseville . This experience as well as m�y education and previous work experiences will help me make good contributions to the continued excellent growth of the Parks and Recreation program�s. I understand that inform�atiern provideed in this application ray be distribused by the city to the public including, but not lim�iteed to, being posted on the City of Roseville we�bsite . I agree to waive any and all claim�s under the Minnesota Gove rnm�e�nt Data Practices Act, or any oche r applicable state and federal law, that in any way related to the dissem�ination to the public of inform�atiern contained in this application that would be classified as private under such laws. I understand that I ray contact the responsible authority for the City of Roseville if I have any que�stions re�garding the public or private nature of the inform�ation provided.: Yes occasionally city staff gets requests from the m�edia or from the public for ways to contact Commission members . The Commission roster is periodi eat y made available. Please indicate which inform�ation the city ray release to someone who requests it or that may be included on the Commission roster. Under MIN statute §12.601. subd. 3,(b), e�ithe r a telephone or e�le�ctronic m�ail address (or both) where you can be reached rust be made available to the public. Please indicate at least one phone number or one em�ail address to be available to the public, and fill in the corresponding inform�ation in the below.: Preferred Em�ail Address Home Phone : 651-3 30-5880 work Phone : 612-27'3-7'525 Cell Phone: 651-3,3,6-1896 Preferred Em�ail Address: j I have read and uncle rstand the statements on this form , and I he re�by swear or affirm that the statements on this form are true. : Yes Additional Information: Form subm�itted on: 1/13,/2011 9:23:28 AM @ � 5