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PCS—HoUck.txt From : support@civicplus.com Se�nt: Friday, February 04, 2011 10:19 AM TO: Carol yn Curti ; M�argare�t Cirri scol 1 Subject: online Form Submittal: Com�m�ission Application—PCS—HoUck The following form was subm�itted via your websito: Commission Application Please check com�m�ission applying for: Police civil Service Commission If tithe r, please list name : This application is for:: New Term If this is a student application, please list your grade : Nam�e:: Richard Houck Address:: 113,1 Roselawn Ave City, State, Zip: Roseville, MIN 55113 Phone Num�ber:: Em�ail address:: dick—houck@yahoo.com HOW many years have you lived in Roseville?: 81 work Experience (especially as it relates to the Commission/Board for which you are applying): Re�tire�d Advertising Business owner Education:: College Degree in Business and Econom�ics civic and Volunteer Activities (Past and Present):: Past member and chair of Police Commission Please state your reasons for wantin to serve on the Commission/Board:: Police and Fire prote�ction are two o? the rest im�portant aspects of government services and rust be run openly, efficiently and fairly. what is your view of the role of this Commission/ Board?: It has been im�proved and I think one of the best in the State. Any further inform�ation you would like the city council to consider or that you feel is relevant to the appointm�e�nt or re�appointm�e�nt you are se�e�king.: I have several fam�ily members in various police services and continue to have a high regard for and interest in police activitie�s. I understand that inform�ation p nevi deed in this application ray be distributed 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 claims under the Minnesota Gove rnm�e�nt Data Practices Act, or any tithe r applicable state and federal law, that in any way related to the dissem�ination to the public of inform�ation 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 media or from the public for ways to contact Commission members . The Commission roster is periodi cal 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 Page 1