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Commissioner positions to RAH ). I've also been active in my neighborhood's efforts to coordinate with the District's plans for the Fairview fields. Please state your reasons for wanting to serve on the Commission/Board:: It seems to be a meaningful way to use my studies and professional shills in nay community, supporting local civic engagement. What is your view of the role of this Commission/Board`: It is to advise the City Council on matters involving human rights in our community, and to also educate the community on human rights issues while inviting civic engagement through these programs. Any further information you would like the City Council to consider or that you feel is relevant to the appointment or reappointment you are seeping.: I have enjoyed working with the Human Fights Commission over the last few months, and I would welcome the opportunity to continue this work. I understand that information provided in this application may be distributed by the City to the public including, but not limited to,being posted on the City of Roseville web s ite. I agree to waive any and all claims under the Minnesota Government Data Practices Act, or any other applicable state and federal law,that in any way related to the dissemination to the public of information contained in this application that would be classified as private under such laws. I understand that I may contact the responsible authority for the City of Roseville if I have any questions regarding the public or private nature of the information provided.: Yes Occasionally City staff gets requests from the media or from the public for ways to contact Commission members. The Commission roster is periodicaly made available. Tease indicate which information the City may releasc to someone who requests it or that may be included on the Commission roster. Under NIN Statute 12.60 1. subd. 3(b), either a telephone or electronic mail address (or both)where you can be reached must be made available to the public. Tease indicate at least one phone number or one email address to be available to the public, and fill in the corresponding information in the below.: Horne Phone Number Horne Phone : 651-207-4090 Work Phone Cell Phone: Preferred Email Address: I havc read and understand the statements on this form, and I Hereby swear or affirm that the statements on this form are true. : Yes Additional I nformat ion: Form submitted on:.12/16/20112:10:46 PM Submitted from IP Address: Referrer Page: http://www.c'l.roseville.nm.us/index.aspx?nid=73 Form Address: http://www.c'l.roseville.nm.us/Fonns.aspx.?FID=237 2