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2012_1015_Packet
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2012_1015_Packet
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10/11/2012 4:13:10 PM
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Governmentoftenhasthemostimpactonanz“7zÝz7ÒÂŚxlifeatthelocallevel,andassuchIfeelinservingonthis <br />committeecandirectlyhelppeople,whichismyultimategoalforallvolunteeractivities. <br />WhatisyourviewoftheroleofthisCommission/Board?:Serveinanadvisorycapacitytothecitycouncilonhuman <br />rightsissues,actasageneralcommunityliaison,providedirectanadditionalmeansforpublicengagementwiththecity <br />ofRoseville,provideleadershiponhumanrightsissues,anddriverelatedengagementwithvariouslocalgroupsto <br />includestudentengagement. <br />AnyfurtherinformationyouwouldliketheCityCounciltoconsiderorthatyoufeelisrelevanttotheappointmentor <br />reappointmentyouareseeking.:LxÝ;beenaRosevilleresidentsinceAprilof2003andIplantocontinueraisemyfamily <br />intheareaformanyyearstocome.LxÝ;cometoappreciateallthatRosevillehastoofferitscitizensandIwantto <br />contribute. <br />IunderstandthatinformationprovidedinthisapplicationmaybedistributedbytheCitytothepublicincluding,butnot <br />limitedto,beingpostedontheCityofRosevillewebsite.IagreetowaiveanyandallclaimsundertheMinnesota <br />GovernmentDataPracticesAct,oranyotherapplicablestateandfederallaw,thatinanywayrelatedtothe <br />disseminationtothepublicofinformationcontainedinthisapplicationthatwouldbeclassifiedasprivateundersuch <br />laws.IunderstandthatImaycontacttheresponsibleauthorityfortheCityofRosevilleifIhaveanyquestionsregarding <br />thepublicorprivatenatureoftheinformationprovided.:Yes <br />OccasionallyCitystaffgetsrequestsfromthemediaorfromthepublicforwaystocontactCommissionmembers.The <br />Commissionrosterisperiodicalymadeavailable.PleaseindicatewhichinformationtheCitymayreleasetosomeone <br />tsitorthatmaybeincludedontheCommissionroster.UnderMNStatute§12.601.subd.3(b),eithera <br />whoreques <br />telephoneorelectronicmailaddress(orboth)whereyoucanbereachedmustbemadeavailabletothepublic.Please <br />indicateatleastonephonenumberoroneemailaddresstobeavailabletothepublic,andfillinthecorresponding <br />informationinthebelow.:PreferredEmailAddress <br />HomePhone: <br />WorkPhone: <br />CellPhone: <br />PreferredEmailAddress: <br />Ihavereadandunderstandthestatementsonthisform,andIherebyswearoraffirmthatthestatementsonthisform <br />aretrue.:Yes <br />AdditionalInformation: <br />Formsubmittedon:10/8/20123:57:19PM <br />2 <br /> <br />
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