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CivicandVolunteerActivities(PastandPresent)::SundaySchoolvolunteerteacherStAndrewsLutheranChurch <br />ConfirmationSchoolMentorStAndrewsLutheranChurch <br />PleasestateyourreasonsforwantingtoserveontheCommission/Board::Ienjoyandamverythankfulforthemany <br />excellentparksinRoseville.MyfamilyandIoftenplayhockeyandgoskating,playbaseball,goforrunsandwalks,use <br />theplayareas,andattendsummerconcertsintheparksandwouldliketheopportunitytooffermythoughtsonhowto <br />continuetomaintainandimprovetheparks. <br />WhatisyourviewoftheroleofthisCommission/Board?:Toofferviewsandopinionsthatwouldhelpintheplanning <br />andmaintainingoftheparksystemwhilepromotingtheiruse <br />AnyfurtherinformationyouwouldliketheCityCounciltoconsiderorthatyoufeelisrelevanttotheappointmentor <br />reappointmentyouareseeking.:Ienjoysportsandrecreationandthroughmanyyearsofusingtheparks,IbelievethatI <br />canoffermanyvaluableinsightsthatcouldhelptoimprovethem. <br />IunderstandthatinformationprovidedinthisapplicationmaybedistributedbytheCitytothepublicincluding,butnot <br />dontheCityofRosevillewebsite.IagreetowaiveanyandallclaimsundertheMinnesota <br />limitedto,beingposte <br />GovernmentDataPracticesAct,oranyotherapplicablestateandfederallaw,thatinanywayrelatedtothe <br />disseminationtothepublicofinformationcontainedinthisapplicationthatwouldbeclassifiedasprivateundersuch <br />laws.IunderstandthatImaycontacttheresponsibleauthorityfortheCityofRosevilleifIhaveanyquestionsregarding <br />thepublicorprivatenatureoftheinformationprovided.:Yes <br />OccasionallyCitystaffgetsrequestsfromthemediaorfromthepublicforwaystocontactCommissionmembers.The <br />Commissionrosterisperiodicalymadeavailable.PleaseindicatewhichinformationtheCitymayreleasetosomeone <br />whorequestsitorthatmaybeincludedontheCommissionroster.UnderMNStatute§13.601.subd.3(b),eithera <br />telephoneorelectronicmailaddress(orboth)whereyoucanbereachedmustbemadeavailabletothepublic.Please <br />indicateatleastonephonenumberoroneemailaddresstobeavailabletothepublic,andfillinthecorresponding <br />informationinthebelow.:HomePhoneNumber <br />HomePhone: <br />WorkPhone: <br />CellPhone: <br />PreferredEmailAddress: <br />Ihavereadandunderstandthestatementsonthisform,andIherebyswearoraffirmthatthestatementsonthisform <br />aretrue.:Yes <br />AdditionalInformation: <br />Formsubmittedon:2/24/20135:49:59PM <br />2 <br /> <br />