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Full Name: <br />Last Name: <br />First Name: <br />Company: <br />Home Address: <br />Roseville, MN 55113 <br />Mobile: <br />E-mail: <br />E-mail Display As: <br />Ebony Adedayo <br />Adedayo <br />Ebony <br />Community Engagement <br />m <br />The following form was submitted via your website: Board or Commission Member Application <br />: This application is for Roseville residents interested in volunteering with a City of Roseville <br />Advisory Board or Commission. <br />In order to complete this application, you will need a valid email address. All items marked with <br />a star (*) are required fields. <br />Contact Information: Under state statute, Commissioner's names, addresses and either a phone <br />number or an electronic address where you can be reached are public information. All other <br />personal information is private data and cannot be released to the public unless the <br />Commissioner gives permission for the City to release it. Information relating to a student <br />representative is private data and will not be released. <br />First Name: Ebony <br />Last Name: Adedayo <br />Address 1: <br />City: Roseville <br />State: MN <br />Zip Code: 55113 <br />Home or Cell Phone Number: <br />Email Address: <br />How many years have you been a Roseville resident?: I have lived in Roseville for 5 years over <br />the last 10 years, I have living at my current residence for 2 years. <br />Boards and Commissions: Community Engagement <br />Board or commission preference: Community Engagement <br />Planning <br />This application is for: New Term <br />