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Full Name: <br />Last Name: <br />First Name: <br />Company: <br />Home Address: <br />Roseville, MN 55113 <br />Home: <br />E-mail: <br />E-mail Display As: <br />Arlene Joy Christiansen <br />Christiansen <br />Arlene <br />Human Rights <br />2694 Mackubin Street <br />Arlene Joy Christiansen (joyql3@hotmail.com) <br />Attachment A <br />Non-public data <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 <br />Under state stafute, Commissioner's names, addresses and either a phone number or an <br />elecfronic address where you can be reached are public information. All other personal <br />information is private data and cannot be released to the public unless the Commissioner gives <br />permission for the City to release it. Information relating to a student representative is private <br />data and will not be released. <br />First Name <br />Last Name <br />Address 1 <br />Address 2 <br />City <br />State <br />Zip Code <br />Home or Cell Phone Number <br />Email Address <br />How many years have you <br />been a Roseville resident? <br />Arlene Joy <br />Christiansen <br />2694 Mackubin Street <br />Field not completed. <br />Roseville <br />MN <br />55113 <br />1 year, 2 months <br />Boards and Commissions Human Rights <br />