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Margaret Driscoll �nmi uim�nn�m�.nrinm i n mi� �rom: support@civicplus.com 5ent: Thursday, January 29, 2009 4:39 PM 70: Caralyn Curti; Marga.ret D�iscall Suhject: Online Fo�m Submittaf: Commission Application The following form was submitter3 via your website: Co�nmission App]�icata�on Flease check commission applying for: Pazks and Recreation Commzssion If other, please list name: Name:: Brent Huherty Address:: 9D0 Grandview Ave. Tnf. City, State, Zip: Rosevzlle, Mt�T 55�13 Work Experience: Eleven years as a pharmaceutiaal and medical devace micro�iolagist, t�-ie last 4 of which with St. Jude Medical in Little Canada. Educatio�:: B.S. iri Microksiology from the iJniversity af Mznneso�a Civic and Voluntee� Activitzes {Past and Present}:: Tutoring elementary age children through a YMCA program at Lit��e Canada El.ementary. Please state your reasons for wantzng to serve on til�e Commission/C'ammittea/Task Farce:: As a lifelong residen� of Roseville, I have an interest in the p�rk system as it promotes healthy individuals, healthy families, and therefare, a more health community. What is your view of th� role of this Commission/ Cammittee/Task Farce?: To advise the Parks & Rec Director. Any further informatian you would like the City Council to consider ar that. yotz feel is rel�vant ta the appointment you are seeking.: I understand that all information pravidec� in this application, except my telephone n�mber, fax number and einail address, may be distributed by the City to the public including; but not limited to; being post�d on the City of Roseville �vebsite. I agree to waive any and all claims under the Minnesota Goveznmerit Da.ta Practices Act, or any other applicabl� state and federal la�r, �hat in any way rela�e.d to the clissemination to the public af information contained in th�s application that would be classified as private under such laws. I uncierstand that I may cantact the responsible authority for the City of Roseville if T have any ques�ions regarding the public or priva�e nature of the information provided.: Yes I unders�and that the �ity �rill no� publish my phone or fax numbers or email address witl-}.out my authorizatiori and c3o hereby al�ow the City to publish (check all tl-�at apply) .: I-Iame email address Daytime Phone: Eve�iing Phon� ; Cell Phane: iiame PY�one (if different) : Work Phone {if ditferent): I-iome Fax : �ork Fax: 1