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Margaret Driscol� �� '� I��IIIII��II A1 ,AI� From: support@civicplus.com Sent:. Monday, February 23, 2009 9:55 AM To: Carolyn Curti; Margare# �riscoll 5ubjeet: Online Form Submitiai: Commission Application The �ollowing form was submztted via your website: Commissi.on Ap�lication Please check commission applying for: Human Rights Commission, Planning Cornmission If other, please list name: Name:: Keith Miller Address;: 2918 Asbury S� City, 5tate, Zip; Rasevzlle, I+�IlV 55113 Work Experience: E-Marketing Specialis� at Be�lacor.com Marketing Specialist at World Data Products Educa�ion:: B.A. Computer Infprmation Sys�ems; Universzty of St. Thomas, St. Paul B.A. General Business Management, University of St. Thomas, 5�. Pau1 Civic and Volunteer Activities (Past and Present}:: ly�thers Against Drunk Driving, Various churches I have been a member af throughaut my life. Please state youY� reason.s �or wanting to serve on the Camma.ssion/Committee/Task �'orce:: I teel compelled to serve tlze city of Roseville because I have lived her� for almost 5 years. � am under 30 years of age and feel I could give a great perspective or at least learn what it takes to help in the �uture. What is your view o� the role o� this Commission/ Committee/Task Force?: T arn new to civic duty but I feeZ the role of these positions is to deterniine how �o �est meet the numerous needs and demands for public services throughou� the community. One must cornpl� with stat� and federal mandates while trying to rninimize t.�e finaracial impact on the ci�y. Any further information yau w�t11d like the Gity Council to consider or tlhat you feel is re�evan� to thE appointment you are seelcing.: � understand that all informatian provid�c3 in this application, except my telephcsne number, fax nutt�ber and err�ail address, may he distri}�u�ecl by the City to the public incluc��ng, but not limited to, being posted on the City of Roseville webszte. I agree to waive any and aZl claims under the Minnesota Government Data Prac�i�es Act, or any other applicable sta�e and federa3. law, that in any way related to the dissemination to the public af information contained in �his application t.hat would be classified as p�ivate under siich laws. I understand that i may contact the responsible authority foz �he City of Roseville if I have any questions regarding the public ar private na�ure of the zn�ormatian provided.: Yes I understand �ha� the City will not publish my phone or fax numf�ers or email address without my authorization and do hereby allow the City ta publish (check all that applyf.: not checl�ed Daytim� Phone: Evening Phone: Cell Phane: Home Phone (if dif�erent): wor}� Phone {Yf different): 1