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Please state your reasons for wanting to serve on the Commission/Committee/Task Force: <br />(Please be as speciftc as possible - use additional sheet if necessar}�) <br />`��hat is your view of the role of this Commission/Committee/Task Force? <br />Other Comments: (Include ar�yfurther i�tforntation you would like the City Council to consider or <br />that you feel is relevant to the appoinbnent you are seeking. You may also attach other materials you <br />would like the Council to consider.,) <br />Tennessen Warning - Some or all the information that you are asked to provide is classified by State law as either private <br />or confidential. Private data is information that generally cannot be given to the public but can be given to the subject of <br />the data. Confidential data is information that generally cannot be given to either the public or the subject of the data. <br />The City of Roseville is collecting the information to determine qualifications to serve on a Citizen Advisory Commission. <br />You are not legally required to provide this information. However, if you do not supply the information, you may not serve <br />on a Citizen Advisory Commission. <br />Other persons or entities authorized by law to receive this information are City Council members, staff, residents of <br />Roseville and interested others. <br />I understand: <br />This application is public information. <br />I will be invited to an interview � the City Council that may be audio or video taped. <br />is application m discussed a a public meeting. <br />. r �� <br />/'' ,. :s � �� �i���-� <br />ignature of Appli nt � Date of Application <br />