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6.1. SR 02-07-2011Item # 6.1. X111 ~~~ River MEMORANDUM TO: Mayor and City Council FROM: Jessica Miller, Executive Secretary/Deputy City Clerk DATE: February 7, 201 I SUBJECT: Board and Commission Interviews Board/commission interviews are scheduled tonight. All applicants have been notified of the interviews and have been asked to arrive by 6:45 p.m. Council may make appointments at this meeting or wait until the February 14 worksession. Below is a list of all board and commission applicants: Energy City Commission 2 open seats -energy-related business representatives 1 open seat -EDA representative 3-years terms to expire February 28, 2014 ohn Setala Re uestin rea ointment Ener -related business re resentative R an Setterholm New a licant Ener -related business re resentative Ron Touchette Re uestin rea ointment EDA re resentative (vacancies also exist for environmental, landfill, school, and county representatives but no applications have been received.) Heritage Preservation Commission 2 open seats/3-year terms to expire February 28, 2014 R. Michael Brubaker New A licant Lance Lindber Re uestin rea ointment Debra Mortensen Re uestin rea ointment N:\Public Bodies\Boards\Council Memos\201 I\Board interviews 02 07 I I.doc Parks and Recreation Commission 2 open seats/3-year terms to expire February 28, 2014 Michael Niziolek Re uestin rea ointment ames N Strom Re uestin rea ointment Ice Arena Commission 1 open seat - at-large representative 1 open seat - ERYHA representative 1 open seat -Parks & Recreation Commission representative 3-year terms to expire February 28, 2014 Dave Foss Re uestin rea ointment Elk River Youth Hocke re resentative Dale Martin Re uestin rea ointment At-lar ere resentative Michael Niziolek Re uestin a ointment Parks & Recreation Commission re resen. Planning Commission 2 open seats/3-year terms to expire February 28, 2014 Dana Anderson Re uestin rea ointment Chad Westber Re uestin rea ointment Utilities Commission 1 open seat/3-year term to expire February 28, 2014 Allan Nadeau New a licant Ka, Renner New a licant ames Tralle New a licant The Library Board is a Mayoral appointment, upon approval of the Council. Library Board 1 open seat/3-year term to expire December 31, 2013 Ma Eberle New a licant Willie ackson New a licant Nicole Novotn New a licant N:\Public Bodies\Boards\Council Memos\201 I \Board interviews 02 07 I I.doc Energy City Commission Possible Interview Questions Why do you want to be on the Energy City Commission? 2. What are some of your ideas on bringing more energy-related. demonstrations to the City? 3. Why is the Energy City Commission important to the community? 4. Any ideas on educating the public to garner their support? 5. What skills, abilities and interests can you contribute to the efforts of the Energy City Commission? INTERVIEW NOTES John Setala (energy-related business rep) -requesting reappointment Ryan Setterholm (energy-related business rep) -new applicant Ron Touchette (EDA representative) -requesting reappointment 2010 Energy City Commission Attendance Submitted by: Rebecca Haug Date 01/20/2010 02/17/2010 03/17/2010 04/21/2010 05/19/2010 06/16/2010 07/21/2010 08/18/2010 09/15/2010 10/20/2010 11/17/2010 12/15/2010 Bruce Sa ler x x x e x x x x x e e x Dennis Chuba e x x x x x x x x x x x Jeff Vassar x x x e x x x x e e moved to I John Setala x x x e x x x x x x x x Ron Touchette x x x x x x x x x x x x Scott Ha en x x e x e e e e e x x x Ste hanie Klinzin x x x x x x x x x e e Ste hen Rohlf e e x x x x x x e x e x Susie Overholser e e e e e x e x e e e x Tim Steinbeck x x x x x x x x x x x x Vance Zehrin er x x x x x x x x x x x x FF?OM ~soes oro~ ~.::~;.. , ~~s:~aa~ooo. APPLICATION FOR REAPPOINTMENT TO CITY ADVI50RY BOARD/COMMISSION FAX N0. :7632413715 Jan. 14 2011 04:08PM P2 Reappointment to: ~~GY Ci-ry ~~reM~S`~-o~5 APPLICAIV'I' INFORMATION Name: ~~ ~ ~_ ~`T'A~.A City of Residence: fl~o~~ Occupation. ~~ }~ _ ,_ Employer: ~~~_ ~- ~~~1~ Statement of Interest: Please state briefly why you are interested in contiszuing to serve on the b~o+ard/commission fo/~r which you a1te seeking rea pointment_ ~~ ~ S~ IJYLT Comments: Conflict of Interest is defined as the participation in any activity, recommended action, or dec~sioz7. from which the individual has or could have the potezxtial to receive personal gain, whether xt be direct oz indirect (See attached "Conflict of Interest" Ordinance) In accordance with this definition, do you have any legs]. oz equitable interest in any business, however o b4avi2eci, which could be construed as a conflict of interest? ^ 'Yes ^ No If yes, provide details on ~a se aratE -ece of a er. '/~~/~~ Date be kept oa fIe fot one year; Frfter that trine, s newapplicatior! must be &led. OFFICE USE ONLY Council Meeting Date: ^ Reappointed Term Ea-pines: _ ^ Not Reappointed Attendance: Are pour aware of the importance of regulaz meeting attendance including the time commitment involved in preparing for meetings, and do you £eel you have the time available to be an active participanL> Yes ^ No ReIe~vant Experieaee: Please describe pour educational, pzofessional, civic, or community ~Oi"`~''° participation, which may be relevant in serving on this board/cotnu11ss1on. APPLICATION FOR APPOINTMENT TO CITY ADVISORY BOARD/COMMISSION 1~iver t3065Oiono Pukway. 763.635.1000 Terms beginning in March Thank you for your interest in serving your community! Please indicate in order of preference on which of the following boards and commissions you are interested in serving with 1 indicating your first choice, 2 your second choice, and 3 your third choice. Energy City Commission Heritage Preservation Commission Ice Arena Commission _ Parks and Recreation Commission Planning Commission Utilities Commission All terms are three years and begin on the first day of March. See the specific board and commission description for additional information. APPLICANT INFORMATION Name: Rw ~. Sc~e~'1~~^^ City of Residence: f`~,~A ~~\is Occupation: ~~~~~ ~-~..~t,-.-~, Qr.~~s~;~~ Employer: ~~-as'~~~. ~S E Statement of Interest: Please state briefly why you are interested in serving on this board/commissio tn~for which you are submitting this application. `. / p '~ 4..to.Jl~ ~~~~-e '1~ r~ptel~ Ce..°Ecr Qoi } ~f.ar4-e ~S en ~:ae; ~.n 1~,~ l.a,....a,.iSS.onrr h~C ~` /~~ ` r x{'JC ~-t CT'1r..3 .:sl E~~ ha'~ Yy ,~u~'~'~P'~~1 Ir '~-•- 4o••~r•+'.1Sr.sn~1 ~10(~. Education/Professional Experience: Describe your educational and professional experience or skill` s that qualify y{ou to serve on thiss boLard°^/commissiont~. ]~ /~ ^~' .({- lnh3(rCw~ C-t.... 19 `G~ ~~f at T `C J~eI1 4YJ~l~I'S ~n -11~-- l.oi`StT'J~®P YY1~.7°+t.+a`W 1~o~F+rn ZM CrF. lo^~ .~~e 4 ~`S~ (~~.M1 Ea~yok.fpi..~Ga, s.79r~.~~ Cam- ~ G-~Gv~~yl,. ie~~:~ ~`t~) ~S utl\ <S ~- e ,~ - K~ ~csh~t Lfh~:r-~.w~ i+~st~'a~4t~ Relevant Personal/Professional Experience: Please describe your professional, civic, or community participationr, which mypa(y be relevant in seirving on this board/commission. ~. t ._ .. Gi, n.e~.• _.~ i t ~ nr~ i CI7l.-~i.nt.... nr eYaCC.e."--l f CL ~ ~~o ~t'l ~y"jv~' 1%~~ ~`-~"~`S u•• crc,,<<.,,~~;,.15 QU~.~ -~ Attendance: Are your aware of the importance of regular meeting attendance including the time commitment involved in preparing for meetings, and do you feel you have the time available to be an active participant? Yes ^ No Comments: Conflict of Interest is defined as the participation in any activity, recommended action, or decision from which the individual has or could have the potential to receive personal gain, whether it be direct or indirect. (See attached "Conflict of Interest" Ordinance) In accordance with this definition, do you have any legal or equitable interest in any business, however organized, which could be construed as a conflict of interest? ^ Yes ~No If yes, provide details on a se arate iece of a er. cant Signature Date Questions may be directed to the Administration Department at 763.635.1000. OFFICE USE ONLY The Applicant is: Council Action: New Applicant ^ Not Appointed Appointed to: _ Date Appointed: Term Expires: _ ^ Applying for Reappointment Heritage Preservation Commission Possible Interview Questions 1. Why is the heritage of Elk River important to you? 2. What is your interest in maintaining the history of Elk River? 3. Why is history important to a growing community? 4. Any ideas on educating the public to garner their support? 5. Any previous experience in this activity? 6. What skills, abilities and interests can you contribute to the efforts of the Heritage Preservation Commission? INTERVIEW NOTES R. Michael Brubaker -new applicant Lance Lindberg -requesting reappointment Debra Mortensen -requesting reappointment 2010 Heritage Preservation Commission Attendance Submitted by: Rebecca Haug meetings cancelled Date 01/21/2010 03/18/2010 04/15/2010 05/22/2010 06/17/2010 07/15/2010 09/09/2010 12/16/2010 Debra Mortenson X x x x x x Kristin Harris X x e x x u Kurt Kra Hess X resi ned Lance Lindber X x x x e x Matt West aard X x x Ste hen Rohlf E u e x e x Mark Konietsko X x x x x x APPLICATION FOR APPOINTMENT TO CITY ADVISORY BOARD/COMMISSION ,spa, ~>~,,,., ~~:,~~..,.~ Terms beginning in March Thank you for your interest in serving your community! Please indicate in order of preference on which of the following boards and commissions you are interested in serving with 1 indicating your first choice, 2 your second choice, and 3 your third choice. Energy City Commission Hcr~tage Preservation. Commission Ice Arena Commission Parks and Recreation Commission ~_ Planning Commission Utilities Commission All terms are three years and begin on the first day of March. See the specific board and commission description for additional information. APPLICANT I~~N/JFORMATION Name: ~ f Y 11 ~--~L>~~,~ City of Residence: ~.=- l`Z..ir~~-- ~ ~ ,~, Occupation: :fit:-~ ~ , Gg ~..= ~ f~-c-- ~- Employer: ~ ~1.~`2.,~c..c, ~"2..~ ~ /Yl~ ~y ~,t~ t ~°t' Statement of Interest: Please state briefly why you are interested in serving on this board/commission for which you argg~ submitting this a~pplication. .., °i" /~ .~ r; r b,.,~ ~=,~- r~c~54 ~~~ f...~, `lt~ Iz i ~~~ ~~ ~~.~ .~ ~~'2, ~~ ~~ .c.i Education/Professional Experience: Describe your educational and professional experience or skills that.q fy you o s eon this b and/commiss on: ~ ~ ~~~~~~ sue. ~ ~~~~- ~ ~ ,~~ -~ ~ ~. ~~S P ~2 ~~ . ~ ~--~r~ !~ f c~ ~ ~f r~c/~ ~~ l~C~ .~ ~L LC ~/! G~ !cC '~C•j !~ ~ZC',~1~~ C f'.z%C~~ Relevant Perslonal/Professional Experience: Please describe your/profes(sdional, civic, or community participation, which may be relevant in serving on this board/commission. ~v ~ ~-- -~ Attendance: Are your aware of the importance of regular meeting attendance including the time commitment involved in preparing for meetings, and do you feel you have the time available to be an active participant? l Yes ^ No Comments: Conflict of Interest is defined as the participation in any activity, recommended action, or decision from which the individual has or could have the potential to receive personal gain, whether it be direct or indirect. (See attached "Conflict of Interest" Ordinance) In accordance with this definition, do you have any legal or equitable interest in any business, however organized, which could be construed as a conflict of interest? ^ Yes ~ No If yes, provide details on a se arate iece of a er. Applicant Signature Date Questions maybe directed to the Administration Department at 763.635.1000. OFFICE USE ONLY The Applicant is: Council Action: New Applicant ^ Not Appointed Appointed to: _ Date Appointed: Term Expires: _ ^ Applying for Reappointment ~t~rc( f-ice ll - .;;~_< River 131K5 ti„pn+1'weRw a~ 'GJ.G3S.IINN~ APP<.ICATION FOR REAPPOINTMENT TO CITY ADVISORY BOARD/COMMISSION Reappointment to: APPLICANT INFORMATION Name: 0. V1 C f' ~ City of Residence: ~ ~ ~ Occupation:. ~ R Employer: t i tti ~' Relevant Experience: Please describe your educational, professional, civic, or community ~5~-~~ Comments: Conflict of Interest is defined as the participation in any activitq, recommended action, or decision from which the individual has or could have the potential to receive personal gain, whether it be direct or indirect. (See attached "Conflict of Interest" Ordinance) In accordance with this definition, do ou have any legal or equitable interest in any business, however organiz. e~i, which could b e conflict of interest? ^ Yes ~ No If yes, provide' tails on a e ie -~'~ N.Y t ~'~ ~,~:- ~r. ~ .,,.`yam. .+ ~.a" w z~., . ~ ~ ~ Applicant Signa ''~. ~~ Date. / !~ Applications will be kept on ale for ~aiie pear, after that time, a new applrcatiot~ must be filed. OFFICE USE ONLY Council Meeting Date: ^ Reappointed Term Expires: _ ^ Not Reappointed Statement of Interest: Please state briefly why you are interested in continuing to serve on the Attendance: Are your aware of the import~e of regular meeting attendance including the time commitment involved in preparing for meetings, and do you feel you have the time available to be an active participant?~~Yes ^ No APPLICATION FOR REAPPOINTMENT TO CITY ADVISORY BOARD/COMMISSION 130G5 Oro6o Pukway - 763.G35.1000 Reappointment to• APPLICANT INFORMATION Name: ~ ~~ - ~ /f';~~^ r~' ~,.~ .~ ~ ,~, City of Residence: ~ 1 ~ ~ - ~ ~_:~' Occupation: ~ ~ ~c r ~r ..S f ~~ ~~ ,~ ~ ~ ,>., ~. ~ Employer: l ~ r°~ e ,,.. ~n Ic ~. < < ~ Statement of Interest: Please state briefly why you are interested in continuing to serve on the board/commission for which you are seeking reappointment. t y ~ y+3t F } } j ~7 ~ 1 2 J Z ~ S 3 f L: P ~ ~. ~ ~ M .? U l N`G-~ ~- ~'t'" tr / `Yf f~ 'J ~-- ~~ Fy @.~7 ~ [~J i ~ f"! f -~ v` (' f C .,i" ~ ' • ¢. n ai + ~ ~. C~<. ~ S ~! . 1t ~ ~ s N ~~ C..S '4'e G .,r i f! ~' ~1 ~ S' '~ j' ,.~ ~ -~. .~' ~ te. .~ C A^f C'. ~ '~ !~`~ ~ ~ /"1 t , G:'n .m vn, ~-~ Z S ~ ~ S '~°t%t .,r ~ ~ °~ ~"1 t r,F; J e~ .~ ^ ~ .~1--t L7~ ~ ~~ C ~1 ~~. ~ ~ 'Yt ~ lrn~ t' ~f .~ ~tSrm.J~' 1 ~+`ur°r ~ Relevant Experience: Please describe your educational, professional, civic, or community participation, which may be relevant in serving on this board/commirs7sion. -4~~- ~ ~ 1 1 ~ fY' a=. ~' C S` G ~- f~` r~'1 ~ +'i~ (: G = ~" 1 ~ a`~ / ~'>~ ~© ~' ~ ' r /(~t~~ ~_: Y~ b tt c' .~ S ~i 11e .< ~s v f ~ ~ { f-yl ,' .S +~ ~ t ~ e+~ ~'cE! s ~ f'1'j rf , {~, ~ ~' ~-e C % c' r. ~ ~ pU G , e ~ ~. , (tMZ-'C.F~n ainJ~c{'.~Y~ ~r~es'~•'~-vi--e" _ ~.rF2S-~- fCt'~e'~'~ t ~rM~ ~.~ ~1S'Tiir•YSt Attendance: Are your aware of the importance of regular meeting attendance including the time commitment involved in preparing for meetings, and do you feel you have the time available to be an active participant? ^ Yes ^ No Comments: ~~ u z h ~ ~,-. ~ r 2_se-, + ~~ ~- ~ v c~ ,s-, 4° e ~ : ~. ~ ~'.' .~ < ~ ;~ (:.c~~ '? C~ls f ~ an ~- Cam, - C.~°'1c ~ i Conflict of Interest is defined as the participation in any activity, recommended action, or decision from which the individual has or could have the potential to receive personal gain, whether it be direct or indirect. (See attached "Conflict of Interest" Ordinance) In accordance with this definition, do you have any legal or equitable interest in any business, however organized, which could be construed as a conflict of interest? ^ Yes ~ No If yes, provide details on a se arate iece of a er. ~, ~. / Applicant Signature Date Applications will be kept on frle for one year; after that time, a new application m ust be &led. OFFICE USE ONLY Council Meeting Date: ^ Reappointed Term Expires: _ ^ Not Reappointed Parks & Recreation Commission Possible Interview Questions What role do you see Parks and Recreation playing in the overall growth and development of Elk River? 2. Parks and Recreation involves a lot of different subjects, which ones are of the most interest to you? 3. How do you balance your interests with the overall mission of the Parks and Recreation Commission? 4. What do you see as the strengths and weaknesses of Parks and Recreation in Elk River? 5. What unique attributes or perspective will you contribute to the Parks and Recreation Commission? INTERVIEW NOTES Michael Niziolek -requesting reappointment James Nystrom -requesting reappointment COMMISSION NAME: Park & Recreation 2010 Attendance Record Submitted by: Tonya Love Meeting Date Jan Feb Mar Apr Sp Mtg Jun Jul Aug Sep Oct Nov Dec Member Name Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Dave Anderson X X E X X X X X X X Steve Boese U X Jer Jaker X X X X X X X X E X X Mike Niziolek X X X X X X E X E X X Jim N strom X X X X X X X E X X X Eddie Peterson X X X X X X X E X X E Mark Ahlness \ \ X X X X X X X X E X Andrew Karlson X X X E X X X X Instructions: If member notifies Chair or staff that they will not be in attendance, place an "E" under the N to denote an excused absence. If Chair/staff has not been notified of anticipated absence, place a "U" under the N to denote an unexcused absence. Three unexcused absences will be considered a resignation from the Commission. S:Clerk/Boardcom/Board and Comm Guidebook/Attendance Record ~'t_;u'i~ 1r~2 _C) fiver 13065 Orono Pukway 763:635.1000 APPLICATION FOR REAPPOINTMENT TO CITY ADVISORY BOARD/COMMISSION ,-. z~,~ ~' ! G Reappointment to• ~~--r~--~ ~ I~.C ~ 1.~"~~~~-S~ `~~``~ APPLICANT INFORMATION Name: ~ i ~, 1V +z1i'6 t~-K City of Residence: ~~ ~C. ~ ~ t~Gr' Occupation: ~~-~ Employer: ~`~ ~ ~ ~ 2 g Statement of Interest: Please state briefly why you are interested in continuing to serve on the board/commission for which you ar/e seekin reap ointment. ~ 1p,~1 ~ t.~,.z -~e.- ~ ¢l~~t' ~ ~~ .~..,,~ Jy k TS ~ ~~~ ca~~s Av~.2rti ~-o o wr- ~w,r+a.wwr e}-rea. U,rC, ~Iu., a or^~-ur~, - fix- ~' K.~-wti ~, ~~n~,s oyee.S { r; , et,s ~n~"aneeQA~re y~ourl aware of'~the ~p~SrL`tan So~egL~ilar meeting attendance including the time commitment involved in preparing for meetings, and do you feel you have the time available to be an active participant? 1~•Yes ^ No Comments: Conflict of Interest is defined as the participation in any activity, recommended action, or decision from which the individual has or could have the potential to receive personal gain, whether it be direct or indirect. (See attached "Conflict of Interest" Ordinance) In accordance with this defuution, do you have any legal or equitable interest in any business, however organized, which could be construed as a conflict of interest? ^ Yes 1~ No If yes, p o e details on a e arate iece of a er. ` 1 1 ~l Applicant Signature Date Applications will be kept on file for one year; aftet that time, a new application must be filed. OFFICE USE ONLY Council Meeting Date: ^ Reappointed Term Expires: _ ^ Not Reappointed Relevant Experience: Please describe your educational, professional, civic, or community articipation, which maybe relevant ~' "serving on this board/co ssion. / 11a.~ De.ean QSS~''S`t-i v,~ eo~Mv~-u_wv P~C.,oi~-fie au u~, ~. ~ln,~., River 13065 Orono Pazkway 763.635.1000 rC:;t~C~- i- c ~- i i APPLICATION FOR REAPPOINTMENT TO CITY ADVISORY BOARD/COMMISSION Reappointment to: [~ ~ `~ ~~~ ~~~``~I°~°~~~ - ~, SE ` ~. f 1 APPLICANT INFORMATION 1 _ Name: ~ ~4 ; ~ ,~. ~ ~' ~ ~ ~ tY ~ ~..-~ ~ E ~~~~'~ `~ t E ~~ ie V` Ci of Residence: Occupation: L '~ ~ ~°~ ~ Employer: (~- F Statement of Interest: Please state briefly why you axe interested in continuing to serve on the board/commission fox which you axe seeking reappointment. ..~ f ~~ ~~e.lr~wt -c A ~ ~ s~ ~ ~ a ~ r ~ #~; ~.~r~~c? ~ ~~t '~ ~~~t r~-~ c s S E ~ t.-~ I o FZ E ~ ~ ~~ ~ t'~,•.t c~`,~~-~ dAv~ ~ ~ ..-~ ~ ~ ~ ~ c~ A~ ~'f~ [ ~ ;rlr.1 ~ ~'~ ~ L i Tl ~~'r ~t~ 1-4 ~ 1 f F ~ r! ~ ~ i '~`(~ °j e~ [~~iL~'~ ~ th J~ f Z.~ 1 ~ (R~°'~"~.~ y~,i ~.t ~ t ~ U ~Z. ~ ~ i LO ~~ D ~A tc,~ ~' ~~r n ~T ~!~-~ P~2~' ~ rtin..ix s r ~~ ~..ti~Yi Relevant Experience: Please describe pour educational, professional, civic, or community anticipation, which maybe relevant in servin on this board/comx~nission. ~~~/~.~ ~r ~c~ J~'~-- ~ ~C i c. i ~, ~itf r ~ ~ ~ts~ '~~~ ~~r`L.K ~ t.! f., (~ <,~l ~Dre c'.t~tne.1 ~/~~-~~ ~nf lAt, 9~i~"e"'~Stt`~rl j~[ ~~G,nj~~ ((Z ~'~`i~ ~~C; I~' ~G - ~ Attendance: Are your aware of the importance of regular meeting attendance including the time commitment involved in preparing for meetings, and do you feel you have the time available to be an active participant?~ Yes ^ No Comments: Conflict of Interest is defined as the participation in any activity, recommended action, or decision from which the individual has or could have the potential to receive personal gain, whether it be direct or indirect (See attached "Conflict of Interest" Ordinance) In accordance with this definition, do you have any legal or equitable interest in an business, however organized, which could be construed as a conflict of interest? ^ Yes No If.es, provide details on a se arate iece of a er. ;'~ A `plicant Signature ~ Date ~~~~ Applications will be kept on file for one year; after that time, a new application must be frled. OFFICE USE ONLY Council Meeting Date: ^ Reappointed Term Expires: _ ^ Not Reappointed Ice Arena Commission Possible Interview Questions 1. What unique attribute or perspective will you contribute to the Ice Arena Commission? 2. What is your primary interest in serving on the Arena Commission? How would you balance the competing interests of the various users of the Arena? INTERVIEW NOTES Dave Foss (Youth Hockey rep) -requesting reappointment Dale Martin (at-large rep) -requesting reappointment Michael Niziolek (Parks and Recreation rep) -requesting appointment COMMISSION NAME: Ice Arena Commission 2010 Attendance Record Submitted by: Laura Estby Meeting Date Jan April *"July* Aug Nov Member Name Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Dale Martin X E X X X Ronald Johnson X X X X X John Barth X X E E E Mark Malzahn X X E X X Jer Gum hre X E E X E Dave Foss X X X X X Instructions: If member notifies Chair or staff that they will not be in attendance, place an "E" under the N to denote an excused absence. If Chair/staff has not been notified of anticipated absence, place a "U" under the N to denote an unexcused absence. Three unexcused absences will be considered a resignation from the Commission. Please note: Originally, Aug meeting was supposed to be same Day as primary elections. It was moved to 7/27. We did not have Quorum at that meeting, so a special meeting was called on August 2nd. S:CIerWBoardcom/8oard and Comm Guidebook/Attendance Record ~'' APPLICATION FOR REAPPOINTMENT TO CITY cty of ADVISORY BOARD/COMMISSION Elk -~.-~ R1Ver Reappointment to: ~=.-`t'om!' ~~~!mn't 13065 Oiono Pazkway.' 763.635.1000 APPLICANT INFORMATION Name: F°~~~ ~-~ ~~~ City of Residence: ~~ ~~~~~ t3f~~ ~_~-~~ C~'~-"'-S h~~' + ~ Occupation: ~~u~~v°' / ~'`~~~c•t;~-~i Employer: ~.u. ~b~5~~.~ .~'v1~. Statement of Interest: Please state briefly why you are interested in continuing to serve on the board/commission for which you are seeking reappointment. Relevant Experience: Please describe your educational, professional, civic, or community participation, which maybe relevant in serving on this board/commission. ~Erv-~ iS f4~ i l~rc..r L®~/ ~~ifrJCSS caWsq~6'2 ~ ~1rfVPs_ ~~L~16~® ~''~irt~S Gtr !~d'~ in~ ~,-r~rnc5~= mar ~vc~ ~~ ~'E~.~c~ ct~aC.. raG~cr~.t -~r~~ ter, ~'~-~ ~ ~-4;~1-~ s~~~, r t-~ ~ ~. ~3~~ ~~5 Attendance: Are your aware of the importance of regular meeting attendance including the time commitment involved ~ preparing for meetings, and do you feel you have the time available to be an active participant? Yes ^ No Comments: Conflict of Interest is defined as the participation in any activity, recommended action, or decision from which the individual has or could have the potential to receive personal gain, whether it be direct or indirect. (See attached "Conflict of Interest" Ordinance) In accordance with this definition, do you have any legal or equitable interest in any business, however organized,-which coald be construed as a conflict of innterest? ^ Yes No If yes, pro ' e de ~ o a se arate iece of a er. ~_/~- ~'/ Applicant Signa Date Applications will be kept on frle for one year; a8er that time, a new application must be filed. OFFICE USE ONLY Council Meeting Date: ^ Reappointed Term Expires: _ ^ Not Reappointed APPLICATION FOR REAPPOINTMENT TO CITY ADVISORY BOARD/COMMISSION Reappointment to• APPLICANT INFORMATION ,,,` Name: ~ 0.,` ~ ~ - l~Q (~ ` '^ City of Residence: ~ ~ ~~ ~ ~'L' Occupation: ~ lx Ss1~1 E. S S ' ~N~ L Y S 1~ - Employer: ~ ~~ ` ~~~ ~' £!y~ 2"C~ Statement of Interest: Please state briefly why you are interested in continuing to serve on the board/commission for which you axe seeking reappointment. ~l.r~,R; i Sti t', ~ d!"~--A Z'NiS.I-~iT ~/~ !-~~~o~.~-A~y6 ~ ~MfdtlJf/.•-r-G- t'i~€~`'~Z.~ A-n-SiN !~ r41c ~. `:~Y`l , Tlf ~. P~9-`~~ s' A~~S o r..s~ -~-~1 ~ w ~--~i ~ G ^~ (L...~.•~r-~- ~~ sYN,4 ~ A s J.~ ~ .yam G T~iJ .T M ! /~-v/~r C+ f 0 ~- e-f f! F tc. s ~ f~n.4 ~'-~ ~r~-~dr- r~~-.= ~ s w.~ ~ u s~r2 G~ ~E' S Relevant Experience: Please descn-be your educational, professional, civic, or community participation, which may be relevant in serving on this board/commission. ~Y 1~- ~.FA-s k. Q- FJL. ~ ~ 2 'Z ~C ~~-s 3Lt~~ LyN ~. ~ 2~ ~O ~ F.- 15'~ 1 - 1 ~`~~'Mo~-d00 ~p ~.~-~s-~ ~. 9 8' N .~ ~ ~? Es cn-, ~~~ G c7 .~. w~. ~ S -+-~ N Attendance: Are your aware of the importance of regular meeting attendance including the time commitment involved in preparing for meetings, and do you feel you have the time available to be an active participant? ~ Yes ^ No Comments: _~ Conflict of Interest is defined as the participation in any activity, recommended action, or decision from which the individual has or could have the potential to receive personal gain; whether it be direct or indirect. (See attached "Conflict of Interest" Ordinance) In accordance with this definition, do you have any legal or equitable interest in any business, ' however organized, which could be construed as a conflict of interest? ^ Yes ®No If yes, provi/d/~e details on a se axate iece of a er. / Applicant Signature . Date Applications will be kept on 81e f+vr one year; after that time, a new application must be filed. OFFICE USE ONLY Council Meeting Date: ^ Reappointed Term Expires: _ ^ Not Reappointed _~ Planning Commission Possible Interview Questions 1. What is your interest in serving on the Planning Commission? 2. What do you think is the role of the Planning Commission and what is its relationship to the City Council? 3. How familiar are you with either the City's Comprehensive Plan or Land Development Regulations? 4. What do you see as the City's planning challenges for the future? Do you think that the City has transportation problems? If so, and you had no limitations on the solutions, what would be the top two or three transportation priorities that you would solve? 6. Do you think that the City needs improvements in land use planning? If so, what improvements would you recommend to the City Council? INTERVIEW NOTES Dana Anderson -requesting reappointment Chad Westberg -requesting reappointment Planning Commission 2010 Attendance Record Meetin Date 1/12 2/9 3/9 4/13 5111 6/8 7/13 7/27 8/3 9/14 10/12 11/9 11/23 12/14 Member Name Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Meeting held X X X X X X X X X X X X X X Dana Mden;on X X X X X E X X X X X E X Paul Bell X X X X X X X X X X X X Troy Ives E X X X E X E X X E X X X Eric Johnson X X X X X X X X X X X X X Pete Lemke X X X X X X X X X X X E X Kevin Scott X X X X X X X E E X X X X Chad Westberg X X X X X X X X X X X X X S:CIerklBoerdoomlSoard antl Comm GuidebooklAllendance Record ~•1~~1r APPLICATION FOR REAPPOINTMENT TO CITY aty of ADVISORY BOARD/COMMISSION Elk -`-1 ..•.r., River ~ ~~~~~~~ `s~~r~~l~(~~fC`~ Reappointment to: 13065 Oxono Pukway 763.635.1000 APPLICANT INFORMATION ~ f ~j Name: t )~~ ~~~~`~~f ~~ City of Residence: C~ _.I- 1~.~ ~i`~~ rr Occupation: ~t~~ I ~`~ '~~~ C.~ Employer: ~~~~ 5 ~~' ~'' Attendance: Are your aware of the importance of regular meeting attendance including the time commitment involved ~ preparing for meetings, and do you feel you have the time available to be an active participant? Yes ^ No Comments: '~~ Conflict of Interest is defined as the participation in any activity, recommended action, or decision from which the individual has or could have the potential to receive personal gain, whether it be direct or indirect. (See attached "Conflict of Interest" Ordinance) In accordance with this definition, do you have any legal or equitable interest in any business, -~,h~~owever organized, which could be construed as a conflict of interest? ^ Yes ^ No ~~ es, provi~e~detail~ on a se arate iece of a er. ~~~I~ Applicant Signature Date Applications will be kept on file for one year; after that time, a new application must be filed. OFFICE USE ONLY Council Meeting Date: ^ Reappointed Term Expires: _ ^ Not Reappointed Statement of Interest: Please state briefly why you are interested in continuing to serve on the board/commission fox which you are seeking reappointment. Relevant Experience: Please describe your educational, professional, civic, or community participation, which may be relevant in serving on this board/commission. ~ ~~~ APPLICATION FOR REAPPOINTMENT TO CITY cty or, ( ADVISORY 130ARD/COMMISSION ~~, •Ver Reappointment to: ~ ' ~ his i~.Si ~~ 13065 Oxono Yukway 763.635.7000 - - APPLICAN~TjINFORMATI ON Name: ~-fR ~ ~~ City of Residence: ~i~' ~ vex ~--- Occupation: Jc,~y2>~~~~ Employer: <~f~ ~~., i~,~~a`~ '<~~.~-~ Yw~".~,~ Statement of Interest: Please state briefly why you are interested in continuing to serve on the board/commission for which you axe seeking reappointment. _ ~ e? sra JIJ7FCr~ ~ ~ e it ir, 5~~u ~c fur ara Y ^= fw eCl . ~ ~ ~ sf Q ~f~e. +'S Gin T ~C c ~ /'~' U't!. ,~ ~e. /e`~v~ ~c,-~ ~.s s~ ~ ~- ~ifc,.>r'.'~/ ~n ~f,'f ,~'`,« f~~1 Z tdr.'s ~ ~a ~ ltia-, ~~ ~ ~~-~ L.*~~.{~ Relevant Experience: Please describe your educational, professional, civic, or community participation, which may be relevant in serving on this board/commission. ~`CF~VL G'c~n.t-:9/t/'°~f Lxh ~ 7G°~,,. c~*t ~l~ifs~ZF~.s C-.G>b4-+. S G ~ L.O'.~~ d~<- i`CG> /~/JJ T / J // ,~e--{vsi,,~- etit s /` 1 L !~. jVi~'. ~ SG , G Cs ~ ~ .t ~'.sG/ / YE .. .~1'%C A J. ~'i ~/i./ih,y G° iii jr ~rrrj'~~ajj+&swS. 1'~ Gv.-~c..s f /f awr- d~.t~i/ aus+~ ~,,Ss'n ca j i.-1h' < 1. Gr., cclS ~i,. tr~trJ`f~hr~.i R~lz,~/ /SS,+LS r~,,y- ~°j~e,.a„~- ~-~-~ 7~ 4aro....-;:sS:e,^~ , 'l~ Attendance: Are your aware of the importance of regular meeting attendance including the time commitment involved in preparing for meetings, and do you feel you have the time available to be an active participant? ~ Yes ^ No Comments: -~ ~t.1,~cv~ t ~.~~ ~f s~,,~sul ~ .~„ y ~ ~ Conflict of Interest is defined as the participation in any activity, recommended action, or decision from which the individual has or could have the potential to receive personal gain, whether it be direct or indirect. (See attached "Conflict of Interest" Ordinance) In accordance with this defuution, do you have any legal or equitable interest in any business, however organized, which could be construed as a conflict of interest? ^ Yes ,~ No If yes rovide details on a se arate iece of a er. /- d3 - Z~/f Applicant Signature Date Applications will be kept on file for one year; aRer that time, a new application must be filed. OFFICE USE ONLY Council Meeting Date: ^ Reappointed Term Expires: _ ^ Not Reappointed Utilities Commission Possible Interview Questions 1. Why do you desire to be appointed to the Elk River Municipal Utility Commission? 2. What expertise on utility issues from a business ,technical or marketing perspective will you bring to this commission? 3. Water utilities are facing significant water resource issues. Could you speak to this issue. 4. Electric utility industry I sin the mist of numerous state and federal legislative initiatives the will effect Elk River programs and costs. Could you speak to these issues. INTERVIEW NOTES Allan Nadeau -new applicant Kathyrnn Renner -new applicant James Tralle -new applicant COMMISSION NAME: Elk River Municipal Utilities 2010 Attendance Record Meeting Date 1/12 2/9 2/17 3l9 4113 5/11 6/8 7/13 8/10 9115 10/12 11/16 12114 Member Name Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Jer Gum hre X X X X X X X X X X X X X John Dietz X X X X X X X X X X X X X Da I Thompson X X X X X X X X X X X X X Instructions: If member notifies Chair or staff that they will not be in attendance, place an "E" under the N to denote an excused absence. If Chair/staff has not been notified of anticipated absence, place a "U" under the N to denote an unexcused absence. Three unexcused absences will be considered a resignation from the Commission. (~wC~ I-(l'~1 APPLICATION FOR APPOINTMENT TO CITY ADVISORY BOARD/COMMISSION `'+j" ~~~+---- Terms beginning in March l~v~x t 3t1(i.5 S )n v~v ~ t'ueku~a+- Tc ;.~33. uxxt Thank you for your interest in serving your community! Please indicate in order of preference on which of the following boards and commissions you are interested in serving with 1 indicating your first choice, 2 your second choice, and 3 your third choice. Energy City Commission Heritage Preservation Commission _ Ice Arena Commission Parks and Recreation Commission _ Planning Commission Utilities Commission All terms are three years and begin on the first day of March. See the specific board and commission description for additional information. APPLICANT INFORMATION Name: / 1 ~ , h~~L ~,l e ~ c.c._, Cit<~ of Residence: ~ ! 1! j~ o ~ ~ /' Occupation: ~l rc. ~ ~ ~i' Employer: , ~ r ~ Statement of Interest: Please state briefly why you are interested in serving on this bo~ /commission for wlu~c~h you//are submitti/n~g this application. !/ ~ C.~ l~,r9 ~~ijS Uc/L i ~ t1 f~/i9r>c7 ft/~ ?~ L ~~ i G. 2~ G .9/YT tG..2/ ~/ i 7 OL. ~ S S [° c~ e° 2" / 7` s C~. zn it I ~s~ / / ~~ ~~~ rl' c~ ~ F> ~G 7C~~f' L f1. ~ Education/Professional Experience: Describe your educational and professional experience or skills that qualify you to serve on,this board/com3nissionj. ~ ~',~ Relevant Personal/Professional Experience: Please describe your professional, civic, or community particip ~on, which maybe relevant in serving on this board/commission. ~~~ ~..~ ~ Attendance: Are your aware of the importance of regular meeting attendance including the time commitment involved in preparing for meetings, and do you feel you have the time available to be an active participant? ~ Yes ^ No Comments: Conflict of Interest is defined as the participation in any activity, recommended action, or decision from which the individual has or could have the potential to receive personal gain, whether it be direct or indirect. (See attached "Conflict of Interest" Ordinance) In accordance with this definition, do you have any legal or equitable interest in anv business, however organized, which could be construed as a conflict of interest? ^ Yes ~ No If yes, provide details on a separate ip ece of parer. .~- Applicant Signature Date Questions maybe directed to the Administration Department at 763.635.1000. OFFICE USE ONLY The Applicant is: Council Action: New Applicant ^ Not Appointed Appointed to: _ Date Appointed: Term Expires: _ ^ Applying for Reappointment 01/10/2011 12:36 ?6342?0533 E H RENNER & SONS IN PAGE 02/02 rcvd 1 ~ ~ ~~ ~ ! APPLICATION FOR APPOINTMENT TO CITY ADVISORY BOARDICOMMISS[ON Terms beginning in March ':a~ r.J!. nvm . . ' Thank you £ox youz in.tezest in servitag your conn:muc~ityl Please indicate in order of preference on ~vhich of the following boards attd coznz:nissions you are interested in serving with 1 indicating your first choice, 2 your. second choice, and 3 your. third choice. _ Energy City Commission Heritage Preservation Conur~ission, Ice .'lrena Commission Pazks and lZecteation Conami.ssion Planning Con~unission Utilities Commission r,~11, terms are three years and begin on the first day of March. See the specific board and commission description for ad.dltional information. APPLICANT _iN_F_ORMATION Name: Ci,ry of : ~ Occupation: ` Employer: ~ ~.In~ $ducadon/Pcofessional Expezaenee: Describe your educations] and professional experience or sl-' s at 9ualify you to s - eon this oard/co "s 'on. ~ e 1 (,Il, ~ ~~~ ~ \ 1~ Q ~ Relevanc )Personal/Professional Experience: Please describe your professional, civic, or community participation, which maybe releva t ' sezvin on this bo d/c 'ssion. Q ~(.l o'~r~nxch ors. ~~; ~~Vi~c~ m;~1rt,`f h~ ~o~,~ ~ ~Yral~,no~ ~ ~. c~r~mu,r+`i J o~e~-~ Statement of Interest: Please state briefly why you arc interested in serving on this 011'10/2011 12:36 76342r0533 E H RENNER & SONS IN PAGE 03%02 ~Attendanee: Axe your aware of the importance of regular meeting attendance including the time commitment involvcd,~ preparing for meetings, and do you feel you have the time available to be an active participant? Yes ^ No in, accordance~~vith this dcfuiition, do you Dave any legal or equitable interest in any business, however organized, which could be construed as a conflict of interest? ©Xes ^ No If yes, provide derai)s on a se~oicce of a ez. .A.pplicant attire Date , Questioo.s nrzay be directed to the Administration Department at 763.635.1000. OFFICE USE ONLY The Applicant is New Applicant ^ Applying for Reappoin.txx~ent Council Action: ^ Not Appointed O .fippointed to: Date Appointed: Term Expites~ Conflict of In.taee~t .iF delxxned as the participation in any actitrity, recommended action, or decisaoza from which the individual has or could hate the potential to receive pcxson.al gain, whether it be duect or indirect. (see att~ehed "Conflict of Intezest" Ordirnan.ce) ~Ct~C~ r- l ~'[ r J~ APPLICATION FOR APPOINTMENT TO CITY city of ' ADVISORY BOARD/COMMISSION .~.-. Elk. " ~~ Terms be innin in March R1Ver g g 13065 oiono Pukway.. 7b3.635.1000 Thank you for your interest in serving your community! Please indicate in order of preference on which of the following boards and commissions you are interested in serving with 1 indicating your first choice, 2 your second choice, and 3 your third choice. _ Energy City Commission Heritage Preservation Commission Ice Arena Commission Parks and Recreation Commission _ Planning Commission Utilities Commission All terms are three years and begin on the first day of March. See the specific board and commission description for additional information. APPLICANT INFORMATION <---~ } Name: ~~j ~'~ I~'~._- City of Residence: ~ ~ ~ ~ ~'(;1<< Occupation: " (~ Employer: ~?U/PtJ ~~ Statement of Interest: Please state briefly why you are interested in serving on the board/commi iqn for which you are submitting this application, L ~ t 1 U ~t.K ~1 ~, f ~~C.Q ~O f 0~n`~E Ui -.~ D N1 i~ ~+Pi( L~1 ~~-- ~ ~...e, td Lf ~ 1/G- i ~+'/ A Z/!!eT /d(fY OI JI .. ) ./ sA ~i. (a Ai J/Y!f! C c,l~i l tL C~ QI~ !~ Gr~YI~L ~ I ' ~. Attendance: Are your aware of the importance of regular meeting attendance including the time commitment involved in eparing fox meetings, and do you feel you have the time available to be an active participant. Yes ^ No l h Comments: ~Q,~,cA~- T~I.C- ~t'VLQ ~j ~,(~ ~ C-f!'iN1"U~tl`~`~1~e~ , V 1 r' I~ c~ver-> r Relevan Experience: Please describe your educational, professional, civic, or community participation, which may be relevant in serving on this board/commission. ~ Conflict of Interest is defined as the participation in any activity, recommended action, or decision from which the individual has or could have the potential to receive personal gain, whether it be direct or indirect. (See attached "Conflict of Interest" Ordinance) In accordance with this definition, do you have any legal or equitable interest in any business, however organized, which could be construed as a conflict of interest? ^ Yes ~No If es, provide details on a se arate iece of a er. ~~~._~~~ Applicant Signature Date Questions may be directed to the Administration Department at 763.635.1000. OFFICE USE ONLY Council Meeting Date: ^ Appointed to: Term Expires: ^ Not Appointed Library Board Possible Interview Questions Any ideas as to how to promote the Library and its resources? 2. The Library Board is working on a remodeling or rebuilding project. How do you feel about being part of the decision making process as to location and needs? Any past experiences serving on a Board or Commission? 4. The Library Board meets on the fourth Tuesday of each month. Are you able to meet this commitment? INTERVIEW NOTES Mary Eberley -new applicant Willie Jackson -new applicant Nicole Novotny -new applicant Created on 9/20/2005 9:55:00 AM COMMISSION NAME:Library 2010 Attendance Record Submitted by: Mick Stoffers Meeting Date July Aug Sep Nov Member Name Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N John Dietz X X X X Ja ne Dietz X E X E Karen Stelk X X X E Mick Han card X X X X Aaron Zie ler E X E X Nick Zerwas X X E X Instructions: If member notifies Chair or staff that they will not be in attendance, place an "E" under the N to denote an excused absence. If Chair/staff has not been notified of anticipated absence, place a "U" under the N to denote an unexcused absence. Three unexcused absences will be considered a resignation from the Commission. S:Clerk/Boardcom/Board and Comm Guidebook/Attendance Record 4 Wl~. `/`.~rft APPLICATION FOR APPOINTMENT TO CITY BOARDICOMMISSION ~jK~-.r._., EDA, HRA, AND LIBRARY BOARD R1Ver Terms beginning in January i 3.ws r ., .. ~4i-wm 'r.t nt;fn.r Thank you for }'our interest in seeing your community! please indicate in order of preference on which of the following boards and commissions you are interested in serving with 1 indicating your first choice, 2 your second choice, and 3 }'our third choice. _ Economic Development Authority The ED_a is composed of four Councilmembers and three citizens. The length of term for the Corrncilmetnbers coincides u-ith the term of office Eor Council. The length of term for the citizen- mernbers is six yeazs. - Housing and Redevelopment Authority The 1-iR~ consists of five Commissioners composed of one City Councilmember and four citizens at lazge. The term of office is fire years. Library Board The Libruy Board consists of £n•e members. The term of office is three yeazs. See the specific board and commission description For additional information. APPLICANT INFOR11~iATION Name: ~~ /.'t Y I/ r~b e r ~ ~, V City of Residence: L- ~ ~ `C'_ // ..-- ~i1 S u_t a. (' e. ~ ~ ~Etn to er: 1. ~ W ey' ~ ~! n S k.. t-~-t., e ~ Occupation: r n P y Statement of Interest: Please state briefly why you arc interested in sensing on this boar commission for which you are submitting this application. aye_ ~ i uu~~.,c bye ~ a v. Mural r'e_~d1Pr `?` ~/~~ ree.~~~Q h c~v; ~ ~ w ~ ~. ~[ Ptr ~;a ( ~o._.e.: l~ ~ v r n L ~' -(=r, r re s r`d P... ~ s .. Lt t ce `~ ~.~ C ~ IA i ~ c~ n.v l~ a.. a 9t l u n ~ ~ . ~ d ~ ~~ o +t~ r'`.1 p ~ ~ ~-t~ ~ Olt`+r Vie, SO t.c.. ~' C ~ • ~ Education/Professional Experience: llcscribe }'our educational and professional experience or skills that qualify you to ~grvc on this board/commission. p, r ~Q - ~ ~-~ /+~~. 1~r~.Sr he 5S QN,trQrv.. r n ~rr!/~ !<<`UPr }/~r- oZ0{-year: I~.~-~er5.~.~ Q t'O~~S ! /~ f'~ V etr.Q(oU ty.e.Ul,.`E' ~ 1~~7~s`Fr 1/ ~ic'VM.~t!-' Relevant Personal/Professional Experience: Please describe your professional. civic, or community participation, which may be relevant in sc zng on this boa /commission. av ~. S~rue.d o ti S e.,~o n ~ r e.c ~ rt Cl o tL u~ ~v Lt ~ ~-: 2 e v~ 4 ra t,~.p S ~ b l t~,s., t e.e u- o ~•. n o ti - ~ r o d--`r` b oar d s , ~ K F'i ~ r`n ; n ~ CB lAr, ~ ~ ~ e. ~ e.a.~ e. d o ~ aim °~ a ~ re ~l ~ e ~t ~ ~ ca ~ P ~ r9 tom, (~U, Iti GT ~u..td 0..d ve t° alb e. f~O~G~t~~q.~ 4.;ss~ot.~ ~ver> Attendance: Are your aware of the importance of regular meeting attendance including the time commitment involved in preparing Eor meerings, and do }-ou feel }>ou have the time available ro be an active participant= Yes D No Comments: Conflict of Interest is defined as the participation in any= activit}~, recommended action, or decision from which the. individual has or could have the potential to receive personal gain, whether it be direct or indirect. (See attached "Conflict of Interest" Ordinance) In accordance with this definition, do }•ou have any legal or equitable interest in any business, however organized, wluch could be construed as a conflict of interest? ^ Y'es ~ No If yes, provide details on a ate iecc of ~a e . - --- - ~~ , :applicant Si ature C -- l1~ll Date Questions ma}~ be directed to the Administration Department at 763.63.1000. OFFICE USE ONLY '1 he :applicant is: Council Action: yt~New Applicant D Not Appointed O appointed to: _ Date appointed: Term Expires: _ O :~pplping for Reappointment ~C~,- r~. I - t 3- I 1 APPLICATION FOR APPOINTMENT TO C[TY BOARD/COMMISSION t~ver 13s~G5 f romp 1`.vAtwxr 'a~.~ CS.i Uao EDA, HRA, AND LIBRARY BOARD Terms beginning in January Thank you for your interest in serving your cotnmuniry! Please indicate in. order of preference on which of the following boards arzd commissions you are interested in serving with 1 indicating your first choice, 2 your second choice, and 3 your third choice. _ $conomic Development Authority The EbA is composed of four Councilmembers and threc citizens, The length of term for the Councilmemb~s coincides with the term of office for Council. The length of term for the citizenr members is six years. Housing and Redevelopment Authority The HRA consists of five Commissioners composed of one City Councilmember and four citizens at large. The term of office is Five years. ~l;ibrary Board The Library ]3oard consists of Ezve members. 'T'he term of office is three years. See the specific board and commission descxtiption for additional information. APr~,IC,A.NT INFORMATION (~-I~-a.cln~~,,~ ~`~_ (~ (` f Name: ~ U V t ~ L t' L' ~--~ Q ~~~ -y ~ ~Q City of Residence: ~~ Q_ ~~ ~}i~-~ "` Occupation: Employer; -~ ~'~ ,r - .__ Statement of lntexest: Please state briefly why you are interested in se z 'on t s board/comtnission for which you are submitting this applic~n n, l / Educati n/Professional Experie c escribe your educational and professional experience or slulIs that ualify you to s~i'~re on this oard/commission_ Relevant Personal/Professional Experience: Please describe your professional, civic, or community participation, which maybe relevant in serving on this board/corxaztaission. over ~o~nos~~ snzlo~~~~ 6bLZ96°z56 as:se iiez,~~t;ie 9e,~ze s~yd APPLICANT INFORMATION Name; Dr. Willie Jackson City of Residence: Elk River, Occupation: Educational Consultant/Coach/Mentor Employer: Reflective Resource Incorporated Statement of Interest: Please state briefly why you axe interested in sewing on this board/commission for which you are submitting this application. Serving as a team xnexxabex on the library board will provide me the opportunity to become actively engaged in my community using my passion for learning and appreciation of all human beings. Utilizing my communication and administrative skills will allow me to be effective in the role as a team member with specific responsibilities. Education/ProfessionaI Experience: Describe your educational and professional experience or skills that qualify you to serve on this board/comrnission. My degrees are in the areas of business, administration, cumculum design and education, including a doctorate in educational policy and administration; specialist certification in curriculum design & industrial relation; masters' in education and counseling; and a bachelors' in accounting, economics and sociology. I am a retired teacher, principal, and district administrator with 30-~ years experience in all levels of education, including 13 years as classxooxzl teacher (general and special needs); 6 years as a school site principal; 10 years as district level administrator and mediator, coach and. mentor. Tn addition, r have 5+ years as a business owner, coach, mentor and educational consultant. Relevant Pex•sonall.Pro:fessional Expe~-ienee: Please describe your professional, civic, or community participation, which may be relevant in serving on this board/commission. My responsibilities as a district administrator for Minneapolis Public Schools (MPS) were broad and involved multiple constituencies and stakeholders at the local, district and state level. Y have experience managing operations of educational environments and providing oversight to ensure consistency and adherence to legal requirements. For example,l re-engineered and sustained day to day operations for MPS Homebound Instructional Services Department based on parameters with Minnesota Department of Education Cozxective Action Plan and legal statues. I also worked and collaborated with Elementary and Secondary Principals on problem solving urgent and crisis situations to ensure management of the organi2ation, operation and resources for a safe, efficient, and effective learning environment 90/c0 OJyd 30~f1OS0~ 3r"~,I10~~~~1 6bLZ988Z96 0£ ~80 tZOZ!8Z;`Z0 Attendance: Ate your aWaxe of the importance of regular meeting attendance including the time commitment involved in preparing for meetings, and do you feel you have the tune available to be an acti~re participant? ~Q Yes ^ No Comments: Conflict of Ynteresc is defined as the participation in any activity, zecoxnrxaezided action; oz decision from which the individual has or could have the potential to receive personal gain, whether it be dizect os indixect. (See attached "Conflict of Interest" Ordinance) In accozdance with this definition, do you have any legal or equitable interest in any business, howevez organized, which could be construed as a conflict of interest? ^ Yes ~No If yes, provide details on a separate ip ece of Raper. Applicant Signature ate Questions maybe dizected to the Administration Department at 763.635.1000. OF~~CE USE ONx..'S~' The Applicant is: New Applicant Council Action: ^ Not Appointed ^ Appointed to: _ Dace Appointed: Term E~tpires: _ ^ Applying fox Reappointment 90ib0 ~9yd SO~1f10S3Z1 O11I10~~~~ 6b'Z9E3Z56 8c ~60 TZ9Z/CT~'TB L~c~ [ -i~l _l f ~1~~~ (.3.G>z. i ~!~: :: APPLICATION FOR APPOINTMENT TO CITY BOARD/COMMISSION EDA, HRA, AND LIBRARY BOARD Terms beginning in January Thank you for your interest in serving your community! Please indicate in order of preference on which of the following boards and commissions you are interested in serving with 1 indicating your first choice, 2 your second choice, and 3 your third choice. _ Economic Development Authority The EDA is composed of four Councilmembers and three citizens. The length of term fox the Councilmembers coincides with the term of office for Council The length of term for the citizen- members is six pears. Housing and Redevelopment Authority The HRA consists of five Commissioners composed of one City Counciimember and four citizens at large. The term of office is five pears. Library Board The Library Board consists of five members. The term of office is three years. See the specific board and commission description for additional information. APPLICANT INFORMATION Name: ~~~/~ ~ B City of Residence: ~~~~~/ ~ ~ ` " t Occupation: i/r'Y~~t}°'TtL4 /YIN ~~1 ~~ .~ Employer: 1 d /'~~°~`1 ~~ ~~~~`~"'1`~°~~' Statement of Interest: Please state briefly why you are interested in serving on this Education/Professional Experience: Describe your educational and professional experience or skills that qualify yo~to serve on t ~~~ Relevant Personal/Professional Experience: Please professional, civic, or Attendance: Are your aware of the importance of regular meeting attendance including the time commitment involved in preparing for meetings, and do you feel you have the time available to be an active participant? C~YYes ^ No Comments: Conflict of Interest is defined as the participation in any activity, recommended action, or decision from which the individual has or could have the potential to receive personal gain, whether it be direct or indirect. (See attached "Conflict of Interest" Ordinance) In accordance with this definition, do you have any legal or equitable interest in y business, however organized, which could be construed as a conflict of interest? ^ Yes No If yes, provide details on a se crate iece of a er. Applicant Signatu~>„~ Date Questions may be directed to the Administration Department at 763.635.1000. OFFICE USE ONLY The Applicant is: Council Action: New Applicant ^ Not Appointed Appointed to: _ Date Appointed: Term l~pires: _ ^ Applying for Reappointment COMMISSION NAME: HOUSING & REDEVELOPMENT AUTHORITY 2010 Attendance Record Submitted by: D. Huebner Meeting Date 04-Jan 01-Feb 01-Mar 05-Apr 03-May 07-Jun 06-Jul 02-Aug 09-Sep 11-Oct 01-Nov 06-Dec Member Name Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Wilson X No Mt X No Mt X X No Mt X X No Mt X X Motin X X X X X X X X Kuester X X X X E X X E Lieser X X X X X X X X Toth X U U X X X X X Instructions: If member notifies Chair or staff that they will not be in attendance, place an "E" under the N to denote an excused absence. If Chair/staff has not been notified of anticipated absence, place a "U" under the N to denote an unexcused absence. Three unexcused absences will be considered a resignation from the Commission. S:Clerk/Boardcom/Board and Comm Guidebook/Attendance Record COMMISSION NAME: Economic Development Authority 2010 EDA Attendance Meeting Date 11-Jan 08- Feb 01- Mar 12-Apr 10- May 08-Jun 07-Jul 09-Aug 13-Sep 11-Oct 08-Nov 13-Dec Member Name Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N West aard X X X X No Mt X No Mt X No Mt X X X D er X X X X X X X X X Klinzin X X X X X X X E X Zerwas X X E X X E X X Tveite X E E X X X E X E Motin X X X X X X X X X Touchette X X X X X X X X X Instructions: If member notifies Chair or staff that they will not be in attendance, place an "E" under the N to denote an excused absence. If Chair/staff has not been notified of anticipated absence, place a "U" under the N to denote an unexcused absence. Three unexcused absences will be considered a resignation from the Commission. S:Clerk/Boardcom/Board and Comm Guidebook/Attendance Record