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6.1. SR 11-14-2011REQUEST FOR ACTION TO ITEM NUMBER Ma or and Ci Council 6.1. AGENDA SECTION MEETING DATE PREPARED BY Worksession November 14, 2011 Jessica Miller, Executive Secre /De u Ci Clerk ITEM DESCRIPTION REVIEWED By Interview Heritage Preservation Commission Applicant Tina Allard, Ci Clerk REVIEWED BY Cal Portner, Ci Administrator ACTION REQUESTED Interview Joshua Fox for consideration as a Heritage Preservation Commissioner. If appointed, he would fulfill the unexpired term of Kristin Harris until February 28, 2013. BACKGROUND/DISCUSSION There is one vacancy on the Heritage Preservation Commission created by the resignation of Kristin Harris in September. The vacancy has been advertised per the Board and Commission Policy. Staff received one application from Joshua Fox. Mr. Fox will be in attendance at the meeting. .ATTACHMENTS ^ Application Action Motion by Second by Vote Follow Up ~~wt~te er N:\Public Bodies\Ciry Council\Council RCA\Boards\2011\HPC Nov 2011.docx ~~~ APPLICATION FOR APPOINTMENT TO CITY ADVISORY BOARD/COMMISSION Terms beginning in March 'G5.G35.1+!IX7 Thank you for your interest in serving your communit-! Please indicate in order of preference on «-1uch of the following boards and commissions you are interested in serving with 1 indicating your first choice, ? -our second choice, and 3 your third choice. _ Energy CitS~ Commission X Heritage Preservation Commission Ice .~xena Commission Parks and Recreation Commission Planning Commission Utilities Commission All terms are three 5-ears and begin on the first day of IVTarch. See the specific board and commission description for additional information. APPLICANT INFORMATION I~1ame: Joshua Fox Elk River Occupation: Historicallnterpreter CitS~ of Residence: Employer: MN Historical Society -Oliver Kelley Farm Statement of Interest: Please state briefly ~vhy you axe interested in serving on the board/commission for which you are submitting this application. I think that the preservation of our history is vital and I would like to be a part of helping to make this happen. Relevant Experience: Please describe your educational, professional, civic, or community participation, which may be relevant in serving on this board/commission. I currently work for the MN Historical Society as an Interpreter at the Oliver Kelley Farm. I have a degree in History from St. Cloud State University (2006). Iwas a co-founder of the History Club at Anoka-Ramsey Community College where I was the 2003 History Student of the Year. 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? x Yes ^ No Comments: Conflict of Interest is defined as the participation in any activity=, recommended action, or decision from which the indi~ridual 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 X No If yes, provide details on a se arate iece of a er. ~~ Applicant Signature ~~ -~ Za// 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