8.3. SR 04-07-2014 �i
EOty lk Request for Action
River
To Item Number
Mayor and City Council 8.3
Agenda Section Meeting Date Prepared by
General Business April 7, 2014 Jessica Miller, Executive Secretary/Deputy City
Clerk
Item Description Reviewed by
Library Board Appointment Tina Allard, City Clerk
Reviewed by
Cal Portner, City Administrator
Action Requested
Appoint,by motion, Sarah Holmgren to the Library Board to fulfill an unexpired term to
December 31, 2016.
Background/Discussion
Library Board Member Kathleen Tracy passed away in February 2014,leaving a vacancy on the Library
Board.
The Library Board is a Mayoral appointment with approval from the Council.
Financial Impact
N/A
Attachments
■ Application— Sarah Holmgren
p 0 W I R I I a
ATURE
APPLICATION FOR APPOINTMENT TO CITY
Ctt ADVISORY BOARD/COMMISSION
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Terms beginning in March
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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 Parks and Recreation Commission
Heritage Preservation Commission ❑ Planning Commission
IIce Arena 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
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Name: N s � . _ s City of Residence: t 4
Occupation: Employer.
Statement of Interest:Please state briefly why you are interested in serving on the
board/commission for which you are submitting this application.
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Relevant Experience:Please describe your educational,professional,civic,or community i
participation,which may be relevant in serving on this board/commission.
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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?
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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? es EINO
If yes,provide details on a arate piggg of j2gper. 2 H
Applicant Signature Date
Questions may be directed to the Administration Department at 763.635.1000.
OFFICE USE ONLY
New Applicant 0 Reappointment
Council Meeting Bate:
Appointed to:
Tenn Expires:
Not.Appointed