3.4. SR 06-14-2004TO:
FROM:
DATE:
SUBJECT:
MEMORANDUM
Mayor and City Council
Joan Schmidt, City Clerk
June 14, 2004
Library Board Appointment
*Item 3.4.
REQUEST
Appointment to Library Board for a term expiring December 31, 2007.
APPLICANT
Karen Stelk - 19371 Upland Street NW, Elk River, MN 55330
BACKGROUND
The city has been actively advertising for two vacancies on the Library Board, one of which was
recently filled. Staff continued to advertise for the second vacancy and has received another
application. The application received is from Karen Stelk and is attached for Council review.
River
13065 Orono Parkway
Elk l~aver, MN 55330
APPLICATION FOR APPOINTMENT TO
CITY BOARD OR COMMISSION
If interest lies in more than one choice, indicate Coy order of preference) wh_ich cormvsssion/board you
are interested in (1,2,3 etc.):
Economic Development Authority
Heritage Preservation Commission
Housing and Redevelopment Authority
Ice Arena Commission
Library Board
Park and Recreation Commission
Planning Commission
Utilities Commission
PHONE:
OCCUPATION: ~ tg~L~ ~Oh~4E !~A{}WLEMPLOYER:
HOW MAN]7 YEARS HAVE YOU LIVED IN ELK RIVER?
~ TATEMENT OF INTEREST:
Please explain why you would like to serve (or continue to serve) on the board or commission selected
above: ~
EDL CATIONAL AND PROFESSIONAL EXPERIENCE:
Describe your educational and professional experience or skills that qualify you to serve on dais board
Phone: 763.635-1000 U S:clerk/bardcom / application/application
Fa.,:: 763.635-109(I
xxm,w.ci.dk-rivcr.rrm.us
C~VIC AND COMMUNITY
Describe past or present cMc and/or cornmumw activities that may be relevant in quali~,ing you to
se=,e on e2s boara or com~ssion. 7~i~ is n~y ~2;~s+ O,~¥,~e~r,+ 4-° a, t0~,l. I~
ATTENDANCE:
Are you aware of- the zmportance of regular meeting attendance including the tinae cormxinrmnt
revolved m preparing for meetings, and do you feel you have the ttme available to be an active
__~ Yes No
participant:
Co~rnnents:
CONFLICT OF INTEREST:
I ~xdsh to disclose the following potential conflicts of interest that may or will arise if I become a
member of tlzis board or co~rurfission. (See attached "Conflict of Interest" Ordinance)
Signature Date
The selection process will vau~ according to the number of appkicants and vacancies, and may not
include intendews with all candidates.
THANK YOU FOR YOUR INTEREST IN SERVING ON A BOARD OR COMMISSION.
Return Application To:
CitT of Elk River
Cit5- Clerk's Office
13065 Orono Par!ox, ay
Elk River, MN 55330
Appointed To:
Date Appointed:
Term Length:
OFFICE USE
Phone: 763.635-1000
Fax: 763.635-1090
S:clerk/bardcom/application/application