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10.1. SR 05-02-2016 EOty1� ,.,�� Request for Action River To Item Number Mayor and City Council 10.1 Agenda Section Meeting Date Prepared by Work Session May 2, 2016 Jessica Miller, Executive Secretary/Deputy City Clerk Item Description Reviewed by Energy City Commission Interview Tina Allard, City Clerk Reviewed by Cal Portner, City Administrator Action Requested Interview Harley Hanson for consideration as the Chamber of Commerce representative on the Energy City Commission. If appointed,Mr. Hanson's term would expire February 28, 2018. Background/Discussion The Energy City Commission has a vacancy for a representative from the Elk River Chamber of Commerce, a position has been vacant for a long period of time. The Chamber of Commerce has confirmed they would like Mr. Hanson to serve as their representative on the Commission. Financial Impact N/A Attachments ■ Application ■ Possible Interview Questions POWERED 6T A IR APPLICATION FOR APPOINTMENT TO CITY City f CADVISORY BOARD/CO M MISSION k*- == El amk�— amoh� Terms beginning in March Rl�er Thank vou for your interest in sen-ing your community! Please indicate in order of-preference on %vhich of the follov,,ing boards and commissions you are interested in serving xith I indicating your first choice, 2 vour second choice, and 3 \-our third choice. Enerp, City (-Iommission Parks and Recreation Commission 7 Heritage Preservation Commission Planning Comi-nission Ice Arena Commission L.-tilities C-ommission All terms are three years and be of -d - commission gin on the first daN larch. See the specific board and cot i ission description for additional information, APPLICANT INFORMATION Name: jAcw-It—y City of Residence: COO-- V-V.jt-,- Occupation: V, Frnployer: Statement of Interest, Please state brieffi-why you are interested in sen ing on the board/commission for%%,hich you are submitting this application. :1 L-C.'4e- o. kok 're-f-yr('tAy I 61-4lv-k)c PAY Relevant Experience: Please describe your educational, professional, civic, or corninunitY participation, which may be relevant in sening on this board/cornmi s sion. At"4-ke—,rc(air Jtri e A" Attendance: Are your a'A7are of the importance of regular meeting attendance including the 611"le commitment involvedin reparing for meetings, and do �'OU feet N•ou have the time aNailable to be an active participant?Iff,es o Comments- Conflict of Interest is defined as the participation in any activity, recommended action, or decision from wlilcli rlic: individual has or could liavc the potential to receive personal gain,m-lieffier it be direct or indirect. (See attached "Conflict of Interest" Ordinance) In accordance with this definition, do you have ani-legal or e(quitable interest in any business, legal hoer er organized, which could be construed as a conflict of interests ales ao If v s, provide de ails on a separate Le of pal?er. Z L App icant , nature Date Questions may be directed to the Administration Department at 763.635.1000. OFFICE USE ONLY Ne-w Applicant Reappointment Council Meeting Date: J Appointed to: Term Expires: J Not Appointed