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5.2. SR 01-14-2002City MEMORANDUM Item # 5.2. TO: FROM: DATE: SUBJECT: Mayor and City Council Sandra Peine, City Clerk January 14, 2002 Consider Ice Arena Commission Appointments REOUEST As indicated by the chart below, Ice Arena Commissioners Dale Martin and Kent Madsen both have terms that will expire on the Ice Arena Commission on February 28, 2002. Dale and Kent have requested to be considered for reappointment to the commission. There have been no other applicants for the Ice Arena Commission; therefore, we recommend that the Council reappoint Dale and Kent. Dale Martin Public rep. - Existing Reappointment 5 years (2 term ends 2/28/02 requested - application terms) submitted Kent Madsen Youth Hockey rep. - Reappointment 3 years (I Existing term ends requested - application term) 2/28/02 submitted ACTION REQUESTED Council motion making the following appointments: · Dale Martin to the Ice Arena Commission as the public representative for a 3 year term ending on February 28, 2005 · Kent Madsen to the Ice Arena Commission as the Youth Hockey representative for a 3 year term ending on February 28, 2005. s:XclerkXboardcomXice appt memo.doc 13065 Orono Parkway .... Elk River, MN 55330 " ., APPLICATION FOR APr CITY BOARD OR C( If interest lies in more than one choice, indicate (by order 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 NAME: ADDRESS: PHONE: (Home) (Work) OCCUPATION: 55"5/-~ /'~"~O C~'f ?'"EMPLOYER: HOW MANY YEARS HAVE 'YOU LIVED IN ELK RIVER? STATEMENT OF INTEREST: Please explain why you would like to serve on the board or commission selected above: EDUCATIONAL AND PROFESSION'AL EXPERIENCE: Describe your educational and professional experience or skills that qualify you to serve on this board s:~clerkXboardcom\application.doc Phone: 763.441.7420 .a~'t. ~ Z ~ ~ ~ ~ ~ ~ ~ F~~ ~ ~ ~ /~ ~ ~ff ~ ~ ~ ~~L ~.ci.elk-river.mn.us ~6 ~~ ff ~r~e ~~ ~ 0 ~ CIVIC AND COMMUNITY ACTIVITIES: Describe past or present civic and/or community activities that may be relevant in qualifying you to serve on this board or commission. "'/4J /-' .~--c. g. ATTENDANCE: - Are you 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: I wish to disclose the following potential conflicts of interest that may or will arise if I become a member of this board or commission. , Signature Date' / The selection process will vary according to the number of applicants and vacancies, and may not include interviews with all candidates. THANK YOU FOR YOUR INTEREST IN SERVING ON A BOARD OR OMHISS!ON. Return Application To: City of Elk River City Clerk's Office 13065 Orono Parkway Elk River, MN 55330 Appointed To: ~aSe:Appointed: Term Length: OFFICE USE Phone: 763.441.7420 Fax: 7631441.7425 www.ci.elk-rix, er.mn.us s:XclerkXboardcom\application.doc Paver 13065 Orono Parkway Elk River, MN 55330 APPLICATION FOR APPOINTMENT TO CITY BOARD OR COPIPIlSSION If interest lies in more than one choice, indicate (by order of preference) which commission/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 NAME:' Ke.,,t R94~r£~ ADDREss: 173{ ~.'"~ .~- PHONE: (Home)~__ OCCUPATION: /~,,'~.~ 3,,~'&ry ~_~.,~...k~EMPLOYER: HOW MANY YEARS HAVE YOU LIVED IN ELK RIVER? STATEMENT OF INTEREST: Please explain why you would like to serve on the board or commission selected above: .~-A/~v,_ b...~ .~.z~.~_ ~t,~- a,,,.k~,r Wz~y ~ &, ..~ ~ w,a~ ~ EDUCATIONAL AND PROFESSIONAL EXPERIENCE: Describe your educational and professional experience or skills that qualify you to serve on this board orcommxssion. ..W ,,~.~w 4u,. rc~. Aaova o,,.,.,_ 'l....a. ~,,.a.. t~,~,_ la.~,~ &,to..-~-:.¥- r~y Z:,,.. ~' ~. I~,~a ~,,, ~'~* I~,~_ yo.I~, k.~k,r /~,~..L C-~. /z ¥~.a~. ~- Al. so ~-s Phon~: 763.441.7420 s:XclerkXboardcomXappiica[ion.doc Fax: 763.441.7425 w~x~v.ci.elk-river.mn.us CIVIC AND COMMUNITY ACTIVITIES: Describe past or present civic and/or community activities that may be relevant in qualifying you to serve on this board or commission. ATTENDANCE: Are you 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: I wish to disclose the following potential conflicts of interest that may or will arise if I become a member of this board or commission. Signature Date The selection process will vary according to the number of applicants and vacancies, and may not include interviews with all candidates. THANK YOU FOR YOUR INTEREST IN SERVING ON A BOARD OR OMMISSION. Return Application To: City of Elk River City Clerk's Office 13065 Orono Parkway Elk River, MN 55330 Appointed To: Date Appointed: Term Length: OFFICE USE Phone: 763.441.7420 Fax: 763.441.7425 ww'w.cL elk-river.mn.us s:Lclerkqboardcomqapplica~ion.doc