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7.8. SR 12-16-1996
ty of ITEM 7.8. TO: FROM: DATE: SUBJECT: MEMORANDUM Mayor and City Council Sandra Thackeray, City Clerk December 16, 1996 Board and Commission Interviews The City has received several applications for board and commission vacancies. These applications are attached for your review. The City's policy for board and commission appointment, indicates that the Council may interview as many candidates as desired for each vacancy. Due to the number of applications for the affected vacancies, it may be the Council's desire not to interview every applicant. Listed below are the applications the city has received. Park and Recreation Commission (3 vacancies) Planninff Commission (2 vacancies) *Dave Anderson *Clair Olson *Kent Madsen Tom Gilgenbach *Judy Thompson Doran Cote Robert Galitz Steve Peterson Library Board (2 vacancies) *Linda Ritchie *Murray McNair Mary Sorenson HRA (1 vacancy) *Duane Kropuenske (Mayoral Appointment) Utilities Commission (1 vacancy) Ice Arena Commission (2 vacancies) *George Zabee Thomas Kupka Colleen Enerson (application deadline extended to 12/20) * Signifies current board or commission member whose term is expiring 13065 Orono Parkway · P.O. Box 490 · Elk River, MN 55330 · (612) 441-7420 · Fax: (612) 441-7425 The Council should note when reviewing the applications that some applicants have indicated that they may be interested in serving on other boards or commissions. The chart below indicates existing board and commission members whose terms are expiring and how many years each has served. Number Number Commission/Board Date of Terms of Years Name Al~l~ointed Served Served Park and Recreation Dave Anderson April, 1988 3 9 Park and Recreation Clair Olson January, 1992 1-2/3 5 Park and Recreation Kent Madsen August, 1995 1/2 1+ Planning Judy Thompson August, 1994 2/3 2+ Planning James Tacheny September, 1993 1 3+ Library Linda Ritchie February, 1995 2/3 2 Library Murray McNair January, 1993 1-1/3 4 HRA Duane September, 1986 2 10 Kropuenske Utilities George Zabee Januar}~, 1988 3 9 Staff will be setting up interviews, as directed by the City Council, for January 6, 1997. ACTION REQUESTED Staff is seeking Council direction as to how many applicants the council wishes to interview. Interviews will be conducted on January 6, allowing 10 minutes per interview. s :Xadmin\clerk\applica.doc City of APPLICATION FOR APPOINTMENT TO CITY BOARD OR COMMISSION River ICl 2 Please indicate (by order of preference) which of the following you are interested in (1,2,3 etc.): _ ~ Economic Development Authority Health Care Delivery Commi.~sion ..... ~ Housing and Redevelopment Authority Library Board Park and Recreation Commi.~sion Plannin g Commission ~ Utfl/ties CommiCsion ........................................................... - ............ ~ .......... - ................... . ADDRESS: PHONE: (Home) OCCUPATION: (Work) EM~LO-~ER: HOW MANY ~EARS HAVE YOU LIVED IN ELK RIVER? STATEMENT OF INTEREST- Please ex-plain why you would like to serve on the board or commission selected above: z' ~,1:~ ~'~t ?~'~--~e~:--~- ,d~ ~t,..,.,,,,~l~,,,..,~:,-,, .EDUCATIONAL AND PROFESSIONAL EX.q~ERIENCE: Describe your educational and professional experience or sM11s which qualify you to serve on this board or commi.~sion. 13065 Orono Parkway · RO. Box 490 · Elk River, MN 55330 · (612) 441-7420 · Fax: (612) 441-7425 _CIVIC A~rf) C05~[[rNITY ACTi~riTiES: Describe past or present civic and/or community activities wkic , r~e~,e,v,a~ t~ ~q,~u~g yo,u~ .to,serve~ on tkis boazd or commissionh ma3 be A'ITENDANCE: A~.e you aware of the 5mportance of regular meeting attendance including the co ~mn~n+~_t~ _e_n__t:~ ~v~o!v~ed, in prep ..aft_m§ for meetings, and do you feel you th~ ~ ~vamame ~o oe an acmve participant: ~ Yes No Comments: CONFLICT OF INTEREST,._ I wish to disclose the following potential conil~cts of interest that may or will ar~e ifI become a member of th~$ board or conun/ssion. /VO~ ~ ------. The se!ection process will vary according to the number of applicants and vacanmes, and may not include interviews with all candidates. THANK YOU FOIt YOUR INTEREST IN SERVING ON A BOARD OR COMMISSION. Return Application To: City Clerk's O~qce City of Elk l~iver PO Box 490 Elk River, ]VIN 55330 Phone: 441-7420 s:\ad-min \brdeomap.doc City of E APPLICATION FOR APPOINTAfENT TO CITY BOARD OR COMM/SSION Please indicate (by order of preference) which of the following you are interested in (1,2,3 etc.): ... Economic Development Authority Health Care Delivery Commission Housing and Redevelopment Authority Mbrary Board Park and Recreation Commi.~sion ... Planning Commission Utilities Commission NAMe: ,GEORGE ZABEE ADDRESS: 329 ]¥~orton Avenue - Elk River, Mipmesota PHONE: (Home) (Work) OCCUPATION: Retired School EMPLOYER: Superintendent HOW MANY YEARS HAVE YOU LIVED IN ELK RIVER? STATEMENT OF INTEREST- Please explain why you would ]ilce to serve on the board or commission selected above: I would' like the oppo~unity to serve one roche, and final ter~, as a Utilities Commissioner. It has been a different snd exciting year on the Utilities Commission, and the future wlll continue to be so. An opportunity to work with our new general ~nager should be a rewarding experience and I rmy be of some help to him. EDUCATIONAL AND PROFESSIONAL EXPERIENCE: Describe your educational and professional experience or skills which qualify you to serve on this board or commission. Master's Degree and Specialist's Degree in ,'.du~aolonal Administration. Personnel and 'general ad~-~nistrative skills, including finance. Previous Utilities Com?,issioner background. 130'65 Orono Parkway · P.O. Box 490 · Elk River, MN 55330 · (612) 441-7420 · Fax: (612) 441-7425 _CMC AArD COMMI/NITY ACTIAriTiES: Describe past or present c/vic and/or community activities which may be relevant in qualify/rig you to serve on this board or commission. Member of Utilities Co-.~uission~ Guardian Angel's Campaign Cabinet~ Chief of Police Reserve, City Hall Planning Co.~mittee~ School Facilities Co~mittee~ St. Andrew's Church ~ance Committee, Elk River Planning Co~.~ission. ATTENDANCE: Are you aware of the importance of regular meeting attendance including the trine commitment involved in preparing for meetings, and do you feel you have the time available to be an active participant: X___ Yes No Comments: I believe I have m~issed one meeting during -MY tenure on the C ommis sion o CONFLICT OF INTEREST: I wish to disclose the following potential conflicts of interest that may or will arise ifI become a member of this board or commLssion. None o 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 COM/VIISSION. _Return Application To: CiW Clerk's Office City of Elk River PO Box 490 Elk River, 1VIN 55330 Phone: 441-7420 s:kadmin\brdeomap.doc 1995 APPLICATION FOR APPOINTMENT TO · CITY BOARD OR COMMISSION ver Please indicate by order which of the following you are interested in (1,2,3 etc.) 3 Economic Development Authority Health Care Delivery Commission Housing and Redevelopment Authority Library Board Park and Recreation Commission Planning Commission Utilities Commission NAME: ADDRESS: / PHONE: (Home) (Work) oc0 mON 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 PROFESSIONAL EXPERIENCE:?~I&¢ t~c. ~5~ ~ Describe your educational and professional experzence or skills which qualify you to serve on this board or co~ission. P.O. Box 490 · 13065 Orono Parkway * Elk River, MN 55330 · (612) 441-7420 · Fax: (612) 441-7425 CIVIC AND COMMUNITY ACTIVITIES: Describe past or present civic and/or community activities which 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 f~e~you have the time available to be an active participant? VYes 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. The selection process -'~'' ~,e number of ~-~ vary according to ~ applicants and vacancies, and may not include interviews with all candidates. THANK YOU FOR YOUR INTEREST IN SERVING ON A BOARD OR COMMISSION. Return Application To: City Clerks Office City of Elk River PO Box 490 - 13065 Orono Parkway Elk River, Mn 55330 Phone 441-7420 City of ver September 11, 1996 Tom Gilgenbach 19205 Zane Street Elk River,' Minnesota 55330 Dear Tom: Thank you for taking the time to interview with the City Council for consideration of appointment to the Park and Recreation Commission. Unfortunately there were more applicants applying for the position than there were vacancies. Following the interview process, the City Council voted to appoint John Kuester and Ron Westrum to the Park and Recreation Commission. Although you were not appointed, your apphcation will be kept on file for one year. Should there be a vacancy on the Park and Recreation Commission during the next year, the city will notify you to see ffyou are interested in being considered for the position. Thank you for your interest in serving the community. Thackeray City Clerk SAT:akh s:\admin\letters\pcprnoap.doc 13065 Orono Parkway · P.O. Box 490 · Elk River, MN 55330 · (612) 441-7420 · Fax: (612) 441-7425 (of ~( .~~~ City APPLICATION FOR APPOINTMENT TO -71, ] 1~~ · CITY BOARD OR COMA~ISSION .tLtlK lver Please indicate (by order of preference) which of the following you are interested in (1,2,3 etc.): ~ Economic Development Authority ~ Health Care Delivery Commission ____ Housing and Redevelopment Authority _ Library Board ~ Park and Recreation Commission Plann~ g- ~ · ' %,om rn] SSiO]/ ... Utilities Commission ........................................................... ~ ......... '...~..~ ...... ,~ ................... NAMe: DAVID AND~.hSON ADDRESS: 14845 CO. RD. 30 ELK' RIVER, MN 55330 PHONE: (Home) .... , , (Work) OCCUPATION: _Testing&Research EMPLOYER: Cretex companies, HOW MAN~ YEARS HAVE YOU LIMED IN ELK RIVER? ~ o STATEMENT OF INTEREST: Inc. ...Yus - Elk_River area Please explain why you would H~e to serve on the board or commission selected above: I would like the opportunity to continue to contribute to .the Plannin9 and. Development of Parks and Trails, and Recreational enjoyment for our community. ~ PROFESSIONAL EXPERrENCE: Describe your educational and professional experience or s~]]s which qu~]ffy you to serve on this board oI commission. None 13065 Orono Parkway · P.O. Box 490 · Elk River, MN 55330 · (612) 441-7420 · Fax: (612) 441-7425 CMC A~NqD COMA4T~rlTY ACTI%~TIES: Describe past or present civic and/or community activities wkich may be relevant in qualifying you to serve on this board or comrn~.~sion. Current Ccramunity Activities Past Conmunity Activities Elk River Park & Rec - Vice--Chair Sherburne Co. Park, Trails & Open Space-Chair Youth Hockey Coach Elk River Softball Assoc. - President ELk River Nordic Ski Club President .Coax. Property Task Force Member actzve zn construction & maintenance @ Woodl :oftball Cc lex - Elk River Co-Ed Softball - League Organizer - President Are you aware of the ~mportance 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 Youth Soccer Coach Youth Volleyball-League Organizer & Coach ELk River Wcrnen's Tennis League Oraanizer ELk River Men' s · ' ~ Te ms L e ~ smd Men ' s 9~ .3~ ent Elk River Vo~eyba~ Presl~ent Elk River Comp. Plan Steering Ccnvnittee Comments: As in the previous nine years, involvement in Park & Rec Meetings and related activities is my first priority outside activity CONFLICT OF INTEREST: I wish to disc/ose the fo]]owin~ poten~al con~cts of interest that may or wiU arise ifI become a member ofth~ board or commission. None The se!ection process will vary according to the number of applicants and vacancies, and may not include inter~riews with ail candidates. THANK YOU FOR YOUR TEREST nw SERV O ON A BOARD CONfMISSION. Return Application To: City Clerk's Or, ce City of Elk l~iver PO Box 490 Elk River, M2q 55330 Phone: 441-7420 s:Xadmin\brdcornap.doc City of ver APPLICATION FOR APPOLNTMENT TO CITY BOARD OR CONI}vE[SSION Please indicate Coy order of preference) which of the follo~iug, you are interested in (1,2,3 etc.): Economic Development Authority Health Care Delivery Commission Housing and Redevelopment Authority Library Board Park ~md Recreation ~ " ' u,0mm i SSl0n Plann ~n g Commission Utilities Commission NAME: ~ ADDRESS: ~ PHONE: (Home) OCCUPATION: ~'J~ ~'flP~'m'/q~b HOW ~ ~~ ~ YOU ~D ~ E~ ~R? ~STATEMENT OF INTEREST: (Work) · Please ex-plain why you would like to serve on the board or commL~sion selected above: Desc~be yo~ educa~on~ ~d profession~ e~e~ence or s~ w~ch qu~ you to se~e on t~ bo~d or com~sion. a 13065 Orono Parkway · P.O. Box 490 · Elk ~iver, MN 55330 · (612) ~]-7420 · ~: (6]2) ~]-7425 --,-~:?. -:-:-. ' C_IViC A2XrD COMAfLrNITY ACTIVITr~:s__2 Describe past or present ci~4c and/or community acti~4ties wkich may be relevant in qualif)~g you to serve on this board or commission. ATTENDANCE: Are you aware of the importance of regular meeting attendance inclu ~ding the time commitment involved in preparing for meetings, and do you feel you have the f-me available to be an active participant: ~'~es ~ No Comments: CO___~LICT OF INTEREST: I wish to disclose the follo~4ng potential conflicts ofinte~est that may or will arise ff I become a member of this board or commission. The selection process ~4ll vary according to the number · ;' acancaes, and may not in~],,,~; .... l · ' .... ~ ~ applicants and .... = ~,,¢er~uews wu~n au candic[ates. THANrK YOU FOR YOUR INTEREST IN SERVING ON A BOARI) OR COMMISSION. Return Application To- City Clerk's Ogee City of Elk River PO Box 490 Elk tkiver,/V[N 55330 Phone: 441-7420 s : \a dmin \brdeomap.doc APPLICATION FOR APPOINTMENT TO City _~' · CITY BOARD OR COMMISSION Ell ' R ver Please indicate (by order of preference) which of the following'you are interested in (I,2,3 etc.): ,, _ Economic Development Authority ___. Health Care Delivery Comm{~sion , Housing and Redevelopment Au~ority Library Board Park and Recreation Comr~sion Plsmnin g Commission Utilities Comm~¢sion ........................................................... : ............ : .......... : ................... ADDRESS: /~,?~ ZC5'~'~ ~,g ~j PHONE: (Home) (Work) OCCUPATION: -~'¢~_ EMPLOYER: HOW MANY YEARS HAVE YOU LIVED IN ELK R/VER? 2 / STATEiV~NT OF INTEREST: Please ex-plain why you would like to serve on the board or commission selected above: EDUCATIONAL AND PROFESSIONAL EXPERIENCE- Descr/be your educations] and professional experience or slSll.~ w]~ch qu21~ you to serve on :h;_~ boa.rd or commission. 13065 Orono Parkway · P.O. Box 490 · Elk River, MN 55330 · (612) ~1-7420, F~: (6]2) ~1-7425 I HOIH ~r' ~]VS ~td gI:~ flH% 98-0~-~.0N .CMC AND COM~JTqITY A.CTIlrITIE$1 Describe past or present civic and/or commumity activities which may be relevant in qualifyin. ' g you to serve on this board or commission. Are you aware of the ~mporta.uce of regular meeting attendance including the time comr~itment involved in preparing for meetings, and do you feel you have the time available to be an active participant: z~'_ Yes ._ No Comments: ~LICT OF INTEREST: I wish to disclose the following potential conflicts of interest that may oz will arise ifI become a member of this board or commission. The selection process ~il vary according to the number of applicants and vacmucies, and may not include interviews with all candidates. TPIA.~ YOU FoR YOUR INTEREST IN SERVING ON k BOARD OR COMMISSION. tu~~licatign To: City Clerk's O~ce City of ELk River PO Box 490 Elk P-iver, MN 55330 Phone: 441-7420 .doc 'ON X¥i H©IH Ef R¥$ ~ 9I'~ flH$ 96-0~-AON City of APPLICATION FOR APPOINTMENT TO CITY BOARD OR COMAEISSION River Please indicate (by order of preference) which of the following you are interested in (1,2,8 etc.): --__ Economic Development Authority -___ Health Care Dehvery Commission -__ Housing and Redevelopment Authority Library Board Park and Recreation Commission Planning Commission Utilities Commission ............................... ADDRESS: ~ t9 -7 PHONE: (I-Iota e) (Work) HOW MA_NY YEARS HAVE YOU IffVED IN ELK R/VER? [. ~ STATEMENT OF INTERESTi Please explain why you would like to serve on the board or commission selected above: DUCATIONAL AND PROFESSI NAL EXPERIENCE: Describe your educational and professional experience or sldlls which qualL~ you to serve on this board or commission. 13065 Orono Parkway · RO. Box 490 · Elk t~iver, MN 55330/. (612) 441-7420,--'Fax: (612) 441~425 " -:-- --~ --:::.: ............ .~ :. CMC AND COMMUNIT%' ACTIXrITIES: Describe past or present civic and/or community activities which may be relevant in qu ',al~g you to se. rye on this board or commission. __ IL -- .J .' I ~ ." / .-' ...f, / ATTENDANCE: ,A.re 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 azise ifI become a member of th~.~ board or commission. ..... ~' The selection process will vary according to the number of applicants and vacancies, and may not include intertriews ~4th all candidates. THANK YOU FOR YOUR INTEREST IN SERVING ON A BOARD OR COMMISSION. _Return Application To: City Clerk's Of[ice City of Elk River PO Box 490 Elk River, ~ 55330 Phone: 441-7420 s:\admin\brdcornap.doc City of E APPLICATION FOR APPOINTMENT TO CITY BOARD OR COMMISSION 'ver Please indicate (by order of preference) which of the following you are interested in (1,2,8 etc.): Economic Development Authority Health Care Delivery Commission .. Housing and Redevelopment Authority _ Library Board Park and Recreation Commission Planning Commission Utilities Commission ........................................................... i ......... ...i .......... / PHONE: (Home) (Work) OCCUPATION: ~~-,u'r 5(.~- EMPLOYER: HOW MA~X~ YEAR~ HAVE YOU LIVED IN ELK RIVER? STATEMENT OF INTEREST- Please explain why you would like to serve on the board or commi.~sion selected above: EDUCATIONAL AND PROFESSIONAL EXPERIENCE~ Describe your educational and professional experience or s]511s which quMffy you to serve on th~ board or commission. 13065 Orono Parkway · P.O. Box 490 · Elk River, MN 55330 · (612) 441-7420 · Fax: (612) 441-7425 _C]ArIC AND COMAfUNIT¥ ACTF~rITIES: Describe past or present cix4c and/or community activities which may be relevant in qualifying you to serve on this board or commission. ATTENDANCE: -~re you aware of the importance of regular meeting attendance including the t/me commitment involved in preparing for meetings, and do you feel you have the time avaJ/ab.].e to be an active parf/cipant: ?(Yes ... No Comments: CONFLICT OF INTEREST: I wish to disclose the following potential conflicts of interest that may or will arise ifI become a member of this board or commission. The se!ection process will vary according to the number of applicants and vacanczes, and may not include interviews with all candidates. THAN-K YOU FOR YOUR 1-NTEREST IN SERVING ON A BOARD OR CO1VIMISSION. Return Application To: City Clerk's Office City of Elk River PO Box 490 Elk R/vet, ]VfN 55330 Phone: 441-7420 s :\a clr~ \bt clcoraap .doc STATEMENT OF INTEREST: I am currently completing a 3 year term as Elk River Planning Commissioner. During that term, the commission completed an updating of the city's comprehensive plan. Being part of that process has increased my insight into how important it is to have informed citizen representation involved in the planning and zoning issues of a city. My strongest interests lie in the preservation of our historic downtown, development of a riverfront pathway, and preservation of our natural resources. EDUCATION AND PROFESSIONAL EXPERIENCE: For the past 3 years, the City of Elk River has invested in my education and training as a Planning Commissioner by sending me to national, state and local planning conferences. Due to this training, I believe that in a second term as planning commissioner I should prove to be a more effective representative of that commission. Additionally, I possess a Bachelor of Science in Accounting, and have been employed in Hennepin Parks' Finance department for the past 15 years. CIVIC AND COMMUNITY ACTIVITIES: I am the current Chair for the City of Elk River Planning Commission, the current Chair for Hennepin Parks' Deferred Compensation Committee, a current member of Hennepin Parks' Fees Committee and Marketing Committee. I was past Chair for Hennepin Parks' Employee Club and Vice Chair for the University of Minnesota's Student Board. ATTENDANCE: Yes. In the past three years, I have missed only one Planning Commission meeting. I do believe that if you make a commitment to become a member of the Planning Commission, it is important that you attend all meetings and workshops to stay current with planning issues. CONFLICT OF INTEREST: I can think of no conflict of interest that could occur for me. None have occurred in the past three years. I work for Hennepin Parks, which is partially funded by the Metropolitan Council, Hennepin County and Carver County. I can't imagine any situation which would lead to a conflict due to my employment. '-:ty of APPLICATION FOR APPOINTMENT TO CITY BOARD OR COMMISSION River Date: Please indicate (by order of preference) which of the following you are interested in (1,2,3 etc.): Economic Development Authority Health Care Delivery Commission Housing and Redevelopment Authority Library Board Park and Recreation Commission Planning Commission Utilities Commission ADDRESS: PHONE: (Home) OCCUPATION: '(Work) 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 selectedabove: 7~o C6~.,T~/,~,F~ ~,s~)~'~ 7~ /..,)/ C~,,.~,~,~TT,~,,~..' EDUCATIONAL AND PROFESSIONAL EXPERIENCE: Describe your educational and professional experience or skills which qualify you to serve on this board or commission. R,R,.5 13065 Orono Parkway · P.O. Box 490 · Elk River, MN 55330 · (612) 441-7420 · Fax: (612) 441-7425 CIVIC AND COMMUNITY ACTIVITIES: Describe past or present civic and/or community activities which may be relevant in qualifying you to serve on this board or commission. A~ENDANCE: 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: /V 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. 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 COMMISSION. Return Application To: City Clerk's Office City of Elk River PO Box 490 Elk River, MN 55330 Phone: 441-7420 Appointment: Date: Term: OFFICE USE s:\admin\brdcomap.doc City of~ APPLICATION FOR APPOINTMENT TO '~ ' River CITY BOARD OR COM]~ISSION Please indicate by order which of the following you are interested in (1,2,3 etc.) Economic Development Authority Health Care Delivery Commission Housing and Redevelopment Authority Library Board __ Park and Recreation Commission Planning Commission _ ~ _ Utilities Commission ADDRESS: IS PHONE: (Home OCCUPATION HOW MANY YEARS HAVE YOU LIVED IN ELK RIVER? (Work)_ EMPLOYER STATEMENT OF INTEREST: Please explain why you would like to serve on the board or commission selected above? EDUCATIONAL AND PROFESSIONAL EXPERIENCE: Describe your educational .and professional experience or skills which qualify you to serve on this board or commission. P.O. Box 490 · 13065 Orono Parkway · Elk River, MN 55330 · (612) 441-7420 · Fax: (612) 441-7425 CIVIC AND COMMUNITY ACTIVITIES: Describe past or present civic and/or community activities which may be relevant in qualifying yqu ~o serv~on this board or commission. .'~'.~j~ n~, ~~ ' 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. 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 COMMISSION. Return ADD!ication To: City Clerks Office City of Elk River PO Box 490 - 13065 Orono Parkway Elk River, Mn 55330 Phone 441-7420 ty of APPLICATION FOR APPOINTMENT TO CITY BOARD OR COMMISSION iver 11/14/96 Date: Please indicate (by order of preference) which of the following you are interested in (1,2,3 etc.): Economic Development Authority x Ice Arena Health Care Delivery Commission Housing and Redevelopment Authority Library Board Park and Recreation Commission Planning Commission Utihties Commission NAME: Thomas J. Kupka 12717 27~th Circle Zimmerman, MN 55398 Commission .ADDRESS: PHONE: (Home) (Work) Chan~e-over OCCUPATION: Operation .F, MPLO%~ER: Ogden Entertainment Mgr. (Target Center) HOW MAlX~f YEARS HAVE YOU LIVED IN ELK RIVER? 3½ (Zimmerman) STATEMENT OF INTEREST: Please explain why you would like to serve on the board or commission selected above: Getting involved in a project that has the potential to the best Ice facility in Central Minnesota. become EDUCATIONAL ANrD PROFESSIONAL EXPERIENCE: Describe your educational and professional experience or skills which qualify you to serve on this board or commission. SEE ATTACHED RESUME 13065 Orono Parkway · P.O. Box 490 · Elk River, MN 55330 · (612) 441-7420 · Fax: (612) 441-7425 CIVIC AND COMMUNITY ACTIVITIES: Describe past or present civic and/or community activities which may be relevant in quahfying you to serve on this board or commission. I have coached young athletes in youth sports programs both the Brooklyn Park and Elk River communities. in 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: x 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. ~n~at~r~e The selection process will vary accordin¢ 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 COMMISSION. Return Apphcation To: City Clerk's Office City of Elk River PO Box 490 Elk River, MN 55330 Phone: 441-7420 Appointment: Date: Term: OFFICE USE s:\admin\brdcomap.doc THOMAS J. KUPKA 12717 2?4th Circle Zimmerman, MN 55398 Home: (612) ~ Work: (612) WORK EXPERIENCE: OGDEN ENTERTAINMENT SERVICES (Change-Over Operations Manager) 4/94 to Present Directly responsible for the set up and tear down of all events at the Target Center. These events include: NBA Basketball, College and Professional Hockey, NCAA events, major concerts, banquets, and other events. 18/98 to 4/94 OGDEN ENTERTAINMENT SERVICES (Concession/Purchasing/Warehouse MGR.) Target Center- Mpls, MN Cantebury Downs Race Track Shakopee, MN St. Croix Meadows Greyhound Racing Park - Hudson, WI Responsible for all phases of concession operations including: Purchasing of product, hiring and training of employees, stocking and maintenance of all concession stands. Directly responsible for monthly inventory, plan and prepare work schedule and assign employees to specific duties. Directly involved in opening new accounts. 5/79 to 3/92 Education: Waterproofing Inc., Blaine, MN (Foreman) Responsible for supervising daily operation of commercial and residential building contracts. St. Cloud State University Owens Corning Sales and Marketing Seminar Supervisory Management Seminar .ty of APPLICATION FOR APPOINTMENT TO CITY BOARD OR COMMISSION iver Date: Please indicate (by order of preference) which of the following you are interested in (1,2,3 etc.): Econonfic Development Authority Health Care Dehvery Commission Housing and Redevelopment Authority Ice Arena Commission Library Board Park and Recreation Commission Planning Commission Utilities Commission PHONE: (Home)_ , .. HOW MANY YEARS HAVE YOU LIVED IN ELK RIVER? (Work) STATEMENT OF INTEREST: Please explafll why you would like to smwe on the bom, d or commission selected above: ~'ovvzcL EDUCATIONAL AND PROFESSIONAL EX~ERIENCE: . Describe your educational and professional experience or s ']rills which qualify you to serve on this board or commission. 13065 Orono Parkway · P.O. Box 490 · Elk River. MN 55330 · (612) 441-7420 · Fax: (612) 441-7425 CIVIC AND COMMUNITY ACTIVITIES: Describe past or present civic and/or community activities which may be relevant in qualifying you to serve on this board or commission. e you aware oi the ~mportatrSe~6t-~e~lkr meeting attendance including the time commitment involved in preparing for meetings,,2~nd do you feel you have the time available to be an active participm~t: ~ Yes No Comments: CONFLICT OF ~4TEREST- ' I wish to disclose the follo~.ing potential conflicts of interest that may or will arise if I become a member of this board or commission. Signature The selection process ~ill vary according to the number of applicants and vacancies, and may not include interviews with all candidates. THANK YOU FOR YOUR INTEREST IN SER\rING ON A BOARD OR COMMISSION. Return Apphcation To: City Clerk's Of:rice City of Elk River PO Box 490 Elk River, MN 55330 Phone: 441-7420 Appointment: Date: Term: OFFICE USE s:~forms \brdcomap.doc '"';ty of River APPLICATION FOR APPOINTMENT TO CiTY BOARD OR COMMISSION Date: It - l y-?~, Please indicate (by order of preference) which of the following you are interested in (1,2,3 etc.): Economic Development Authority Health Care DehvezT Commission Housing and Redevelopment Authority Library Board Park and Recreation Commission Planning Commission Utilities Commission PHONE: (Home}~. _ (Work) 0CCUPATION:qn'scs (~~ EMPLOYER: ~0W M~N'Z ~S ~V~ ¥0U ~,rv~r~ ~X ~L~: mV~? STATEMENT OF INTEREST: Please explain why you would like to serve on the board or commission selectedabove:t,O, t~,'sVx ~0 k~com~ ir~o&~&a~.6 Ccc%-,¢c ~k/ o~ '~ Comm'~ss,~X ~ ~'s C~ ~so~ EDUCATION~ A~ PROFESSIONAL EXPERIENCE: Describe your educational and professional experience or sk/lls w~ch qualify . you to se. rye on this board or commission. ~ Edo~~ i' ~i~. ~q- -'~. ~ '~,.:C .... 0.o. A ~,,,~ . 'u~ ~JLdJ~ o~ t:~-,....~ ~ 13065 Orono Parkway · P.O. Box 490 ·[lk River, ~ 55330 · (6]2) 441-7420 · Fax: (612) 44]-7425 CI\rIC AND COMMUNITY ACTIVITIES: Describe past or present civic and/or community activities which may be relevant in qualifying you to serv~e on this board or.commission .... ,-~_ A ' 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 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. -~- (~a~ ~ ~ ~nature 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 COMMISSION. Return Application To: City Clerk's Office City of Elk River PO Box 490 Elk River, MN 55330 Phone: 441-7420 Appointment: Date: Term: OFFICE USE s:\admin\brdcomap.doc Cky of iver APPLICATION FOR APPOLNTMENT TO CITY BOARD OR COMMISSION Please indicate (by order of preference) which of the following you are interested in (1,2,3 etc.): - Economic Development Authority ____ Health Care Delivery Commission Housing and Redevelopment Authority _.>< Library Board ~ Park and Recreation commiss~o,, - _ Planning Comm~sion --__ Utilities Commission PHONE: (Home) 0CCUPA~0N: /~ar~Tz~ a HOW MANY YEARS HAVE YOU LIVED IN ELK RIVER? _STATEMENT OF INTEREST: (Work)_ E/V~LOYER: Please explain why you would ]i]~e to serve on the board or commission ~selected above: EDUCATIONAL AND PROFESSIONAL EX~ERiENCE: Describe your educational and professional experience or sial]Is which qualify you to serve on t~ bo~a o~ com~sion. ¢~ ~.~ &~^a;¢ /.;¢e~~¢~ ~3065 Orono Parkway · RO. Box 490 · Elk River, MN 55330 · (612) 441-7420 · Fax: (612) 441-7425 c~rIC AA~D COMI%fU]X'ITy ACTI%rITIES: Describe past or present civic and/or community activities which may be relevant in qualifying you to serve on this board or commission. ATTENDANCE: -Are you aware of the importance of regular meeting attendance indur]~n g the t/me commitment involved in preparing for meetings, and do you feel you have the' time available to be an active participant: _oz.,Yes ~ No Comments: ~tt~t & .~4,8,8 "r~,,q~ j-..i,,rz~,/,~.~ ~,~,'/"'"/"~o,~c¢-.- ~,/,/1,¢E_,,¢,~.,,¢_.~,o/'7"7¢/-~.._ COArFLICT OF INTEREST: I wish to disclose the follo~4ng potential conflicts of interest that may or will arise ffI become a member of th~s board or commission. The selection process will vary according to the number of applicants and vacancies, and may not include interviews v,4th all candidates. THANK YOU FOR YOLrR INTEREST IN SERVING ON A BOARD OR COMA/fISSION. Return Application To: City Clerk's Of~ce City of Elk lq.iver PO Box 490 Elk River, ~ 55330 Phone: 441-7420 s:\admin\brdcomap.doc City of ver APPMCATION FOR APPOINTMENT TO CITY BOARD OR COMMISSION Please indicate (by order of preference) which of the following you are interested in (1,2,8 etc.): -___ Economic Development Authority ~ Health Care Delivery Commission Housing and Redevelopment Authority ~ Libra_~, Board - Park and Recreation Commission .. Planning Commission Utilities Commission ........................................................... ~ ......... '., ......... ,- ................... ,. ADDRESS: PHONE: (Home) (~ror]~) OCCUPATION: EMPLO'fER: HOW MANY YEARS HAVE YOU LIVED IN ELK RIVER? STATEMENT OF INTEREST: Please explain why you would ]i~e to serve on the board or commi.~sion selected above: - .EDUOATIONAL AND PROFESSIONAL E~ERTI~,NOE: Describe your educational and professional experience or s1411s which qualify you to serve on this boazd or commission. 13065 Orono Parkway · P.O. Box 490 · Elk River, MN 55330 · (612) 441-7420 · Fax: (612) 441-7425 _CMC AND C0]~J?~"ITY ACTi~riTrES: Describe past or present cixdc a-udYor community actixfities which may be relevant in quailing you to serve on this board or commission. ATTENDANCE. Are you aware of the importance of regular meeting attendance including the time comraitment involved in preparing for meetings, and do you feel you have the time available io 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 ff I become a member of th~ board or commission. ///~.~ ~ The se!ection process will vary according to the number of applicants and vacancies, and may not iuclucle inte_-~.d, ews -~ith all can~dates. THANK YOU FOR YOUR INTEREST IN SERVING ON A BOARD OR COM/vI~SSION. Return Application To: City Clerk's O~ce City of ELk l~iver PO Box 490 Elk tkiver, 1V~ 55330 Phone: 441-7420 s:\edmin\brdcornap.doc