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5. SR 08-07-1995~~r ~~ { ity of ~~ lk • River TO: FROM: DATE: ITEM 5. MEMORANDUM Mayor and City Council Sandra Thackeray, City Clerk August 7, 1995 SUBJECT: Park and Recreation Applicant Interviews Confirmations for interviews have not been received at the time that this memo is being written. Therefore, the schedule provided for the Council is subject to change. Ten minutes have been provided for each interview. Applications for each candidate is provided in the Council packet. Interviews are scheduled as follows: • 6:05 -Susan Green 6:15 -Darlene Nikols 6:25 -Lana Huberty 6:35 -Kent Madsen 6:45 -Scott Brabec 6:55 -Jeff Hendrickson 7:05 -Richard Bitney 7:15 -Tom Cruz There are two vacancies on the Park and Recreation Commission at the present time: Clete Lipetsky...whose term expires on December 31, 1995 Sue Daleiden...whose term expires on December 31, 1996 The Council may want to inform candidates that one of the terms will only be for the remainder of the 1995 calendar year and of the possibility of reappointment for a full three year term after December 31, 1996. s:\council\interp&r. doc C7 13065 Orono Parkway • P.O. Box 490 • Elk River, MN 55330 • (612) 441-7420 • Fax: (612) 441-7425 'a7~iLa~4 •ie:io~OZA~!_T~RON{z~NC .~I.ICE H£IAIECKE P.li2 t~ooi ~~~~j~~ • City Of r APPLICATION FOR APYOINTMiNT TO ~ CITY BOARD OR C02'~MISSION ~~~er Please indicate by order which o: the following you nra interested in (1,2,3 etc.) Economic Development Authority ~_„ Heaith Care DQlivery Commission ,_; ,.„ Housing and Redeva2opruent Authority _~ Library Board --~...,~.,_ Par3c and Recreation Commission Planning Commission Utilities Cotntnission NAME: ~rCN~~~ Cl~~ecSTOP~{~r`Z, .t 1TJy~/ ADDRESS : /f,~ 7,~0 ~ f" -~! l.~ r VEr2 Miu,~~Sv;~ PHONE: (Home) ~1~,1'' ~ - - (Work) 6/~z~ _ • OCCUP~iTION ~~~2CH~~11JG /~~~,~TT' EMPLOYER ,4r`Ti~yn3, /iJ~, :IOW MANY YEARS H?~VE YOU LIVED IN ELK RIVER? ~~ STATE2~IENT OF INTERES?~: '-'lease exp3ain c~hy you would like to serve on the board az commission selectzd above? A.S A SCRVEC~ ?'o T~le/ Con4MCJrl1t"j c/ -~ ~~y~) UP !N. 7••O G/{l~ ~C,~F~IE,t]GE i•1.1 I,LC.f4L. GOVrrRdJµ[{1~' EDUC.~TZOI~AL ANb PRt?FrSSZOi~TAL EXPERIENCE: Describe your educational ant! professional experience or skills Which qualify you to serve on this board or commission. ._._ _ MRNttG-CM~Nj LkACI~?1~+VG~. lD3 ~-~i'{ pf~C.o~~~SSio~RL, L1r`~. • Post•!t'" brand tax transmittal memo 7671 ~ of pages ~ a~_ ~ M - L~ From ~,/~'~' t-3~TrUf ~• A 13apt. ~1 Phoes A'7' - d~3 0917 FaY ~ 'J~ Fas f! ~i~7 !~~ ~Ti++~o~4 ~9~.iv"02 ArL~RON~c~NC :LICE $EINECRE P.2/2 • CIVIC AND COM.~iUNT?'Y ACTIVITIES: Describe t~a5t ar present civic and/a. community activities NhiCh may be relevant in qua.Iifying~yaa to serve cn this board ar commigsian. w i ~ i '?~SWSS ~ IJ +~E25~N. A'"TENDANCE C~oo6 Are you aware of the importance of regular rnaeting attendance including ;.he time commitment invo?ved in preparing for meetings, and do you feel you have the time available to be an ,active participant? ~ yes No Comments: • T vv~~.~., vii} ~~ -7~C •TrM~ AVA~LAt'>LE, ToB~ ~~ ~1c~Tev,~ P~~rrc~ ~anrt . ~CONF?',IC'?' Oi T_Z~T'?'ER~ST: I wish to disclose the zollowing notzntial canfiicts.of interest that mey or will arise if I become n member o,; this board or commission. N~~~ `1`he selaction p,aces5 Will vary according to the numbe, of applicants and vacancies, and may not include interviews wzth all candidates. THAPIK YOU FOR YOUR 233TcP.EST IN SERVING ON A 90ARD OR CDMMISSZON. Return Application To• ^ -" City Clerks Office .City of Elx R_ver • RQ Bow 494 - 15065 grono Parkway Elk Rive=, Mn 55330 Phone 4~1-7&24 Post-It" brand {~x itStlSrtliR2! memo 76T1 ~ of pagaa • L^„ ! C,.~. r rom *~~ i lam. ~ est. Pnone~ • •~r/ .~ Fox d FaY ~ •~! - ~ / ; • - - ~ DEC _ S 19?~ l ( { City of ~ T , ~1, APP••ICATIOA fOR APPOIA'TMENT TO 1~ • CITY BOARD OR COMMISSION j, ~IV~~' Please indicate by`order which of the follow ~ s____--- -_-- interested in (1,.2,3 etc.) in9 You. are Economic Development Authority ,~,_, Health Care Delivery Commission ~_ Housing and Redevelopment Authority Library Board Park and Recreation Commission Planning Commission Utilities Commission NAME: ADDRESS : ~~ i yG /9c ~~ ~v~ ..fr/, b~ PHONE : (Home ) __._ (Work) 2~ f ~ HOW MANY YEARS HAVE YOU LIVED IN £LK RIVER? ~ ,-s• • ~- ---- STATE2~EA'?' 0? Ir'TEREST: Please explain why you would like to .serve on the board or commission selected above? Ccr7/ C'E~ a.1F~5^r sti ~ ~i~ d~ ~i S l G'~ f;QfDtiJ ~c fciSic.J /!~•e+ ten- .C,: //~~ i..~/ /C e'~+ • f c' :' /CC~ 4 f ~+i~5 /C~ r ~~- ~ . fi~.~~~ £_ '.ttt' • ~il.cr/~ t' •c/ ~ ~o f'.~ £ Zrfrr •~--.•- LL~~~ o ~it. ~p,-* ~~.Z~~/~u7.cr.-~ ~~.~c•' ~!r-~ O~ffir,. ~`f~c%'/fir-.,.~ _. I m. j _ ~r:~ ~ ~~~s., cc'/r ~ ~/8C .•ye•;..' r~' per ~C.,.~~ EDUCATIONAL Ah'D PROr£SSIONAL ~'XPERIENCE: Describe your educational and professional which qualify you to serve on t zs board ore}.perience or skills commission. ~ ~ `,. c ~J ~4!7': A~-~ 2 ' -S ///-• i~ cis.. nG c J _ ( ~ ' • 4 /' t %Y, ~: t~ -~ GJ,~1/ ~t': ify~,c~ ~c.+1~~ f~ ~• i ~ ] NY.2 ~~• L~j.Jj"~ .~i~~ STG• ~ UP •y.~f. ~i~ ....CZ;, ~.vi~1- c .L~ /~i..4.~- ~c~.~c•i /`ECl~:•~s:~v P BOX ~~Q ~~" ^ i ~ a ,~.~ ~~- ~ ~~~ !~. .,v ~~; - it/JP. ~ n/J `OT..t, _..~•~ ~' 1066 Orono Parkvyy • Elk River, NN 6330 - (6i2) ~1-742Q = rax~ 6I2)S~I 74?~ ,~ s• CIVIC AT~'D COMT~UNITY ACTIVITIES: Describe pest or present civic and/or community activities which m2y be relevant in qualifying you to serve on this board ar commission. ATTENDANCE: Are you aware of the importance of regular mee~ing attendance including the time commitment involved sn preparing. for meetings, and do you fee~Y you have the time available to be an .active participant? ~/ Yes No Comments: • ~CON'LICT O~ Ih'TER~ST: i wish to disclose the following potential conflicts of interest thet mzy or will wise if I become a member of this board or commission. The selec~ion process will vary according to the number of- ~- applicants end vacancies, and may not include intervie;as kith all candidates. TriANK YOU OR YOUR INTEREST IN SSRVING ON A BOARD OR COMMISSION. Return_ Fpplica t i on ?'o City Cler}:s O_fice City o~ E1}: River PO Box ~O0 - i30o5 Orono Parkwey • E1}: P.iver, ?gin 55330 Phone ~~1-7;20 r `~ ( / city of 1 Ik~~ j~11~d1995 APPLICATIOR' FOR APPOINTMENT TO ~ CITY BOARD OR COMN:ISSION ~ve~ _ ______ ____________________ ________________ 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 ---------------------------------------- NAME : _ ,~.9~ /Q LE'Ill~ / ~ /G~ ~ L^ ADDRESS : ~~~ 7 g ~ / d~ n1f'E. / t~- ~ . ELF ~l (i'~~ /~?/V ~5 3J~ PHONE: (Home); _ (Work OCCUPATIONI~'/friP,~(~c"77N(~ ~Q,~°~g~„g7~~NpLOYER_ A A ~ ~.tiN~~is HOW I/iANY YEARS HAVE YOU LIVED IN ELK RIVER? y ~~-~-,qs STATEMENT OF IATTEREST: Please explain why you would like to serve on the board or commission selected above? R ~ ~~'~l .,A Ft 2 `v~ ~EZ/ EUE~ ~ ti ~~ /!M P 2?79.71/ ~~ O~ /j~l.~ h`LS 1 tj /2 ~~ !S orv ~ p ~' 7?f~ /~'l oS~ /~~t~7~7 c ~~ ~ 7~} f 7-S' >~-rvo G r vG - .~?~ ~~, P~7- ~~?t~ . c=/~c~- n~v 6 /t- s c4°~t v~ P~ i~ rfiv~ EDUCATIONAL AND PROs ESSIONAL EXPERIENCE : ~'~"~~''~ ~~G Describe your educational and professional experience or skills which qua/lw~i(~ fy/~//yjou to serve //can this boar/d or co ~~)mm ~i sus iy~on. qq -~L~'? ~l C_./~ `I~ c~/`.S ~ ~j /V~ ~Yl.~,~ /v t l~ ~(-C.~_::~ ;' 1'" ~ S C.CKY+'C.1V~i P.O. Box 490 • 1306 Orono Park~~~ay • Elk River, A':N ~JJJO •.(612) 441-7420 • Fax: (612} 441-742 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. ~V o t-u ~v ;Z~12 f~T a ~ ~ ~ f/a ~ ~ S i ~ ~ZK R ( u ~ 7~f-2.~%~.~ +{ a P Po 2~ N riz/ w o~el~s ~/~-o ~. ~ ~ ~. ~~ 1-- t k~ j ~ (3 ~= I N U d trU ~`9 r'v`-~ 2~ ~.v I'Zl-~ ~ C.d ~ tM, u ti ~ 7~/ 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 1 ~ M ~ c.~ ~R C O ~ o rJ E ~ tiv IF~~ ~T ~ -13 -mot S CONFLICT OF INTEREST: • I wish to disclose the following Dotential conflicts of interest that may or will arise if I become a member of this board or commission. /~D/IT~' ------------------------------------------------------------ The selection process will vary according to the number of applicants and vacancies; and may not include interviews with all candidates. THAIvTK YOU FOR YOUR INTEREST IN SERVING ON A BOARD OR COMrIISSION. Return Application To: City Cler};s Office City of E1}, River PO Box 490 - 13065 Orono Par}:wav - Elk River, Mn 55330 Phone 441-7420 • • ~JUL 13 '95• 61•~20PM LEAD~~ 512-574-3362 CITY/EI1{ RIyER ,.. P.1 ~OOJ JUL i3 '95 12~53PM " ,~ ,Q 6/l~N~ r An/`~~~~ ~Y of ~~ a APPLICATION FQR APPOINTMENT TO CSTY BOARD OR CO1~'lISSYON ` ]~ ever _ _ Please indicate by order s~hic . ~•~~~~~r~~~i~~~~~~~~~ h of th inter~o5tecl in (1, 2 r 3 eLC . } e #Cllowfng you are • ~ ''.; ~~.' 3 Ecortamic Development Authority Health care Deliver-y Commissfon ~_ Housing and Rsdevelopmont Authority • LibZaLy Board .~1, Fark and RecrQation Coamfssion „~ Planning Comtaission • _` utilities Comatission ~ • .;. ,.N , ;;~.`{ NAME: ~•cSCD~ r'~bee ~ ~ •~~ ••• ~ 1 ~ ~ ~ ~ •. "I ._ , ~'•,. ADDRESS : ~', . ^ jy~/ ~ ~ '~ • . , . °•13822 2~! ~ ~~~'•' ,~ PRONE :: (Home ~ ~ - ' ; ~ . •~(Woik3 . ,.-. • • _.. : • . '. • . .•Y '., 'Y• ~ ~~'~- EMPLOYER ' • ~~'- t~'N'ON! ~. .. ~ "': HOW MANY YEARS„ HAVE OU LZ`tED I, IN , ~EL14 ~ •R ~ , ~ , ,•.• ~ ~ '• ~ ;~ . ~ . " : ~ .,:R{~;. OF INTEREST ~ ., , , . . :]~ •ri~ ~~. Please explain vh uld lfk® •' •~:,,~; „•,.::;_,'; ";::~,~' :•<:°;,+;;.; ;,•.,., ,. ;• :•~;~.;r:,`, Y You wo to sQ=Ye.'•;'on; thia~~board ~,or coa~missiort selected above? ~ ~ .~ "'~, ~Q~r +•.~l/e ~~r~rrr~ft :~/~ ,.~~~e ~•vuri~, of F'-{LrG~Vcv•:.: ~ . , . ~: ~, ~ ~ 9. once a,~-. P ~/ ~~ '~~~ /!?t::~~~•p~f~~~:,~14ri~s'~~ . _~; ,•.•.. ' ~ ." .. ~ ~tLr7tfC~ ~~~C~7~7° ter`- ®! ~iic%/i~//, L?i~~ /J,i'/ty.~ `jj~p~ijy~ S /k ~~ ~', . EDUCAT=OVAL AND PROFE85I4NAL EXPERYENeE: Describe your educational and professional expez~fence or skSlls Whfch qualify you to serve art this boarG ar commission. ~~ ~ ~ ' char ~ ~ r~ ~,,! irr/sin K 7~'C1h ri~ S~,S'~s~,s' 8•sc~/.,r~rr,;,~ , GomO ~r~~~P~.. So%,~ .sk'~i~r, ~ f P.O. Box-490 • 23065 Orono Parkway • L•-(!c Ri~+~r, MN 55330 • (6I?) 441-7420 • FAx: (612) 441-7425 p~JU~ 1~ '95_•Q~~21PM LEADS 612-574-5562 CIT~i/ELK RIYER P.2 X004 • • ••. i' CIVIC AND COMMUNITY ACTIVxTIES: • Describe post or present civic and/or cosamunity activities ~; a+hieh may be reisvnrlt in qualifying you to salve on •this board •' '~:' or aommiss3.on. , ' • ', •' ~• ..,; . ,• r AT'FENDAMCE 0 '~ •• Are you BWare of the importance of regular•,meetitng attertdance•' ~• iacludiaq the' time eolamittaQnt involved''~in preparing for ,' ' • ' '`~ •~": ~-`~ ~t,•;; r'~ '~'' ' meetings, 'and do you Pasl yov 'haves' tt-e , •tfaie 'avatiable ~ to :be 'an' ~ .,' ,<~;~'~w;~;~, act€v@ 'participant?' _~ Yes •_.~ •:pa • •~.;,.~i •. ~::;. ~~: w ... ~• ~ • . •, , . • ,,r t:.~.y:, • ., . ~ l:y.:.. ...~. i , N'FLI •T•f •OF .xt~TTEREST • • ~ , • ' r,:. ,••r.'. •, ,.~~.~ ' ~~ ',';• ,: ~,.,~::-~ . 1, t • n ~ •rrtt}a •t~.•:'• ~ w. tCr' ,• I Wish' to"`disclose 'the following ,poten~el. 'eoriflicts of ~}";:~,~~';:;,' ` , ', •~;~r::;;;'.::;,,• interest that ,aiay.,or will aris•s' if'''I'~b~coipe~'~a~°~i~ember.;,bf ••~this ~; ,•r~',~~=~~•~• ,,,. ,.,; ..a.. ~~. ' 'board 'or contmis'sioa. ~ ~~ :.. '•""~ ~ "'•• The .selection process .will varyaccor~inq~tothe number of~`~•• ,'•. • applicants and vacancies, and may not include interviews with; • all ~andidateS. •. TIiAAIK YOU £OR YOVR INTEREST SN' SERVINQ OK A BOARD OR COA~dISSION. Ret•~rn A,p~alicatian To : . • CS.tY Clerks Office City of Elk River • PO Box 490 - 13065 Orono Parkway Elk River, Mn SS330 . Phone 441-740 07-13-95 02:03PM FROM SILENT KNIGHT Ta g~417~25 P001/002 QTi13/9b 10.17 x4417426 Post-It"' brand fax transmittal memo 7671 xolpfges • Z X003 .. .-' ,. ~ ~ Co. CO. • L. o~ E~ .~ S:I~.. .,, t Fax l.~. {,~ ~ .r ~~~.' .~ r Fa: 4 1.~ ~'!' ,3 G ~ G O City Of ,~ APPLICATION FOR HPPaINTt~ENT TO s CITY 80ARD QP. Col~tI~SION ~ R~~e~r PleBSe indicate by ardor which c~ tha ~°ollo~+ing you aro iAterested in (1,3,3 etc.) Economic Davelopm4itL ,AUthoriLy Health Cnre Delivery Commission Housing and Rodovolopracnt Authority Library Boa7cd Park and ReG=eatiatt Commi,ssfoa Planning Commission Utilities Commissian xAr~ : ~c-~r'~ ~c ~~ i ~ 1cs o ADDRESS : ~' ~- ~ PHONE: (home). - - {Work) ---- -- L dCCUPATION ~r- ~„t~,1 EMPLOYER ~ e ~ ~7- HUW MANY YEARS HAVE YOU LIVED IN ELK I~t1VE1{? STATh`M~'NT OF I DiT3s REJT Please explain whY you would like to serve on th® board or cou'uu~i5sion selected a/bove?// /~ {'- L i O QSSt S~ / n Ttt, de/e,~ODe~-,e..T ~~ rl~ r~,1-.a..~l `I'r+G.'~ 7 ~e.j and _ ~v p~-~' ~.cM.~~~;~ Aae.~ j K~~ '>2'~e Co•.+-, ~•~ ~~11~/ / l J EDUCATIONAL AlYD PROFE55XONAL EXPERIENCE: Describs youz educational 8nd profQSSional experie~tce oZ skills which quali!! fy youJt to serve on /this board ar comm/is/sion. / / 1 Db f 9 /G l~-~ Q q re-e 7" e~.~, / o~ CA•, '-~r 7' G.~ ~ ~T-`1 'T'~ e~ ~f f f J ) J f ~ f I P~C'j~ Qria /`l/t~t!/c-J G/O(lC.+~q Ct/>~La •~~bGrs '~C3 C(4...G tp~ ~CC1 a+~ 5 lV .SaT1 ~/.L pra ~ l ~-MJs -i- L°./t~ off/ ctlC,r ilI -7 p t/ / ~h I ` 1 1 r J P,O. Box 490 • 13465 Orono Parkway • Elk Fiver, MN 55330 • (612) 441-7420 + Fax: {612) 44I-7A~25 07-13-95 02.03PM FROM SILENT KNIGHT TO 94~1~425 P002/002 07/ls/96 10:17 'x4417428 CITY/BL8 RIVER ®001 ,_ ~• • CIvTC AND COMMUNITY ACTIVITIES: berscsl~b~s pr~'t ar present cialiiain'arou t userveaonithiseboarci which may be relevant fn qu Y 4 Y or cvmmisaion. ATTENDANCE: Are you aware of the importance of regular meeting attendance including the time commitment invdived in preparing for meetings, and do you feel you have the time available to be an active particigantP• ~ Yes Nc CoauQents CONFLICT OF INTEREST: I wish to disclose the following pot®ntial conFl.icts of interest that may ar will axise if I become a mernbEr of this board or oommiao3.aa- The selection process will vary according to the number of applicants and vacancies, Srtd may not include interviews with a.ll cartdidatQS . TEiANK YOU FOR YOUR INTEREST IN SERVING On A 13UAKll UR COMMI5SZOI~I. Return_AppliCatian To; City Clerks Office City or Elk River PO Sox 490 - i30b5 Orono parkway Elk River. Mrt 55330 Phana 441 7420 ~El~ • ~~ ~ 1 15rJ5 River APPLICATION FOR APPOINTMENT TO CITY BOARD OR COMMISSION _______________________________________ ________ 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 NAME: ADDRESS: I~C~ PHONE: (Home), OCCUPATION ~r~a GINQ ~-. 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? `~1~ -Fa;~-.; t.~ ewc~. ~ dose. k~ ~,y c~ 4w,~.. ~ ~ £l lZ ~,~v~.r- b2cl.~.u.~ c,~e_ l;k~ ~~e, Gay , ~~~~\ ~ cd~m~~y c~c~-:v;ttes a.t,r~.~ la(~(~. `~. be~~ ~e.~~ ~ir`~ ~. Cc~.v Co.~r+ h~t~ {h2 ~ ~-~ ~ ~.ou s ~ r,m ~rov.~ vr\2~- o.~ c~ c~r-a w~-1r~ ~1~...e_ Co rn ~^r~ WJ ~ _ ~ ~v c~~ U~Q.~ ~ ~ ~ ~~'x'?-~~C.~ Q~ 0.C~~V i-{ i es. ~ 1~rc~ ~,~ cJ~ ct-c-~'i v ~~i ~ . `~ w; l l e.~p~d ~cY,~ 11d~~ ~s , ~ ~'ro W o-r.~o,Q EDUCATIONAL AND PROFESSIONAL EXPERIENCE: Describe your educational and professional experience or skills whi h qualify you to serve on this bo rd or commission. IA~S - &S - vrv~t-ect ~t~-~~~ `t`c~~ I;~~r.{ ~cs~devr~y ~ cJ~~ tb' ~' - ~ ~e~-: ~F'(~1 1Q 9 y - -~ gq - c~,~}bu,- ~ ~}~-t-~ ~N:UQrS~~ F~"~ur _ .-~ ~ ~ a `~ 5 ~ \ 9 ~ YY1,p YY1c.s~kers ~uS~ Nei; (~ vrl;n~ (9~d5-1994 - C~ ~~.r ~ us_ Army , ~rcc; a\, Z~ec~ ~` ~ `~YZo..~ov~v~~-~. o.,~;d ~ ^c~.~,c nos '~N -~ osec~s ~ C~~nnmu~v~cs~~o1,251 C~~.v.-lromc~~~c~ cw ~ Q C(~L'~.~5 ;~ic9~ ~ ~ t ~9u _ Q~~e~ C~,r.r~ \'~u~c~~~- ~ ~'; ~.~~~ - Rz si ~ - ~-es~r~s;1~t~.. ~~~ Q(~~~•ot~5 ~ elc~ i ~ \ ~,1^~N!JC.~ ~ ~:NQNCeS CYb-~'~.Q,~~ e.~C ~' (work) EMPLOYER ~'?,?A ~~,~,-~~ (~~j~ ~. Q'ZZL- ~,v.'}CS ~ N N 11~7~: l~Nesc~~a _ ~ J . ~lcf~~~ ~,.~ Com~nw~,'Cy, S~or`kS r-eG^~a~',b~, c.~v~c,c~c~ a~-hQU- aC.-E~v;'~.~~~es 5~,~ce. ~{oc~h. P.O. Box 490 • 13065 Orona Parkway • Elk River, MN 55330 • (612) 441-7420 • Fax: (6121 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. ~1G~UjZ ~11~"~"; G (xct'2(~1 j ~J ` `~ ~ Q~O.J~? ~Z-Q%~ ~ lit l0.' ~1f•"-~ ~ ~,,lG~- - C_(,JT2'Yl~,~,t„J~). ~{ ~\ V . '~~+~ T~ ~.'J l.~l.f~.dis- ~~~~ ~~'?,t`2,~~~~ ~ ~5K3ishG,,l~ ~ ~11~' ~-Y 1 ~S ~d ~ sc~~~s ,~ ~l~~•p~~c5 ~ y~,~~ c~-v mod. c'~t~e~s StNC,Q. ~ ux~.s c~ ~o~n~ arv O.GQ.u~.~ ~ `~„i ~~, ~.~rJ O~~V~ vJ C~~nnrnv~N~~~ c-eL~-e_o.~-:or.~ :,.~ l~.w ~-oc-k~ 6~~,«~ ~o~s ~{la.~~d ~ ~v~sylvc~,~~ 6-err,no~Ny ~ awd YYI~n~~-~~a ~.~•~ bc~Fh -~h~2 YY~C ~~~Cy C~~Mrnwu; ~' ~'G@ ATTENDANCE: C~u```~~ eGYY~^f1WV~t~. 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: ~~ ~ o~('k~ fours o.~c-.¢., ~1.2~Li ~~ c~~ Irn~ ~~: L~ ~ s ~ N VY~~ ~orYl~. 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 TN 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 . ~i. ~ -\ { ( ~ City of ~~f Ike APPLICATION FOR APPOINTMENT TO ~ CITY BOARD OR COMMISSION we~- -------------------------- g you are --------------------- Please indicate by order which of the followin 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 ------------------------------------ NAME : Kent H. Madsen ADDRESS : 1733 Tipton Circle PHONE: (Home) (Work) OCCUPATION Engineering Aide I EMPLOYER City of Minneapolis ,HOW MANY YEARS HAVE YOU LIVED IN ELK RIVER? 31 STATEMEA'T O~ INTEREST: Please explain why you would like to serve on the board or commission selected above? I think that parks are very important to the community and that Elk River has along way to go as far as parks, bike trails, etc.. With my knowledge and concerns for our park and recreational facilities, I feel my input would be an asset to this Commission. EDUCP.TIONAL AND PROrESSIONAL EXPERIENCE: Describe your educational and professional experience or skills which qualify you to serve on this board or commission. I obtained a Bachelors. Degree from St. Cloud State University with a major in Geography and a minor in Park and Recreations. I am involved in sports year round and have three children. This has given me awareness in our community and our park and recreational facilities-for • the need of improvement. I have worked as a land surveyer for 5 years with John Oliver & Associates. and currently work for the City of Mpls. in the Planning & Design Department . for street design. P.O. Box 490 • 1306 Orono Parkv.~ay • Elk River, ?`~N ~~330 • (612) 441-7420 • Fax: (612) ?41-742 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. I worked through Community Education and ran the CBS Program; have played softball for 15 years; have coached hockey, softball and baseball; have been the Elk River Ice Arena Manager; and have served on the Elk River Youth Hockey Association Board as Vice President for the past 4 years. 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?~ R Yes No Comments I am well aware of the time and commitment involved. As a parent and active citizen, I feel the time and commitment will be a fulfillment for me with the interest I have in our community in the parks and recreational areas. CONFLICT OE 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 cf 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 E1}; River PO Bow 490 - 13065 Orono Parkway Elk River, Nn 55330 • Phone 441-7420 '- ~ .R/ \~ ( / City Of ,~~` APPLICATION FOR APPOINTMENT TO '~~Ik, ~ CITY BOARD OR COMMISSION ]~.~ve~r _______________________________ 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 -------------------------------------------- NAME : ~1.~~ ~~ -~-~1 i~') t" I,1-~,~ / ii . ADDRESS: (~~~ y~ ~~ii1('t'3~11 ~7 niy~ PHONE: (Home)' ~ _ _ (Work OCCUPATION r~~- { ;1 i ~~r EMPLOYER e - ~ ~ ~ ,v `'ri~_ ~~M ~`k ~ V-1eVt~~r .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? S C~~~~t ~ ~~.~~~ ~-i~~.<f:~~tt ~'~~ ~~~~ ~ive~- y C~1~) tGi~cjh ti i ty ,~,~;-~i~:~ ~~iciv~ ~~vecf ~~~+'~ c~ll~c~ i~i~~, ~(k I~iv~:v 15 C~r~w~ti~ /c:al~~c(~y` ~( CZv~C ~ vua.~l~ i ik~' ti~ _ i ~.L'~~~t11 ~i'i+t ~ 1.~S 6'1~~C~j, ~L~4'k5 ~~~. C'X~-VE' 11'lE l ` ~ I l~'l~?J+'~(zt1'`" 7~ar C?~- EDUCP.TIONAL AND PROFESSIONAL EXPERIENCE • ~vl :~ti`~~ r,:~ha t~j , Describe your whi h educational and professional experience or skills c qualify you to serve on this board o r commission. i ~~~~"~2 i1'1 I~('.1-~C~Tivb~, I;Cc;I'ks -~+- ~C.i`~t_U-C' ~CV~,RL~S, (U_i;G-~ \~(:a_Y~101,~.~,. ~ ~ (' ~)~-~ 1;~~1.~11-'1 ~.r('i,l'Ci~if,~`t~t~ -(-('~C.i~l-~tE'C. 1~~~'~~~E I'1C~ ~i1~ it~^~It~~ P.O. Boa 490 • 1306 Orono Parkway • Elk Ri~~er, MN »330 • (612) 441-7420 • Fax: (612) 441-742 J 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. ...-. - 1~7itv~~y~~~~ ~w~~(~ .ilk KiJr~ ('of~~~~~i~I~j ~>c~uC~G~-h~~a' ~e~~''F'a-l-i'~~ 5~.~.t~1~~v,er -} ~c~[) cal I~i9 2, ~~i5 worl!ii-i(~ y~l~z-~o~~~l'i~~~' ~-tl exiS~s ~ela~ - cap ~~J~ CaII ~~-~~ ~~vG~e_v~eve;.- .~ C~cu~~ ~~:~ o-~ u ;S ~~ S -I'C~,i~ c e 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 Commentsc 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 CON1j~iISSION. Return Atiplication To: City Clerks Office City of Elk River PO Box 490 - 13065 Orono Pay}:wav Elk River, Mn 55330 ~ • Phone 441-7420 k July 7, 1995 To Whom it May Concern, Please accept my resume in application for the position of Park and Recreation Commissioner. This position was brought to my attention in the Elk River paper. As you can see by the enclosed resume, my family and I relocated to Elk River last October. Since then I have been employed by Bodyworks by MAC in the Elk River Mall, and have done odd jobs for both the Elk River Community and Recreation Department. These current and past work experiences along with my college education would be of great value to the Commission. I feel I would be a positive addition to your team and look forward to hearing from you. Please feel free to contact me with any questions you may have at''~, Sinc, rely, Lana L. Huberty ~ • • LANA LARAE HUBERTY 19147 Lincoln Street N.W. Flk River, MN 55330 OBJECTIVE ~ To obtain a challenging people position in the field of recreation. Ef)UCATION Mankato State University, Bachelor of Science Degree 1992 Major: Recreation, Parks and Leisure Services Emphasis: Leisure Planning and Management Minor: Business Administration WORK EXPERIENCE October 1993- Tri-County Y.M.C.A., Menomonee Falls, WI October 1994 Preschool Coordinator `Plan and execute all Preschool programs. "Recruit, hire, train, supervise, and appraise work of all Preschool staff. `Develop department's annual budget, program goals and objectives, and marketing plan. 'Work closely with other Y.M.C.A. staff and volunteers.. December 1992- Northwest Racquet, Swim & Health, St. Louis Park, MN June 1993 Pro Shop Manager "Customer Service Representative for the Moore Lake Club. Ordered, displayed and stocked merchandise. August 1992- Community Education & Recreation, Elk River, MN June 1993 General Assistant *Worked one-on-one with all department staff including Director, Program Manager, E.C.F. E. Director, Recreation Coordinator, Teen Director, and Senior Citizens Center's Director. 'Planned and led adult and youth activities, and special events. August 1990- Mankato State University IMRS Dept., Mankato, MN June 1992 Aerobics Coordinator "`Hired, trained, managed and evaluated instructors. "Scheduled classes and facilities for 300 students quarterly. Summer 1991 Camp Foster YMCA, Spirit Lake, IA - - Program Director "Planned and supervised daily activities for 200 campers and 60 staff. ACTIVITIES National Dance and Exercise Instructor's Association; Infant and Child CPR and First Aid Certification; Student Section President of Minnesota Recreation and Parks Association; Recreation Club Executive Board member; Volunteerfor Y.M.C.A.,Y.W.C.A., Mankato Community Education, March of Dimes, American Heart Association, Campfire, Inc., and Oaklawn Nursing Home. HONORS Recreation Club Award 1991 and 1992, Academic Achievement Award 1992, Marge Fredrickson Award 1992, Who's Who in American Colleges 1992, Minnesota Recreation and Parks Foundation Award 1991, Recreation Appreciation Award 1991. +~ n U •