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7.3. SR 12-21-2009~/ Elk REQUEST FOR ACTION River To Item Number Ci Council 7.3. Agenda Section Meeting Date Prepared by Administration December 21, 2009 Tina Allard, Ci Clerk Item Description Reviewed by Consider EDA, HR.A, and Library Board Appointments Lori ohnson, Ci Administrator Reviewed by Action Requested Council motion to appoint the following: ^ Pat Dwyer -Economic Development Authority Term Expiration: December 31, 2015 ^ Louise Kuester -Housing and Redevelopment Authority Term Expiration: December 31, 2014 ^ John Dietz -Library Board Term Expiration: December 31, 2012 ^ Mike Hangaard -Library Board Term Expiration: December 31, 2012 Background/Discussion Per the Advisory Board Policy, the Mayor shall make appointments to the EDA, HRA, and Library Board with approval from the Council. Attachments ^ Applications Action Motion by Second by Vote FOllow Up S:\Admuustration\Council RCA\Boazds\2009\EDAI IRAT.ibrary.doc ~c= U'C,'~ ~~~{ r C ~~1 JJ y City of T11 ver 13065 Uiono 1°ark(vay~ ~ . - 753.635.]000- EDA, HRA, AND LIBRARY BOARD Terms beginning in January Thank you fox your interest in serving your community! Please indicate in order of preference on which of the following boards and commissions you are interested in serving with 1 indicating your first choice, 2 your second choice, and 3 your third choice. X 'Economic Development Authority The EDA is composed of four Councilmembers and three citizens. The length of term for the Councilmembers coincides with the term of office for Council. The length of term for the citizen- members is six pears. - Housing and Redevelopment Authority The I-iRA consists of five Commissioners composed of one City Councilmember and four citizens at large. The term of office is five years. Library Board The Library Board consists of five members. The term of office is three years. See the specific board and commission description for additional information. Name: 1 CL~' ~ 1 Cr~. ~ ~ City of Residence: - ~ ~ ~ t~l~~,c'' Occupation: ~O~u~~PX' Statement of Interest: Please state briefly why you are interested in serving on this board/commission for which you are submitting this application. ~! C~ t~ -~U ~~`{"I v~c~~ ~Jml"'~ ~ tJ 7'~ 1 S C:Cc3t u~ •~ , . r,~~ ..~y.~ ~ ~ ~l~ tt~ ~CX- ~_.i'Yl,yll~l'~IGJ(, ~ ~ ~. C'~.IJC,C Education/Professional Experience: Describe pour educational and professional experience or skills that qualify you to serve on this board/commission. S QC'_`t(c,~' ! it bus cue 5s ~- ~~~~ S ., a e ~•v1~Jers~~ 19~ ~ i i1 Relevant Personal/Professional Experience: Please describe your professional, co ty participation, which may b relevant in se g on this,_b_plaxd/ oi~miss ~0.Sf 7~estd- C.~-cccQ. ~c~c~S`cQ /~t~,~- ~ C(t~ I/~Y' v Tc..S~- r.~'S t clC%r~' C t"e.~u..t-c~ ~f~r ~~ ~"~""c wu2, ~ ~,..~, ~ APPLICATION FOR APPOINTMENT TO CITY BOARD/COMMISSION ~VE C~~~~f~ ~~w~ . ~f ~~f~s cv~-p sf c e~-~-~~~ eCQ ~~~~:. < < Leaa~(I~r c, or ~~-~ Pr ' =7' ~~!7s.~.y~.~'~ ~~jj ~~// x~ ? lTl.S~i~o~ So~~e~ ~. ~~~~~~ 5c~~ ~f ~..l:~t cam. ~~~fee Attendance: Are your 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: -~- ~-P I:M,e~'c~i~ ~ ~ Q `~i._ (S (~ ~-- ~.,~,(tLL"J ~ c~C Conflict of Interest is defined as the participation in any activity, recommended action, or decision from which the individual has or could have the potential to receive personal gain, whether it be direct or indirect. (See attached "Conflict of Interest" Ordinance) In accordance with this definition, do you have any legal or equitable interest in any business, however organized, which could be construed as a conflict of interest? ^ Yes ^ No If yes, provide details on a se arate iece of a er. ~.~~~4~ Applicant Signature Date Questions may be directed to the Administration Department at 763.635.1000. OFFICE USE ONLY The Applicant is: Council Action: ^ New Applicant ^ Not Appointed ~~~ ~ Appointed to: _ Date Appointed: Term Expires: _ Applying fox Reappointment ,''+~j APPLICATION FOR APPOINTMENT TO ctY of CITY BOARD/COMMISSION "~--~ EDA HRA AND LIBRARY BOARD REC~I~tED DEC ~ 4 ZQU9 Elk. - „~ , .RlT7er Terms beginning in January 130GSOrono Pukway. 763.635.7000 Thank you for your interest in serving your community! Please indicate in order of preference on which of the following boards and commissions you are interested in serving with 1 indicating your first choice, 2 your second choice, and 3 your third choice. - Economic Development Authority The EDA is composed of four Councilmembers and three citizens. The length of term for the Councilmembers coincides with the term of office for Council. The length of term for the citizen- members is six years. Housing and Redevelopment Authority The HRA consists of five Commissioners composed of one City Councilmember and four citizens at large. The term of office is five years. - Library Board The Library Board consists of five members. The term of office is three years. See the specific board and commission description for additional information. APPLICANT INFORMATION Name: L O V- 5~ ~V ~ STF R City of Residence: ~ ~~,~ ~ ~ V ~ R Occupation: R~'f l ~~~ ~ ~ U ~~~ R„ Employer: -~ Statement of Interest:.Please state briefly why you are interested in serving on this board/,~gmmission for which ou are submitti~n~thi`s a plication. ~y o iJ !a I ~~T ~~S'f i1 1. i ~ Gr ~ v SRN M E Jl~'~ AN ~ APP Rtc r ~ -rte oPpoRtu N ~ Yv -~ scR ~ ,~ .~.~~ /~l.!-dwS Ar PfrR.sot~ '~' ~OQESS Ar~tp~~~oLuS o,~3 `A~ ArQ~A- Education/Professional Experience: Describe your educational anTp'rofe~ssion expe encL or ~~~ ~ skills that qualify you to serve on this board/commission. MMNW j 1'- t~kV ~ S~ V E T o tJ s~ v ~R ~ L b O A(t i{1 S ~i n ~o M /rl A S S ~a~! A~J o v N 0 t~2 s-r-~ ~ p t-~a w '~tf~ Y BFsT- OP Fft A~f t~ Of; k t IJti -- - - -• - ss~~ ppll~ 99 ee ~~p, VV ~~ SS--~~~~ pp~~ ' ,Sl ~r Q 1~ S'N~,NO1~ Ql~7ebd~lt~'ef~dna"~'~'Prb~s~iorTal E~p~i7ehL'e!1°~asd d~scr'ib'~yo SproEfe ~ bf~rcivic~~ Qv~ G ~iS community participation, which may be relevant in servin on this board/co 'ssion. £ v ~ O 1J A- lV t Jl? L.- CoMM~ SG~hV A~-s wEt,t~ Ar5 Sf.RytlJ~ o~ ic0~ p,JVb c.~ ~!/ ~ac~ Nt ~ L.. v Nd s<~ STi4 Nfl ~V NC`ho~! G'F E prC t~ ~Ro ~ p . ~,,. s a~ 4~J' A;e~n,-V t~ +~ ~ ~vr g f1Z o+F '~'t~ ~-r -t, ~s u` S L Ea~~F Attendance: Axe your 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 is defined as the participation in any activity, recommended action, or decision from which the individual has or could have the potential to receive personal gain, whether it be direct or indirect. (See attached "Conflict of Interest" Ordinance) In accordance with this defuution, do you have any legal or equitable interest in an business, however organized, which could be construed as a conflict of interest? ^ Yes ~To If yes, provide details on a se crate iece of a er. I~~i~i~t~, t Z ~~ Applic nt Signature Date Questions may be directed to the Administration Department at 763.635.1000. OFFICE USE ONLY The Applicant is: Council Action: ^ New Applicant ^ Not Appointed Appointed to: _ Date Appointed: Term Expires: _ Applying fox Reappointment (~UC,~ t ~(r ~~~ APPLICATION FOR APPOINTMENT TO CITY BOARD/COMMISSION giver 130650iono Pukway 7 63.63 5.7000 EDA, HRA, AND LIBRARY BOARD Terms beginning in January Thank you for your interest in serving your community! Please indicate in order of preference on which of the following boards and commissions you are interested in serving with 1 indicating your first choice, 2 your second choice, and 3 your third choice. - Economic Development Authority The EDA is composed of four Councilmembers and three citizens. The length of term for the Councilmembers coincides with the term of office for Council. The length of term for the citizen- members is six years. - Housing and Redevelopment Authority The HRA consists of five Commissioners composed of one City Councilxnember and four citizens at large. The term of office is five years. Library Board The Library Board consists of five members. The term of office is three years. See the specific board and commission description for additional information. APPLICANT INFORMATION Name: -~ a ~ ,1 ~ s ~~Z City of Residence: ~ ~ `I ~ t~~'/ Occupation: ~.~ ~.1~ /~ / ~'/ Statement of Interest: Please state briefly why you are interested in serving on this board/commission for which you are submitting this application. ^~ i '~ n c 4 2~ ~~.." ~ u, ~G~~!r't-fit ~ro~~~'C~.S QY~C_. ~ ~/C?al~~ ~~~ ~C~ ~'J~l~~ LCD' 0 i Q , Education/Professional Experience: Describe your educational and professional experience or skills that qualify ~ou to serve on this board/commission. $~s~ Rb~ r y G, t ~S yd ~l DQCS t~ Tt't ~ l /6Q° r'G~ ~ -~C~T ! ~'~~ l /~~ALC..~1 ~v'T~ GC/ .~~YQdy ~2SQY~ ~~,`~n Relevant Personal/Professional Experience: Please describe your professional, civic, or community participation, which may be relevant in serving on this board/comnussion. ~~`~y ~'~unc,1, u~-1~~r~ ~o>~;rn;s~a~ ~~~, ~,~~'.. tom,-r~ss;~ Attendance: Are your 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: ~ s^ ~ ~ ~/ ' ~ ~ ~'~ ~ ~~ r l ~~d 4 Y (~ Conflict of Interest is defined as the participation in any activity, recommended action, or decision from which the individual has or could have the potential to receive personal gain, whether it be direct or indirect. (See attached "Conflict of Interest" Ordinance) In accordance with this definition, do you have any legal or equitable interest in any business, however organized, which could be construed as a conflict of interest? ^ Yes~No If yes, provide details on a se arate iece of a er. Ap li ant gnatur Date Questions maybe directed to the Administration Department at 763.635.1000. OFFICE USE ONLY The Applicant is: Council Action: ^ New Applicant ^ Not Appointed ^ Appointed to: _ Date Appointed: Term Expires: _ Applying for Reappointment 13065 Orono Yazkway 763.635.1000 -. ,r APPLICATION FOR APPOINTMENT TO CITY BOARD/COMMISSION EDA, HRA, AND LIBRARY BOARD Terms beginning in January ~c~~ ~ a~~-l~~ Thank you for your interest in serving your community! Please indicate in order of preference on which of the following boards and commissions you are interested in serving with 1 indicating your first choice, 2 your second choice, and 3 your third choice. Economic Development Authority The EDA is composed of four Councilmembers and three citizens. The length of term for the Councilmembers coincides with the term of office for Council. The length of term for the citizen- members is six years. Housing and Redevelopment Authority The HRA consists of five Comtnissioners composed of one City Councilmember and four citizens at large. The term of office is five years. Library Board The Library Board consists of five members. The term of office is three years. See the specific board and commission description for additional information. APPLICANT INFORMATION Name: City of Residence: _ 1~-~G-- ~~ (/`~~ Occupation: ~~~`~~l~3fGS ~ ~...~yL Employer: ~ ~C--~" Statement of Interest: Please state briefly why you are interested in serving on this board/commission for which you are submitting this application. ~r4ir~ A-~-~JA-~/5' ~~'E~1 ~t~si~' wit/ C3uz L-/~3~F~rF'< ~ ~Ud In ~ ~ ~ .~ ~- ~~- Li t.L~G~ ~ f~' l rt X~c.~'~4~,~ ~ .., ~ . , ,. _ r. .., T Education/Professional Experience: Describe your educational and professional experience or skills that qualify you to serve on this board/commission. ~, -~. ~'~ ~LIC ~~ UE Q U~ l~i~ `T~f(°~ L..~P-.~ttr/~` R.-2n,rt•/ i Relevant Personal/Professional Experience: Please describe your professional, civic, or community participation, which may be relevant in serving on this board/commission. -~/K1 UE l~y)j (ill 1~~2t©u~ ~~flCi~+° ~ -~r92 °rn~ ~i`l~y p~ Attendance: Are your aware of the importance of regular meeting attendance including the time commitment involved in preparing fox meetings, and do you feel you have the time available to be an active participant? Yes ^ No Comments: Conflict of Interest is defined as the participation in any activity, recommended action, or decision from which the individual has or could have the potential to receive personal gain, whether it be direct or indirect. (See attached "Conflict of Interest" Ordinance) In accordance with this definition, do you have any legal or equitable interest in any business, however organized, which could be construed as a conflict of interest? ^ Yes ~No If yes, provide details on a se arate iece of paper. ~~~~~ ~~ Applicant Signa Date Questions may be directed to the Administration Department at 763.635.1000. OFFICE USE ONLY The Applicant is: Council Action: ^ New Applicant ^ Not Appointed Appointed to: _ Date Appointed: Term Expires: _ Applying fox Reappointment