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1 Office Use Only <br />APP(. by AA <br />Ros Date <br />MINNESOTA OPEN APPOINTMENTS ACT APPLICATION FOR SERVICE ON STATE AGENCY <br />Appointment <br />Sought: <br />Applicant <br />Name: <br />Applicant <br />Address• <br />Member Metropolitan Council (District 3) <br />(Enter the name of the agency for which applicant seeks appointment) <br />Thor <br />G. <br />Bank <br />(First Namel <br />(31I) (Last Namel <br />2185 Draper Avenue <br />Roseville <br />5511.3 <br />(Street) <br />(City) <br />(State) <br />(Zip) <br />Daytime (612) <br />Phone: 631 -0271 <br />County: Ramsey <br />Legislative <br />District: 63A <br />Did the appointing authority ask you to submit this application? YES 0 NO PSJ <br />STATISTICAL INFORMATION <br />The following information is optional and sought only for the purpose of compiling a required <br />the governor and the legislature. Put an X In each appropriate box. <br />Sex Political Party Race /National <br />annual report to <br />Origin <br />M F D R <br />///%NijjCO <br />X <br />X <br />STATEMENT OF QUALIFICATION <br />Minnesota Statutes 15.0597 requires that the application include "a statement that the nominee satisfies <br />any legally prescribed qualifications and any other information the nominating person feels would be helpful <br />to the appointing authority." (May include employment, community service, education.) <br />See attached resume. Also, I believe that my engineering career, management <br />experience, civic activities and residential longevity in the metropolitan area will <br />enable me to make meaningful contributions to the work of the Metropolitan Council as <br />a representative of District 3. <br />References: <br />John J. Marty, Senator District 63 <br />Charles Wiger, Member Metropolitan Council, District 3 <br />Steve North, Assistant Cit Administrator City of Roseville <br />(May continue on back) <br />I, the undersigned, hereby state that I satisfy, to the best of my knowledge, all legally prescribed qualifica- <br />tions for the position sought. <br />74. 4'& <br />lawaJ ,C /51? <br />(Signature of Applicant) (Date) <br />If applicant is being nominated by another person or group, signature indicates consent to nomination. <br />You will not receive an acknowledgment of this application but the appointing authority will notify you if an inter- <br />view is desired. <br />RETURN THIS COMPLETED APPLICATION TO: JOAN ANDERSON GROWE, SECRETARY OF STATE <br />Open Appointments Section _ <br />180 State Offico Building <br />WIZ 29e3e05 St. Paul. MN 55155- 1299 <br />PAGE -62- <br />