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Of lice Use Only <br />Appl. by AA <br />Ros <br />Dato <br />MINNESOTA OPEN APPOINTMENTS ACT APPLIC ;;TION FOR SERVICE ON STATE AGENCY <br />Appointment METROPOL1 lAN C[>t1NC1L <br />Sought: <br />Applicant <br />Name: <br />Applicant <br />Address: <br />(Enter the name of the agency for which applicant seeks appointment) <br />JAMES <br />(First Name) <br />SI?NDEN <br />(Last Name) <br />507 1' /111 AV1'.Ntll'. N:W., NEW BRIGHTON, f1N. 55112 <br />(Street) <br />(City) <br />(State) <br />(Zip) <br />Daytime <br />Phone: <br />li:i3- <br />3934 <br />County: <br />RAMSEY <br />Legislative <br />District: 521i <br />Did the appointing aut) ority ask you to submit this application? <br />YES ❑ <br />NOkl <br />STATISTICAL INFORMATION <br />The following information is optional and soughtonly for the purpose of compiling a required annual reportto <br />the governor and the legislature. Put an X in each appropriate box. <br />Political Party Race /National Origin <br />Sex <br />� <br />F <br />R <br />N <br />A 13 H C <br />0 <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 />I bef ieve I ant uni quo l y quo ll tied by uduc+.uLi on, expor i cnco, public <br />SCI VICC dflti 10.10011:111 P 01)I II L)' I.o Serve on the (•InLropel l Lan Council. <br />1 eller more than twenty years of public service in leadership <br />positions which hove prepared mo For this responsibility. This <br />service has given me the special. skills needed to listen and study <br />and to speak and write about. irauos. 1 ant experioneed in deal.lnq <br />wl UT the pub! lc and the Tress and with public oil lcials and sl.ofr <br />people. 1 have 0 keen i nteresl, in the pr 1 awry i sues now be i nq <br />over <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 />(Sig lure of Applicant) <br />/cR-�o-S>�' <br />(Date) <br />If ap licant is being nominated by another perscn or group, signature : ldicates 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 Office Building <br />(61212962005 St. Paul, MN 551 55 -1299 <br />PAGE -67 <br />