Laserfiche WebLink
10112/2020 Revize Online Forms 8 <br />Member AZA. AAM and multiple Environmental groups <br />What is your reason for wanting to service on this Commission/Committee <br />Gel more involved in the community. Have a lot of experience with project management. Supports educational and recreational pursuits <br />along with environmental conservation <br />Please attach additional information if desired: <br />Choose File No file chosen <br />Optional <br />PRIVACY NOTICE; The information provided by you on this application will be used to determine your suitability far appoinimentto an advisory <br />commission. Particlpa5nn as an advisory commission member is stricliy voluntary and you are not required by law to provide this information. However, should you <br />not fumish this information the City may have difficulty determining your suitability for appointment. contacting you regarding your information, and tf selected, <br />notifying you of your duftes on the advisory eorrlmissicn. Linder Minnesota State Statute 13.601. subd.3, the following information is considered public Information <br />before appointment: name, city of residence, education and training, employment history, volunteer work, awards and honors, prior government service, veteran <br />status. Once an individual is appointed, the following additional items of data are considered public: residential address, telephone number, email address. I have <br />read and understand the Tennessean Warning and certify that the statements in this application are true and correct to the best of my knowledge: <br />Applicant Signature <br />Laura Wake Wiesner <br />Date <br />10/09/2020 <br />Format: MM/DD/YYYY <br />The City of Mounds View is committed to the policy that all persons shall have access to its programs, facilities and employment without regard <br />for race, ethnicity, gender, age or physical abilities. <br />htlpsa/moundsviewmn da.revize.com/reporisr76017 212 <br />