Laserfiche WebLink
MoUNnSViEw <br />ADVISORY BOARD/COMMITTEE/COMMISSION APPLICATION <br />2401 Mounds View Boulevard " Mounds View MN 55112-1499 <br />(763) 717-4000 • Fax (763) 717-4019 <br />info{u7mQundsviewmn.org I www.maundsviewrnn org <br />rst Name <br />Address <br />Ci:40+v012 V(CW <br />Email <br />valid email required <br />MI <br />Last NaPel(4-12 <br />e �l <br />State <br />Years at this Address <br />Commission/Committee Applying For: <br />❑ Economic Development Commission (meets 3rd Thursday at 7:30 AM)) <br />Warming Commission (meets 1st and 3rd Wednesday at 7:00 PM) <br />❑ Parks, Recreation & Forestry Commission (meets 4th Thursday at 6:30 PM) <br />❑ Police Advisory Commission (meets an an "as needed" basis) <br />❑ Comprehensive Plan Task Force (meeting dates to be determined) <br />❑ Parks & Recreation Advisory Committee (meets quarterly, daytime meetings) <br />If applying for Economic Development Commission, check one box below: <br />❑ EDC - Resident Representative <br />❑ EDC - Business Representative <br />If applying fore more than one, please indicate your 1st, 2nd, etc. preference to serve: <br />Experience and Qualifications <br />Skills and Interestes <br />b‘i °VA) I ?"40( f4644/69lA <br />Employment, Occupations or Other Relevant Experience <br />Zip Code <br />cio. <br />Years in Mounds View <br />