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5/14/24, 10:29AM <br />Revize Online Forms <br />Please list your strengths and any related work, volunteer, or educational experiences that you could bring to the committee: <br />a list of strength that I have is very outspoken, loving to volunteer and working together as a team and individually my education experience, <br />I sit on many boards and many committees to help change things. I just plan to bring my authentic self into a space <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 for appointment to this <br />committee. Participation is strictly voluntary, and you are not required by law to provide this information. However, should you not furnish <br />this information the City may have difficulty determining your suitability for this committee, and if selected, notifying you of your <br />duties. Under Minnesota State Statute 13.601, subd.3, the following information is considered public information before appointment: name, <br />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, <br />email address. I have read and understand the Tennessean Warning and certify that the statements in this application are true and correct <br />to the best of my knowledge: <br />Applicant Signature <br />Date <br />05/14/2024 <br />Format: MWDD/YYYY <br />https://moundsviewmn.1a revize.rnm/repons/528444 2,12 <br />