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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 Date <br />05/16/2024 <br />Format MM/DD/YYYY <br />