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EXHIBIT 9 <br /> CITY OF MOUNDS VIEW <br /> TENNESSEN WARNING FORM <br /> It is the City of Mounds View's responsibility to inform potential employees of their privacy rights. <br /> Please carefully read the Tennessen Warning provided below. Sign and date the form and return <br /> it with your application. Your signature indicates that you have received information regarding <br /> your rights as they pertain to the Minnesota Government Data Practices Act. <br /> In accordance with the Minnesota Government Data Practices Act, the City of Mounds View is <br /> required to inform you of your rights as they relate to the private information collected from you. <br /> Private data is information that is available to you, but not to the public; much of the personal <br /> information we collect about you is private. Minnesota Statutes Sections 13.04 and 13.43 are two <br /> sections that govern what affects you as an applicant for employment at the City of Mounds View. <br /> All data collected is considered private except for the following: <br /> 1. Your veteran's status; <br /> 2. Relevant test scores; <br /> 3. Your job history; <br /> 4. Your education and training; and <br /> 5. Your work availability. <br /> Your name is considered to be private information; however, if you are selected to be interviewed <br /> as a finalist, your name becomes public information. <br /> The data supplied by you may be used for such other purposes as may be determined to be <br /> necessary in the administration of personnel policies,rules, and regulations of the City of Mounds <br /> View. Furnishing social security numbers is voluntary for applicants to the City of Mounds View, <br /> but refusal to supply other requested information would mean that your application for <br /> employment might not be considered. <br /> Private data is available only to you, appropriate City employees, and others as provided by state <br /> and federal laws who have a bona fide need for the data. Public data is available to anyone <br /> requesting it and consists of all data furnished in the application for employment that is not <br /> designated in this notice as private data. <br /> The information you give about yourself is needed to identify you and to assist the City of Mounds <br /> View in determining your suitability for the position for which you are applying. <br /> I have read and understand the information given above regarding the Minnesota Data Practices <br /> Act. <br /> Applicant Signature Date <br /> *Exhibit 9 <br />