HomeMy WebLinkAbout2.a. Review Application FormM
CITY OF ROSEMOUNT
APPLICATION FOR APPOINTMENT FOR
CITY COMMISSION /COMMITTEE
El Parks and Recreation ❑ Planning ❑ Port Authority
O Utilities ❑ Other:
Name:
Address:
Home phone:
Education:
List educational background:
Work phone:
2 ily-k
Current employer:
Position /occupation:
Other related work. experiences:
List volunteer organizations /civic groups you are a member of or have been a
member of:
from • to
from • to
from• to:
from • to
Have you read the position statement of the commission or commission member
code?
a
Please write a statement as to why you wish to serve on the
commission /committee. Also, state what vision you have or goal you
would like to accomplish while serving on the indicated commission.
Please return this form to: City Clerk
City of Rosemount
2875 145' St. W.
Rosemount, MN 55068 -4997