Boards and Commissions Application

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Please correct the field(s) marked in red below:

Name
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Name
Address
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Address
Email
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Phone number
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What is your race/ethnicity? (optional)
What is your race/ethnicity? (optional)

Application type
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Application type
If you are a student, what grade are you in?
If you are a student, what grade are you in?
I am seeking reappointment to the following board or commission:
If you are a new applicant seeking appointment to a board or commission, please rank the board(s) or commission(s) on which you would like to serve. You can select up to three choices.
 
First choice Second choice Third choice
Basset Creek Watershed Management Commission
Board of zoning appeal (BOZA)
Charter commission
Community education advisory council (CEAC)
Environment and sustainability commission (ESC)
Fire civil service commission
Housing authority (HA)
Human rights commission (HRC)
Parks and recreation advisory commission (PRAC)
Planning commission
Police advisory commission (PAC)
Telecommunications advisory commission (TAC)

Why are you interested in volunteering as a board or commission member?
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Describe your experience with or interest in the board(s) or commission(s) you are applying for.
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Briefly describe one to three goals/initiatives you feel are important to your overall vision for St. Louis Park that you would like to see addressed by the board(s) or commission(s) you are applying for.
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Describe how your work experience, educational background, training, community, civic and volunteer experiences have prepared you to serve on the board(s) or commission(s) you are applying for.

You may upload a resume if desired.

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Resume

Membership and terms

  1. The city council will not consider applications from regular full-time or part-time St. Louis Park employees, or seasonal, temporary, paid on call firefighter or contract employees if appointment could cause a conflict of interest.
  2. The city council will not appoint a board and/or commission member to serve concurrently on more than one board or commission (not including the charter commission), and commissioners may only serve one consecutive year as chair. Board and commission members cannot serve on the same commission as a member of the immediate family, registered domestic partner or members of the same household. Youth are exempt from this provision.

Conflicts of interest

No commissioner shall:

  • Enter into any contract with the city unless otherwise authorized by law.
  • Use their position to secure any special privilege or exemption for themselves or others.
  • Use their office or otherwise act in any manner which would give the appearance of or result in any impropriety or conflict of interest.

Important information about your application

Data privacy notice

Minnesota law requires that you be informed of the purposes and intended uses of the information you are providing on this application. Pursuant to Minnesota Statutes Section 13.601, your name, city of residence, employment history, volunteer work, awards and honors are public data and are available to anyone who requests the information. The data that you give us about yourself is also needed to identify you and assist in determining your suitability for the commission(s) for which you are applying. This data is not legally required, but refusal to supply the information requested may affect the city council’s ability to evaluate your application. Should you be appointed to serve on a board or commission, pursuant to Minnesota Statutes Section 13.601, your residential address and either a telephone number or electronic mail address (or both) where you can be reached also become public information.


I have read and understand the data privacy information given above and authorize investigation of all statements contained in this application as may be necessary to arrive at an appointment decision. I certify that all answers given here are true, and I understand that any false information on or omission of information from this application will be cause for rejection of this application.
Electronic signature
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Electronic signature