The URL can be used to link to this page

8.g)2) Wastewater Advisory Committee Applications (Cartier, Malmquist, Schmitt, Kaufhold, Peterson) � - 2 � �-�.__��_.__ �� o� � MAR — 6 2012 � � J � �s �"'� �''''� *J CITY OF SCAN�lA SC��ITDI�� ___ _ _______ _ _ , Application for Appointment To Commission or Committee Committee/Area of Interest : Wastewater Advi sory Commi ttee Name: Dani el R. Carti er Home Phone: F51-�R3-p�1� Home Address: �917 Hi 11 svi ew Ave East, Rosevi 11 e, MN ZIP 55113 E-Mail Address: drearti ercp�yahoo com How long have you been a resident of Scandia? Property owner si nce 1995 Property owned in Scandia(other than residence): 18379 Norel l Ave North Emplovment Present Employer Sel f em�l oyed CPrti fi Pci Piihl j� Worked There Since (mo/yr) 1973 Accountant Work Phone 612-810-4114 Position Title CPA B is i nPss �wner Commission/Committee Experience Commission/Committee None Dates Served Educational Back�round Highest Level Achieved (degree/major) BSB-Accounti ng at the Uni vers i ty of Mi nnesota (1972) One-third completed towards the Master of Business in Taxation through 1988. Other Exaerience List any governmental, service organizations, or professional activities which you have been or currently are involved in: Rast Director & Treasurer of the Bank Hnlding ('mm�an� Assn. from 1996 throuqh 2002. Current member of the American Institute of CPA's and the Minnesota Society of CPA's. Former stockholder. nffirPr and riirPrtnr nf �R �QmmunitTh�nk's and thg related holdinq company orqanizations from 1973 through 2002. In what volunteer activities have you participated? What was your role? The Bank Holding Company Association was a not for profit organization which I served as the Director and Treasurer. The organization sponsored two educational seminars annually, which the executive director and myself and others would organize and execute. In accordance with M.S. 13.04 Subd.2 we must inform you of your rights as a subject of government data. The information you give us about yourself is needed to identify you and assist in determining your suitability for the positions(s)for which you are applying. The information that we collect about you is classified as either Public or Private. Public means that it is available to anyone who asks to see it. Private means that the information is available only to the person the information is about and to the staff who must use it in the normal course of conducting City business and as otherwise provided for by law. As the person executing this application,I acknowledge that an investigation may be conducted for use in determining my qualifications. I hereby expressly authorize release of any and all information which any organization,company or person may have, including information of a confidential or privileged nature. I hereby release the City and any organization, company or person furnishing information to the City,as expressly authorized above,from any liability for damage which may result from furnishing the information requested. Signature: ' ' Date: 3 —�/�. You may attach a resume if you desire. The selection process will vary according to the number of applicants and vacancies and may include interviews. Your application will be kept on file for one year. Thank you for your interest in serving on a Commission or Committee. Return completed application to: City of Scandia 14727 209th St. N. Scandia, MN 55073 Phone: 651 433-2274 Fax: 651 433-5112 E-mail: mail@ci.scandia.mn.us RECEIVED ? MAR 2 U?p12 � J � � / i � � � � CITY OF SCANDIA SC DIA Application for Appointment To Commission or Committee Committee/Area of Interest : h/ 1/, Y` l�U 1'Y1►')'11��Q� S Name: r� Home Phone: ��' ��3 �3 7��' C � Home Address: G C � � l� l ` /��-, /�ZIP J��U -� E-Mail Address: /�/��6-�_/��J� �./�/ �/ .�'�!�P�� How long have you been a resident of Scandia? /`! Y�� Property owned in Scandia(other than residence): /�/� Emplovment Present Employer ��1�-C�� Worked There Since (mo/yr) Work Phone Position Title Commission/Committee Exnerience �`d/�/�1�1� ,�/� � Commission/Committee �� Dates Served � ��y�2�' l�'� � Educational Background Highest Level Achieved (degree/major) Other Experience List any governmental, service organizations, or professional activities which you have been or currently are involved in: In what volunteer activities have you participated? What was your role? In accordance with M.S. 13.04 Subd.2 we must inform you of your rights as a subject of government data. The information you give us about yourself is needed to identify you and assist in determining your suitability for the positions(s)for which you are applying. The information that we collect about you is classified as either Public or Private. Public means that it is available to anyone who asks to see it. Private means that the information is available only to the person the information is about and to the staff who must use it in the normal course of conducting City business and as otherwise provided for by law. As the person executing this application,I acknowledge that an investigation may be conducted for use in determining my qualifications. I hereby expressly authorize release of any and all information which any organization,company or person may have,including information of a confidential or privileged nature. I hereby release the City and any organization, coinpany or person furnishing information to the City,as expressly authorized above,from any liability for damage wh;ch may result fro ishing the information requested. �_ ' C.C-� �� l� Signature: /��J�� Date: � You may ch a resume if you desire. The selection process will vary according to the number of applicants and vacancies and may include interviews. Your application will be kept on file for one year. Thank you for your interest in serving on a Commission or Committee. Return completed application to: City of Scandia 14727 209`h St. N. Scandia, MN 55073 Phone: 651 433-2274 Fax: 651 433-5112 E-mail: mail@ci.scandia.mn.us � � -------- �, � .�'`'�' 'J�'''� '� �C�o�� SCDIA �� ; �� CI1�Y 0� SCANDIA Application for Appointment To Commission or Committee ��G�� i' U Committee/Area of Interest : s� ��-��""�;`s-�` �'t' �' �/'� � �� ' �/7; ��ome^Phone:��` ��T�---�� E � �� Name: '�'r`- ' ;� .�� s ,, �`_ 0 ,�� f ;;,ro . , � Home Address -- � �P-°`�.�^� �� _-- �.{,:;�--�-��;.,:; ,r;_� ��,'�ZIP ��: �',�.�'`.. � a - E-Mail Address: �� P�s: :,�.. /�� /YI � G��.C.� n �l�'�_�.4 How long have you been a resident of Scandia? �"�,��f��. .�- Pro e owned in Scandia other than residence : c�� /� �''`✓�,.�-(.,. %�� % a'� �� d:. %„d P m' ( ) � , �...:. _. -�.., ";� Cja`�,�r'�-�S , Emplovment Present Employer_ /T >�:�l�;�'�`� Worked There Since(mo/yr) Work Phone Position Title Commission/Committee Experience Commission/Committee Dates Served G✓C7�> ��.>�__, ,�` � �i� .-y�-��`,'...f� ,/ `� ` ��-,� . � �� ,c�.J� �• .�� _. � r "" �� ` `e'tiae p t�"� f �, ` �i/ Ll.�� t- v `�-.`�i...._ �<C� � ! r.�.=`C:,� 17--7L.��1 t�� f � ��.� Ol.� �,�''�,�� --'�..�� a �r � 'rf ��,.- �c:;� G6 �f-�.��f:`� ,l �._ '-�:.� �-�� />'`"�:'-.%��S �`-,,-� L� � �.�`�� .F' ��,��~ � /1v�..._�''=�`�':�-__ .� � w ,��/` � � C.�,��` 'I�� :.�`;�„,�, �/��/ G_� ��"r�/"'� �',��'��.� � ,5 � < f f' Educational Back�round L�.C,��/�1�- � �D�1�� C`�d� Highest Level Achieved (degree/major) %. �' `.- Other Experience List any governmental, service organizations, or professional activities which you have been or currently are involved in: � � � ,.� Ld � .�� -�`� �=C s�C... ��'�f�. � �� .��,��,�� ,4 �:r f �, �a S'�-��c. ��,��7-' � �x ,��.� ,��,�` �.� �.�- � S ,� f �:l I'►��-:.� �� rJ S/l� Y S�`c�,�`.,�� x �� . �,i hJ f �� `l �'f f � ��-��` � �� ,��_� �� `=D��"1`_ .�.��.1�; .� �/! L��.f C}1� ' W /� ! � P'� ��;�.� .� e�,,� k�s pi,✓�t�. In what volunteer activities have you participated? What was your role? � / ,�'� �� `' � � � !., , .� _. �`�"� � �.�� // �� , e�..� ��,�...�.:� s°``-�'�-p`�'�� ...�� {� f:.J�'. �—�/�,��.//.� �� >' �,�� e�� tY�/� lc�� ' c� �� ,�,�� — In accordance with M.S. 13.04 Subd.2 we must inform you of your rights as a subject of government data. T'he information you give us about'yourself is needed to identify you and assist in determining your suitability for the positions(s)for which you are applying. The information that we collect about you is classified as either Public or Private. Public means that it is available to anyone who asks to see it. Private means that the information is available only to the person the information is about and to the staff who must use it in the normal course of conducting City business and as otherwise provided for by law. As the person executing this application,I acknowledge that an investigation may be conducted for use in determining my qualifications. I hereby expressly authorize release of any and all information which any organization,company or person may have,inchading informatian of a confidential or privileged nature. I hereby release the City and any organ.ization, company or person furnishing information to the City,as expressly authorized above,from any liability for damage which may result from furnishing the information requested. � !� ,• �/� f,r"f __.. � ,.,,� Signature: �� ''�''�Y �' -�'�''" ; ..��i Date:� ��r`� � ' You may attach a resume if you desire. The selection process will vary according to the number of applicants and vacancies and may include interviews. Your application will be kept on file for one year. Thank you for your interest in serving on a Commission or Committee. Return completed application to: City of Scandia 14727 209�' St. N. Scandia, MN 55073 Phone: 651 433-2274 Fax: 651 433-5112 E-mail: mail@ci.scandia.mn.us ----------_dg� ��r�! �/G�,J -� � � MAH 13 2012 . � I � `s �''�.-�' � CITY OF SCANDIA S� DIA ---___ Application for Appointment To Commission or Committee _�t �� p ��` Committee/Area of Interest : l� �O�i . ' �;�i �C �1 d ;� �Z�. i(Y�� Name: �� r 1 � Home Phone: �� ' C J -r �� Home Address: L'� � � ��i rY�114' E-Mail Address:CC1� � O ( �C � 2, , Sf�I l �-�ti �,��,,� How long have you been a resident of Scandia? C� ' �%b� �� i /��.,�•� n Property owned in Scandia other than residence):��J � � ��-� ; �� f`� ��-��,'� �� 'c �� I� Q ��-;.nJ c� � ,)c d � � � � � � 1 E-mplovme t • � • � � Present Employer��Y��CC'i.��•5�e Worked There Since (mo/yr) � Work Phone C � `t� � �'J J Position Title �� \ � Commission/Committee Exnerience Commission/Committee Dates Served� � i��'� � ° �- ��. � �-- ��. '�� r�� a�.v��, ��J r"l��l�t�'�Q�, �.��j��'�.� C�11:�� 5 �,`��.�, c��. �t� � � ► nc�. � � � � �� 1 Z�r�� — lc Educational Back�round f � Highest Level Achieved (degree/major) - !� � l,' Other Experience List any governmental, service organizations, or professional activitie which you�have,l�een or c entl are involved in: 1� f� �1��.. � �.)C" , 1� C - � � - � � � � 5 / In what volunteer activities have you participated? What was your role? In accordance with M.S. 13.04 Subd.2 we must inform you of your rights as a subject of government data. The information you give us about yourself is needed to identify you and assist in determining your suitability for the positions(s)for which you are applying. The information that we collect about you is classified as either Public or Private. Public means that it is available to anyone who asks to see it. Private means that the information is available only to the person the information is about and to the staff who must use it in the normal course of conducting City business and as otherwise provided for by law. As the person executing this application,I acknowledge that an investigation may be conducted for use in determining my qualifications. I hereby expressly authorize release of any and all information which any organization,company or person may have,including information of a confidential or privileeed nature. I hereby release the City and any organization, company or person fumishing information to the City,as expressly authorized above,from any liability for damage which may result from furnishing the information requested. , i � �j Signature: Date: `" � You may attach a resume if y desire. The selection process will vary according to the number of applicants and vacancies and may include interviews. Your application will be kept on file for one year. Thank you for your interest in serving on a Commission or Committee. Return completed application to: City of Scandia 14727 209th St.N. Scandia,MN 55073 Phone: 651 433-2274 Fax: 651 433-5112 E-mail: mail@ci.scandia.mn.us � � , � � � � R�C�IVE� ��1�� MAR 1`9 2012 CITY OF SCANDfA Applic�tion for Appaiwtment To �arnmission or Committee Committne/Area of Interes� :��k' Name•;��/ic/��t-� l�.7-�/��a� Horn�Phone: �a�/- �c�l�Oc��1 Home Adrlress: � a�fD ?�'�� 5t�r-cJ, .`XAir��A,, �� ZTP S S"Q�7 � �Q� �� 4��' — B-MailAddress:�;v ,/�i�C� ��d .CJ'.+�rc��! �9- '�,�� '"'�'� �oo , Iiow]ang have you been a resid�nt o�Scandia? �3 v�:a-R S 1�roperty owned in Scandia(other t�resid�nce): �'�rr�:�� f✓.�,�-� ,(%��,� �.�G s (� �/I SC� ��. �,�- e��l� �Z�/c�'' ._��r� Em�,Ir►yment l�resent Employer �f� 7'c�sa,� ��t�. .-Iu c,Worked There Sinc�(ma/Yr) , /��o 1Nprk Phone Position Title��_s r�F�� Co�n�nissiao/Cammytte�E�cperieuc� Cvmmission/Gonumitte�,,,,��4C'� �nvn r►� �� Dates S�rved 1��i� -� .�� oX,r�rts�-�i-- �c� �r�� lod�Q -��lso� �zu��t,�,�,t� i��.T ,.i�+�,•��i,��.�� +dU1��4�11A��11I1lIq� High�st Level Achieved(ciegreeJ�na,�or) ti`/�f S�ua� � e/��a.�zs �� -�a� L ��i�.al� ,S"�P��',� ,�,K.��l`�, t��.s�l��r fc �,�... ��rf.�. .,�x-�s�,a Z�f� Other�+�Der�ence �,ist any�ovrrnme�tal,ser�vi�e orgdniz�a.tions,ar professio�t activities which you have be�n or aurrentiy are involved in: ..G.v��,�a �,�.��s -; �,�� C'D.��i2 r� To�s ,�.�5'ocr i4.'�i m w► -��i a,�,zr� ��'.a-�f1�� v�,Q,p�) r �.�.�..f{ /.�a. !✓1/�,P_ !w � �f--��.�.� �Y�i`�e�-,!"�� In what volunteer activities have you participated? 'VVhat was your role? C .�. � � , ,�t.� ��. • , u .ur l- � � Ic�r� •��f��c. � �2 1 t 'S: J � U/r .-� � On..�. rL. � A i5��/2 5,J in accordance with M,S. �3.04 Subd.2 we must inform you of�our rights a;a subjnct of governm�tt data. The iuforuu�tion you give us ab�ut ya�useif is needed to identify you and assist in datGm�aning your suitability for th� positions(s j for�uvluch you are applying, ThG infpc�rskion t}�at wo colleot about you is classlfied t�nithnr Public or Private. Public m�ai�s that it is avai[able to anyone who asks io sae it. Privutc mcans tha#tha in;formation is avail�ble only to tho perspn thc infpm�tiqn is s�bout�twd tp tke�sta�vr}w mus=use it in the nornlal course of conducting City business ar►d as otherwise provided for b�lavu. As the person executin�;this applicatian,l aakno�uvledge that�n invnstiga�.on may be canduct�d for use in dtltprmining my guali;Ccatioas. 1 htueby expressly authorize release of any and sill infor�natiqn wt�i�ch any or�ani2ation,company or pnrspn may huve,inclnding iuformation of a con�dcutiri!or privilegod nature. 1 hereby release thc City and any organixation, company or person fiunishing inforivation to thn City,r��xprussly authorized above�from any liat�ility for da�nage which nnay resuit from furnishing ttte informatiori requested. . - Signature:. Date: z..—� Yau may attac�a resume if you des.ire. The selection procc�s will vary according to the number of applic;ants and rr�cancies ant!zz�ay i.a,c�ude interviews. Your applicatioc�wi11 be b:ept on file far one y�ar.Thank you for your interest in s�rving on a Cammission or Committee. Return completed application to: City of Scandia 14727 209�`St.N. Scandia,MN SS073 Phone: 631 433�2274 Faac; 6S1 433-5112 ��mail: mail@ci.scandis.mn.us c:�=1 �'-�i�� lUd�(I 1171SOd 5�43��Et�St' T��T �.It��,,r'F�Zj�_t�