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03.f Patrick Doyle EDA ApplicationCommittee or Commission Application Name *Address * Phone *Email * Residency * Committee or Committee * Have you served on any Scandia Committee or Commission in the past?* Experience Special Interests Volunteer History Optional 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. By entering my full name, I am affixing my signature to this application and acknowledging 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. Patrick Doyle 20440 Olinda Trail N ( 1 year How long have you been a resident of Scandia? Select the Committee you are applying to: Capital Investment Committee Parks and Recreation Committee Planning Commission Tourism Committee Wastewater Committee Economic Development Authority (EDA) 1 Yes No List any governmental, service organizations, or professional activities which you have been or currently are involved in: I am currently employed by the City of Lino Lakes List any of your special interests, activities or hobbies which you have that would apply to this committee: With over 10 years experience as a small business owner, I have gained valuable insights into the communal traits needed for achieving long-term success. In what volunteer activities have you participated? What was your role? I've always been very involved with my 3 children's activities and always willing to help with various school functions, sporting events, etc. Now that my children are getting older, I am interested in getting involved more in my community. You may attach a resume. The selection process will vary according to the number of applicants and vacancies. Your application will be kept on file for one year. Signature *Patrick Doyle Typing your name in the box will be considered an electronic signature