03.g Carolyn Smith 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.
Carolyn Smith 13809 Scandia Tr No
(
5 years
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)
Application for EDA position
Yes
No
List any governmental, service organizations, or professional activities which you have been or currently are
involved in:
City of Medina planning commission 4 years. City council 8 years.
Worked on 2 comp plans
Anoka County 25 years working with 21 cities and 6 other metro
countries (3 comp plans for waste reduction, recycling, yard waste
management, hazardous waste management and processing.
Household hazardous waste plan author)
List any of your special interests, activities or hobbies which you have that would apply to this committee:
I love the rural nature of Scandia and its resources. I love doing
research to find creative solutions. As a retired senior citizen with a
variety of interests and activities I would bring both expertise in
planning as well as a researcher finding a variety of ideas to
consider
In what volunteer activities have you participated? What was your role?
Medina Planning Commission (1 comp plan adding conservation
development to our goals)
Medina city Council (1 comp plan guiding development and
preservation of the environment + liaison to the Park Committee)
Lakeview Hospital Volunteer - hand massage
Orono community action committee - drug awareness
Orono schools elementary schools - reading and math aid
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.
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.
Signature *Carolyn Smith
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