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5. 2 EDA application - PorubcanskyU SCANDIA Application for Appointment To Commission or Committee Committee/Area of Interest: Economic Development Authority Name: Mark Porubcansky Home Address: 19690 Orwell Ave. N. Home Phone: 651 383 6824 (mobile) Zip: 55047 E -Mail Address: mark. porubcansky@gmail.com How long have you been a resident of Scandia? two and a half years. Property owned in Scandia (other than residence): residence only Employment Freelance editor and writer; also part time at River Market Present Employer: in Stillwater. Worked There Since (mo/yr): 2 years Work Phone: 651 383 6824 Position Title: Commission/Committee Experience Commission/ Committee none Dates Served Highest Level Achieved (degree/major): B.A. Ripon College, Ripon, WI Other Experience List any governmental, service organizations, or professional activities which you have been or currently are involved in: Former foreign correspondent for Associated Press, posted in Moscow, Vienna and Hong Kong. Retired foreign editor of Los Angeles Times, responsible for correspondents and budget in excess of $1 million annually. In what volunteer activities have you participated? What was your role? Member of the Minnesota Council on Foreign Relations. Volunteer at Common Harvest CSA farm in Osceola, WI. 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:awlz P�� C9 i &". C (i Date: 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` Street North Scandia, MN 55073 Phone: 651.433.2274 Fax: 651.433.5112 E-mail: n.soltis@ci.scandia.mn.us