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7. Engstrand_Planning CommissionFirst Name Jon Email Address JILIL OF101 . .-- SCANDIA City of Scandia Application for Appointment To Commission or Committee Last Name Engstrand Phone Scandia Trail N Scandia, MN 55073 How long have you been a resident in Scandia? 1.5 years Name of Commission or Committee you are applying for: Planning commission Have you served on any Scandia Commission or Committee? M If yes, please indicate which one and when RECEIVED MAR 0 9 2021 CITY OF SCANDIA * List any governmental, service organizations, or professional activities which you have been or currently are involved in: N/A * In what volunteer activities have you participated? What was your role? I have participated in many volunteer activities in the past. Feed My Starving children as a packer as well as they're yearly food truck festival. Coordinating events to hand out supplies for the homeless at Salvation Army downtown. Cooking for our prior church for a community outreach called Family Table. There's many more but those are the most recent ones. 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 Oa who must use it in the normal course of conducting City businfss and as i A6F ry se provided for by law. By checking this box, 1 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. IV] 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.