4. Discussion on applications for PRC vacancyt'
SCANDIA
Staff Report
Date of Meeting: March 9, 2016
To: City Council
From: Neil Soltis, Administrator
Re: Committee/Commission Appointments
Background:
In February the City advertised for applications for openings on the Parks & Recreation
Committee due to the resignation of Brad Borg. Brad's 5-yer term was to expire on February 28,
2019 so the appointment would be to fill the remainder of the term.
Issue:
How would the Council like to proceed with committee appointment?
Proposal Details:
The application deadline for all citizen committee/commission appointments was Wednesday,
March 2nd. The following is a summary of applications received by committee:
Parks & Recreation (remainder of 5-year term)
Alex Bildeaux
Dustin Hegland
Tom Salmi
Mike White
Options:
1) Set a date to interview applicants
2) Make appointments without interviews
3) Readvertise for applications
4) A combination of the above
Application for Appointment
To Commission or Committee
Committee/Area of Interest:
MAR "1 Z0)0'
CITY OF SCANDIA
Name: Home Phone:
Home Address; ZIP
E-Mail Address:
How long have you been a resident of Scandia?
Property owned in Scandia (other than residence):
Employment
Present Employer L% Worked There Since (mo/yr) --'Z0 Oa
Work Phone oL / �I � T��1hS— Position Title OL AiN .7- i�
Commission/Committee Experience
Commission/ Committee 6ft? AA)A I& C Dates Served ao/ 6.
Educational Background
Highest Level Achieved (degree/major) Can Cp& /F jis CcL�-_9F_
Other Experience
List any governmental, service organizations, or professional activities which you have been or
currently are involved in: Ut212 f! /vim L C `N iU S� IZ
OF 'J 1
722A-f N!iP i t
In what volunteer activities have you participated? What was your role?
10 19S
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. f ' r-- 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`h St. N.
Scandia, MN 55073
Phone: 651 433-2274 Fax: 651 433-5112
E-mail: mail@ci.scandia.mn.us
RECEIVED
MAR 12016
WA
Application for Appointment
To Commission or Committee
Committee/ Area of Interest: ?i r fps a,�
Name: _ (�S i /l Ref'-1 la ow\ Home Phone: D 12 - 7 �7- y7y j
Home Address: 2 ( 3 0 1pQrvlroll'�, live, N , ZIP
E-Mail Address: 0 Id e, [,,,J o c,-O, i_
How long have you been a resident of Scandia? :ea r-S
Property owned in Scandia (other than residence):
5-15-0-73
} Employment
Present Employers f Cm�l `O Worked There Since (mo/yr)
Work Phone 6 i2- 7Y% - q�, q I Position Title Owner
Commission/Committee Experience
Commission/ Committee &Lr"I� Dates Served
Educational Backizround
Highest Level Achieved (degree/major)�,•�
Other Experience
List any governmental, service organizations, or professional activities which you have been or
currently are involved in: le ':�"e r'Vtrve 4— 6'J1'1'� P�' He C
In what volunteer activities have you participated? What was your role?
_`nowt-,, pie <--lL
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:
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
Application for Appointment
To Commission or Committee
Committee/ Area of Interest :
MAR 2 2016
CI-ht 0 "'N!DIA
4
Name: O M �C� Home Phone: 2 IF, 766, 07 ° 6
Home Address: 2� ` I( Me—J O Li bc d 6 k I_ A) ZIP
E-Mail Address: 4WSJM-1 we e Y4 0 o. um
How long have you been a resident of Scandia?
Property owned in Scandia (other than residence): Ndlne.
5�-O
Employment
Present Employer C h I we 61 Worked There Since (mo/yr) �rupk
Pm V �, dyegQ q"UnA S
Work Phone ) ! J. � 4 4- 00)( Position Title c lip l t4, I "Term LcS G &K
Commission/Committee Experience
Commission/ Committee Dates Served / v
Educational Background
Highest Level Achieved (degree/major) &—c- LC C,?�'_L Q r'U I fl D 14!5 v
Other EA xPerience
List any governmental, service organizations, or professional activities which you have been `or
l
currently are involved in: A L 8 e ��� 5 a C : <A 2a� Ph le
In what volunteer activities have you participated? What was your role?
Caltsrdo Achribe% ; ,AL) vENC, ss
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: ma`s 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 209t' St. N.
Scandia, MN 55073
Phone: 651 433-2274 Fax: 651 433-5112
E-mail: mail@ci.scandia.mn.us
Application for Appointment
To Commission or Committee
Committee/ Area of Interest
MAR
2 2016
Cl Y or-
^,i DMA
Name:L�11Ir Home Phone:
Home Address: / i'cJ - x ZIP
t
E-Mail Address: INIC
How long have you been a resident of Scandia?
Property owned in Scandia (other than residence):
L
Employment
Present Employer Worked There Since (mo/yr)
Work Phone
Position Title
Commission/Committee Experience
Commission/ Committee Dates Served
Educational Background
Highest Level Achieved (degree/major) U 1 #-3- 'G CF>
Other Experience
List any governmental, service organizations, pr professional activities which you have been or
currently are involved in:
In what volunteer activities have you participated? What was your role?
Y1AO_
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 fumtshin 15a jtffnrmation requested.
11261
cI
Signature:
G.
Date:
' 412—
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