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2. Hogle application_Planning CommissionApplication Commission or Committee Submitted by: Jan Hogle Status: Reviewed Priority: Normal * First Name Jan * Email * Address 21509 Lofton Ave N, Scandia MN 55073 Assigned To: Brenda Eklund Due Date: Open IVA,— sCAvvrA 14727 209th St North Scandia, MN 55073 (651)433-2274 _ v.�itvnfscaritl�ri.enrii Application for Appointment To Commission or Committee Phone * Name of Commission or Committee you are applying for: Planning Commission * Last Name Hogle * How long have you been a resident in Scandia? 35 yrs+ (alternated residence here & elsewhere since 1973) * Have you served on any Scandia Commission or Committee? Yes: Planning Commission, 2011-16, 2017 -current, Parks & Rec 2004-06 If yes, please indicate which one and when * List any governmental, service organizations, or professional activities which you have been or currently are involved in: Scandia Planning Commission, Election Judge, Notary Public, Minnesota Farmers Union, Community Education instructor (Forest Lake & Chisago Lakes), Academy of Model Aeronautics (Drone Pilot), Community Solar in Minnesota, Int'I Society for Technology in Education; Int'I Ass'n for Technology, Education, and Development; Photo Imaging Education Association, MN Organic Conference seminar speaker, Washington County Community Nutrition Action, Friends of MN Barns Exec. Comm., Beltrami County Extension Comm., New Scandia Park & Rec. Comm. List any of your special interests, activities or hobbies which you have that would apply to this committee: Farmer, small business owner, drone operator, guinea fowl whisperer, GIS mapping and cartography, long distance bike touring, wilderness camping and exploration This is optional. * In what volunteer activities have you participated? What was your role? Minnesota Ironman Bike Tour (Free Bikes For Kids of MN) volunteer, Outdoor activities leader for Minnesota Rovers Outing Club and Twin Cities Bike Club, Citizens for Election Integrity volunteer providing oversight for state elections, Athens (Georgia) Bike Route Mapping Comm. cartography advisor, Ames Iowa Bicycle Path Exploratory Comm. cartography and statistical analysis advisor 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 checking this box, 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. Checkbox Yes, I agree to this as my signature ❑ No, I do not agree this as my signature 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. Upload a Resume Choose File I No file chosen Optional