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2.b James Gribble_Tourism Committee 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. 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 James Gribble Box # 33, Marine on St Croix, MN 55047 ( 23 years How long have you been a resident of Scandia? Select the Committee you are applying to: Capital Investment Committee EDA (Economic Development Authority) Internet Action Committee Parks and Recreation Committee Planning Commission Sister City Committee Tourism Committee Waste & Recycling Committee Wastewater Committee Yes No List any governmental, service organizations, or professional activities which you have been or currently are involved in: I have spent 33+ years in government facilitating public enjoyment of open /public spaces. I have been a Chief of Police of a small town, Supervisor of WCSO's Water Parks, and Trails unit, I was an instructor of various DNR programs, I have also been involved in the Coast Guard assisting with numerous events an activities. List any of your special interests, activities or hobbies which you have that would apply to this committee: I am an avid biker, canoeist, kayaker, boater, and enjoy a variety of winter activities. I enjoy community events and have organized public activities, displays, and events to both entertain and educate the public. My wife and I have considerable travel experience, both domestic and abroad. In what volunteer activities have you participated? What was your role? I have participated in a lake association for 20 years, facilitating picnic areas, boat ramps, fish & loon counts, and clean-ups. I also have participated as a Trip Volunteer - assisting handicapped people enjoy the outdoors, camping and canoeing. 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. 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 *James Gribble Typing your name in the box will be considered an electronic signature