2.d Greg Amundson_ Internet Action 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?*
Which Committee(s) or Commission(s)?Approximate Dates
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
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 *
Greg Amundson 20575 St. Croix Trail North
(
22 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
President of EDA, Planning Commission 2022 and 2021
List any governmental, service organizations, or professional activities which you have been or currently are
involved in:
Planning Commission and EDA
List any of your special interests, activities or hobbies which you have that would apply to this committee:
Interested in internet challenges
In what volunteer activities have you participated? What was your role?
Board of SHA
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.
Greg Amundson
Typing your name in the box will be considered an electronic signature