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2.b Bradley IAC 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 Stephen L Bradley ( 2.5 yrs 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 currently work with industry influencers in the banking and finance industry including standards organizations and federal channels like the federal reserve, fannie mae, and FHLB. I have recently been appointed to a public policy task force with ESRA ( electronic signature and records association ). Please refer to my linkedIn profile. https://www.linkedin.com/in/slbradley1/ List any of your special interests, activities or hobbies which you have that would apply to this committee: I view access to high performance internet a fundamental need for every citizen in Scandia. It is needed for our children to access education, individuals to work effectively remotely, businesses to grow and thrive, services to be delivered with efficiency, and for families to access medical services, entertainment, and information. In what volunteer activities have you participated? What was your role? Limited to individual participant or organizer of events to aid local non-profits. 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 *Stephen Bradley Typing your name in the box will be considered an electronic signature