Committee Application

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Please correct the field(s) marked in red below:

Name

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Address
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Home Phone Number
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Work Phone Number
E-mail address
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How long have you lived in the City of Shoreview?
Is there any reason that you would be unable to attend regular monthly meetings?
Is there any reason that you would be unable to attend regular monthly meetings?

If yes, please explain:

On which committee or commission are you interested in serving? If interested in more than one, please prioritize your choices:
On which committee or commission are you interested in serving? If interested in more than one, please prioritize your choices:
1st Choice 2nd Choice 3rd Choice
Planning Commission
Environmental Quality Committee
Human Rights Commission
* Persons who work in, own, or operate a business within City are eligible to serve on EDA and EDC
What are your specific areas of interest within this committee’s or commission’s scope of responsibilities?

Briefly describe your work experience or other background information that would relate to this committee.

Please list other organizations that you have participated in.

Why would you like to serve on this committee or commission?

Additional Comments:

If appointed to a committee or commission, may we include your phone number(s) in the committee / commission handbook?

If appointed to a committee or commission, may we include your phone number(s) in the committee / commission handbook?

I certify that all of the information above is to the best of my knowledge and belief true, correct and complete. By typing your name in the box below, you are signing this application electronically.  

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  1. To receive a copy of your submission, please fill out your email address below and submit.