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Application for Board or Commission

  1. Please rank in order of preference:
  2. Data Privacy Information

    The information provided by you on this application will be used to determine your suitability for appointment to a board or commission with the City of Maple Grove and to provide you with information pertaining to your application for this committee or board.  If you are selected, a list containing your name, address and telephone number(s) will be distributed to appropriate staff.  Participation as a board/commission member is strictly voluntary, and you are not required by law to furnish any of the information requested on this application.  If you do not furnish this information, however, we may have trouble determining your suitability for appointment, contacting you with information regarding your application and, if selected, with your duties on the board or commission.

    Under Minnesota State statutes, the following information about you is public: name, city of residence, education and training, employment history, volunteer work, awards and honors, and prior government service or experience.  Once an individual is appointed to a public body, the following additional items of data are public: residential address; and either a telephone number or electronic mail address where the appointee can be reached.  Any other information collected on this application form is private data and will be accessible only to you, pertinent City of Maple Grove staff, or as provided for by Minnesotastatutes.

  3. Number of years

  4. Highest grade completed or highest degree and major course of study.

  5. Past and present civic activities and organizational memberships, particularly those relevant to the appointment you are seeking.

  6. Briefly describe qualifications, experience, or other information you would like the city to consider or which you believe are relevant to the appointment you are seeking.

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  8. This field is not part of the form submission.