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02/13/2012 !SON 14:43 FAX 763 555 4545 CARGILL INCORPORATED <br />2004/004 <br />Can you meet this time commitment: <br />Yes 1 can. ❑ No 1 can't. <br />Are there any evenings you would not be available for meetings? Please describe: <br />E�$> nature Date: <br />.91/7-fi,(2 <br />You may attach a resume if you desire. The selection process will vary according to the number <br />of applicants and vacancies and may not include interviews with all candidates. Your <br />application will be kept on file for one year. Thank you for your interest in serving on a Board <br />or Commission: <br />If, due to a disability, you need assistance completing an application or if you anticipate that you <br />will need assistance in the selection process, please notify the Human Resources at 763-576- <br />4301 (763-427-8591 TDD) <br />Return completed application to: <br />Human Resources <br />Ramsey Municipal Center <br />7550 Sunwood Drive NW <br />Ramsey, MN 55303 <br />Applications can also be emailed to Colleen Lasher at clasher@ci.ramsey.mn.us or faxed to <br />763-576-4386. <br />Data Practices Advisory Minnesota Statute 13.601, Subdivision 3, states that the <br />following data about applicants for appointment to a public body are public: name; city <br />of residence; education and training; employment history; volunteer work; awards and <br />honors; and, prior government service. If an individual is appointed to a public body, <br />the following additional data are public: residential address; either a telephone number <br />or electronic mail address where the appointee can be reached, or both at the request of <br />the appointee. <br />You are not legally required to supply the information requested in this application. <br />However, if you do not supply the requested information, the City may be unable to <br />adequately evaluate your suitability for service, which may reduce your chances for <br />appointment to a City board or commission. <br />