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2. Charter Commission Application Form
4. Personal Information
6. First Name*
7. Last Name*
9. Address1
11. City*
12. State*
13. Zip*
15. Primary Number*
16. Alternate Number
18. Email Address
20. Eligibility Questions
22. Are you a registered voter in the City of Ramsey?

    1. Yes
    2. No
24. Do you serve on the Ramsey City Council?

    1. Yes
    2. No
26. Do you currently serve on the Judiciary?

    1. Yes
    2. No
28. Employment
30. Present Employer
32. Work Phone
34. Position Title
36. Residency Information
38. How long have you been a resident of Ramsey?*
40. List property owned, rented or leased in Ramsey (other than your primary residence):
42. Education
44. High School
46. College
48. Trade or Business School
50. Other education experience, including military service
52. Organization Membership Information
54. Are you currently serving on other Boards, Commissions, or Committees?*

    1. Yes
    2. No
56. If yes, please indicate which board or commission you are serving on and the organization's name.
58. Have you served on a Board, Commission, or Committee before?*

    1. Yes
    2. No
60. If yes, please indicate which board or commission you served on and the organization's name.
62. Supplemental Questions
64. Please list any government, service organization, or professional activities which you have been or are currrently involved in.
66. Please explain your understanding of the Charter Commission in its relation to the City Council.
68. Please list areas of interest that would benefit the Charter Commission.
70. Please briefly state why you want to serve on the Charter Commission.
72. List any special background, strengths or abilities you would bring the Charter Commission.
74. Please explain the role/purpose of the Charter Commission.
76. As a member of the Charter Commission, what changes, if any, would you propose to the City Charter.
78. List any issues that may cause, or potentially be perceived to cause, a conflict of interest between civic responsibility and your personal or professional interests.
80. The Charter Commission meets on an as needed basis with a minimum of one meeting per year. Can you meet this time commitment?

    1. Yes, I can.
    2. No, I can't.
82. Are there any evenings you would not be available for meetings? Please describe below.
84. You may attach a resume if you desire.
86. Data Practices Advisory
    Minnesota Statutes 13.601 Elected and Appointed Officials
88. You are not legally required to supply the information requested in this application. However, if you do not supply the requested information, it may be difficult to adequately evaluate your suitability for service.
90. Electronic Signature Agreement *

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. Agree
92. Electronic Signature*
94. Appointments to the Charter Commission are made by the Chief Judge of the Tenth Judicial District. Charter Commission seats are open until filled. Applications will be kept on file for fourteen months.

    If, due to a disability, you need assistance completing an application or if you anticipate that you will need assistance in the selection process, please notify the Human Resources Department at 763-433-9867 (763-427-8591 TDD).

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96. 1. Receive an email copy of this form.
97. Email address

    This field is not part of the form submission.

98. Submit Submit and Print

* indicates a required field