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Home My WebLink AboutMay 23, 2001 Special SessionCITY OF COLUMBIA HEIGHTS 590 40th Avenue N.E., Columbia Heights, MN 55421-3878 (763) 706-3600 TDD (763) 706-3692 Visit Our Website at: www. ci. columbia-heights. mn.us ADMINISTRATION M~ Gary L. Peterson Councilmembers Marlnine Szurek .Iulienne Wyckoff Bruce Nawrocki Robert ~1. Willtams e_lW Manager Walt Fehst NOTICE OF SPECIAL CITY COUNCIL INTERVIEW SESSION Notice is hereby given that an interview session is to be held in the CITY OF COLUMBIA HEIGHTS Meeting of: Date of Meeting: Time of Meeting: Location of Meeting: Purpose of Meeting: COLUMBIA HEIGHTS CITY COUNCIL May 23, 2001 6:00 P.M. CONFERENCE ROOM 1 INTERVIEW COMMISSION AND BOARD APPLICANTS AGENDA 1. Interview applicants for Commission and Board openings The City of Columbia Heights does not discriminate on the basis of disability in the admission or access to, or lreatment or employment in, its services, programs, or activities. Upon request, accommodation will be provided to allow individuals with disabilities to participate in all City of Columbia Heights' services, programs, and activities. Auxiliary aids for handicapped persons are available upon request when the request is made at least 96 hours in advance. Please call the City Council Secretary at 706-3611, to make arrangements. (TDD/706-3692 for deaf or hearing impaired only) THE CITY OF COLUMBIA HEIGHTS DOES NOT DISCRIMINATE ON THE BASIS OF DISABILITY IN EMPLOYMENT OR THE PROVISION OF SERVICES EQUAL OPPORTUNITY EMPLOYER CITY OF COLUMBIA ItIGHTS At'PLICATION FOR APPOINTMENT TO BOARD OR COldMISSION BOARD(S) OR COMMISSION(S) ON WHICH YOU WOULD ~ TO SERVE: (INDICATE PKEFERENCE: 1, 2, 3, 11~ MOKE THAN ONE) TELECOMMUNICATIONS COMMISSION CtlARTER COMIVHSSION (Note: u t~sis ;..~o..,.. ,,....,. ,, ,.......--.-...~.'.~,L.,,., ECONOMIC DEV1LOPMENT AIZfitORITY HUMAN SERVICES COMMISSION MI'RIT I"flMMIC~IIIN I,mRARY BOAlID _ TRAFFIC COMMISSION XPARK & RECREATION COMMISSION PLANNING & Z, ONDIG COMMISSION I$~T TUI~fFiMF CTT~T!. ~FR'trlUF UflMMTC~C~Tf~ NAME: HOME ADDRESS~ LIVED IN COLUMBIA HEIGHTS SLICE: J~//'n~' PROPERTY OWNED IN COLUMIIIA !IEIGHll (OTHER) RESIDENCE): HOME PHONE: ZIP CODE: < PRESENT EMPLOYER: EDUCATIONAL HACKGROIIND.' WORK PriOr: PLEASE STATE BRIEFLY WHY YOU ARE INTERESTED IN SERVING ON Tn~ BOARD/ COMMISSION FOR WHICH YOU ARE SUBIVHi-iu~G THIS APPLICATION AND WHY YOU FEEL YOU ARE ~rEDN'I:SDAY 'IMtYRSDAY L,~FRIDAY) PLEASE LIST TiIREE ILEFERENCES: ADDRESS PHONE IL-,,mm application Deputy Ci~,' CkrldCoenei] City of Columbia Heights S90 40th Avenue N.E., Columbla Heights, ~ S5421 782-2800 'FDD: ?82-2806 110199 City of St. Anthony EDUCATION/TRAINING BACKGROUND Union Steward & Labor Mgmt Committee Co-Chair City of St. Anthony North Hennepin Community College Volunteer Firefighter MN Chapter American Public Works Assoc National Recreation & Parks Association Playground Safety Inspector Medics Training. Inc. FirstAide .... MN Dept of Agriculture Pesticide Applicator MN Department of Health City of St. Anthony John Thom National Swimming Pool Foundation Anoka-Hennepin Tech Anoka-Hennepin Tech Anoka-Hennepin Tech St. Paul Technical College Parker School For Industry Norlheast Metro Technical Century College MN Dept of Agricu hure Local 49 Training Program Hennepin Tech College Local 49Training Program Water Supply Systems Operator Right-to-Know Safeb Training Water School Operator of Aquatic Facilities Trenching & Excavating/Competent Person Confined Space Entry (refresher) Confined Space Entry lntro to Key Boarding Basic Industrial Electricity Intm to Wire Feed. Practice & Adv Intro to Arc Welding. Practice & Adv Principals of Building Management Intro to Electric Seeurity/Locks. Re-Key Locks Man/Power Tool. Consl/Rout~ne Repairs lntro to Plumbing Tree Inspector Construction Forklit1 Operator Customized Training Services Coaching Skills for Managers Team Leader vs. Supervisor Public Works Equipment 06/0i/98- ,Oj, J 02/17/08 I I/18/99 Certified 10/30/99 Ce,i~ed ~4961-1102 06/01/99 05/04/99 Certified A & J #20049414 Class D #8546 01;28/99 Certified 01/0t/99 Genera~ 05/07/98 Ce~ified 03/10/98 Certified 03/10/98 Certified 01/07/08 Certified 08/07/97 05/22/97 Certificate 03/01/97 01/01/97 01/01/97 11/01/96 06/01/96 03/01/96 I 1/01/95 01/96-present Cert 09/06/95 Certified 06/0 1/95 Certificates 09/01/94 Certificate Northeast Metro Technical College Anoka-Hennepin Technical College Hennapin Technical College MN School of Bartending Hospitality Institute of Technology & Management Hennapin Tech Center University of Wisconsin Northern Michigan University Columbia Heights H.S. Federal Safety Regulations, Basic Tractor/Trailer Procedures, Basic d-axle Tractor/Trailer CDL Road Test Prep # l Basic Loss Prevention, How to Develop an Effective Safe~y Program on a Liratied Budget, A Review of Federal & State OSHA Regulations, OSHA Inspection, OSHA Right to Know In~'o to Small Engine Repair Bar~ending School Commercial Recipe Design Cook/Chef General General General 05/04/94 Commercial Driver's License Class A Tanker/He, z-mat 02/30194 Certificate 08~01/92 Certificate Artended 01/08/88 Certificate 08/30/88Diploma 1986 1986 06/01/86 Diploma Q-~Y O~ COLUMBIA P~GHTS APPLICATION FOR APPOINTME'NT TO BOARD OR COMMISSION BOARD(S) OR COMMISSION(S) ON W]HCH YOU WOULD ~ TO SERVE: (I~DICATE PKEFERENCE: 1, 2, 3, ff MORE THAN ONE) TELECOMMUN]CATION$ COMMISSION CHARTER COMMISSION (Note: Itqp~agtortMs ~mmisslon, please IMJmt~ If~oo art · eim!ffid root. Ym No) ECONOMIC DEVELOPMENT AUTHORITY HU;,i,~N SERViCF, S COrvIMiSSiON MFRIT CflMMI~ICsI~ ! ,mRA,RY BOARD _ TRAw'wlC COMMISSION PARK & RECREATION COMMISSION _ PLA.~7~T~G & Z~NEr~G C. Or,7.TvT~SICIN NAME: HOME ADDRESS: LIVED IN COLUMBIA HEIGHTS SINCE: I ~ 5' 9 PROPERTY OWNED IN COLUMBIA RFIGHT5 (OTHER THAN RESIDENCE): P~SENT E~LO~ POSITION TITLE: HOME PHONE: 7~b 78,~' /!87'~ ZiP CODE: WORK PHONE: EDUCATIONAL BACKGROUND: CIVIC EXPERII~NCE: PLEASE STATE BRIEFLY WHY YOU ARE INTERESTED IN SERVING ON Tiql~ BOARD/ COMMISSION FOR WHICH YOU ARE SUBl~ttrlw~G THIS APPLICATION AND WHY YOU FEEL YOU ARE QUALIFIED: I AM NOT AVARARLF,.=F~ MONDAY PLEASE LIST THREE REFERENCES: NAME ADDRESS PHOI~E 3. p.~ t Ta.m,~, ~oO ~0rl' 3t. )1/. i HEREBY CER'iDY THAT l*u~ FACTS ~!rHn~ ~ FOREGOING APPLICATION ARE TRUE AND CORRECT TO THE BEST OF MY KNOWLIDGF_ FOR omCE use ONLY: DATE R~CEIVED Return application to: Deput~, City Clerk/CouncU Secretary City of Columbia Heights S90 40tb Avenue N.E., Columbia HeigbU, MN SS421 110199 APPLICATION FOR APPOINTMENT BOARD(S) OR COMMISSION(S) ON W~I/CH YOU WOULD LIKE TO SERVE: (INDICATE PREFERENCE: 1, 2, 3, IF MORE THAN ONE) TELECOMMUNICATIONS COMMISSION _ CHARTER COMNIISSION (Note: lrapp,wa~forttds ECONOMIC DEVELOPMENT A'UIIJORITY C'5/~{t~qtnt~ LlllRARY BOARD _ TRAFFIC COMMISSION PARK & RECREATION COMMISSION PI..~.,,.";N'~G & Z, ON~;G CO~,L~SSION PIll TI"F /~ { ~I: f"l~ql c4~'.ll, v~'lCF CCJM'M'T~T~N NAME: HOME PHONE: ,/ ,, / · \ ,' HOME ADDRESS: /? Z_.,IP CODE: LIVED IN COLUMBIA HEIGHTS SINCE: /"~2 ~ 9 PROPERTY OWNED IN COLUM2BIA H, EIGHTS (OTHER THAN RESII)ENCE): PRESENT EI~IPLOYER: WORK PHONE: ~ / /;' ~ / ,/z. ~:' e~' .7 I EDUCATIONAL BACKGROUND: PLEASE STATE BREEFLY WHY YOU ARE INTERESTED IN SERVI~TG ON TFfI~ BOARD/ COMMISSION FOR WHICH YOU ARE SUBMXi"iING THIS APPLICATION AND WHY YOU FEEL YOU ARE I AM NOT AVAILAB~OKBOARD/COMMISSION MEETINGS ON TH.E FOLLOWING EVENINGS (CIRCLE): MONDAY (,.~DA~Y WEDNESDAY TtltfP, SDAY FRIDAY PLEASE LIST THREE REFERENCES: NAME ADDRESS PHONE .f~ / ~ ) ~"~/ ~ -.2.,~ ~' / I HEREBY CERTIFY THAT THE FACTS ~,~Vll'ttiN I~lP.~ FOREGOING APPLICATION ARE TRUE AND CORRECT TO THY. BEST OF MY KNOWLEDGL TURE' ' ' ~ FOR OFFICE USE ONLY: Retura application to: Deputy City Clerk/Council Secretary City of Columbia Heights 590 40th Avenue N.E., Columbia Heights, MN 55421 782-2800 TDD: 782-2806 110199 CnY OF COLUMBIA HEIGHTS APPLICATION FOR APPOINTMENT TO BOARD OR COMMISSION BOARD(S) OR COMMiSSION(S) ON WE~CH YOU WOULD LIKE TO SERVE: (INDICATE PREFERENCE: 1, 2, 3, ~ MORE THAN ONE) TELECOMMUNICAT]ON$ COMMISSION ~ CHARTER COMMISSION (Note: Itapla~agf~.ilas ~nm~don~ please indicate if you are · e-~ltr, ml vo~r: Ym No) ECONOMIC DEVELOPMENT AUTHORITY HUMAN SERVICES COMMISSION I MFRIT UI~MMI~ICIN LmRARY BOARD _ TRAwwlC COMMISSION PARK & RECREATION COMMISSION PLANNING & ZONING COMMISSION NAME: D(-~t/' HOME ADDRESS: LIVED IN COLUMBIA HEIGHTS SINCE: / PROPERTY OWNED IN COLUMBIA HEIGHTS (OTHER THAN RESIDENCE): HOME PHONE: EDUCATIONAL BACKGROUND: WORK PHONE: CIVIC EXPERIENCE: PLEASE STATE BRIEFLY WHY YOU ARE INTEBXSTED IN SERVING ON Tfll~ BOARD/ COMMISSION FOR WHICH YOU ARE SUBIWti-iwiG TM~ APPLICATION AND WHY YOU FEEL YOU ARE I AM NOT AV,~r[_.-ABLE FOR BOARD/COMMISSION MEETINGS ON ~-u,~ FOLLOWING EVENINGS (CIXCLE): MONDAY TUESDAY WEDNESDAY i-~IuRSDAY FRIDAY PLEASE LIST THREE REFERENCES: NAME ADDRESS PHONE I HEREBY CER'I~'f THAT THE FACTS ~::tl.~ THE FOREGOING APPLICATION ARK TRUE AND CORRECT T THE BEST OF MY KNOWLEDGE. DATE RECEIVED ~ - I ~ - 0 ~ Return application to: Deput~ Cit~' Clerk/Council Secn~ar~ City of Columbia Beights 590 40tb Avenue N.E., Columbia Reigbt~, M~ ~5421 782-2800 TDD: 782-2806 110199 CITY OF COLUMBIA T.i~GHT5 APPLICATION FOR APPOIN'IIv!EI~ TO BOAD OR COMMISSION BOARD(S) OR COMMISSION(S) ON WI!ICB YOU WOULD LIKE TO SERVE: (II~DICATE pREFERENCE: 1, 2, 3, IF MORE THAN ONE) TELECOMMUNICATIONS COMMISSION CHARTER COMMISSION (Note: ECONOMIC DE~PMENT A~O~ BU~ SER~CES COM~SION MF~IT LIBRAllY BOARD _ TRAFFIC COMMISSION PARK & RECREATION COMMISSION PLANNING & ZONING COMIVIISSION FirIT II"'F/F'I NAME: HOME ADDRESS: PRESENT EMPLOYER: EOVC^TIONAL SACKGROUm : HOME PHONE: WORK PHONE: CIVIC E~Ia'EP, r~NC~: PLEASE STATE BRIEFLY WHY YOU ARE INTERESTED IN S~-RVI~G ON Tn~ BOARD/ COMMISSION FOR WHICH YOU ARE SUBMlyiING l-tl~ APPLICATION AND WHY YOU FEEL YOU ARE I AM NOT AVAILABLE FOR BOARD/COMMISSION MEETINGS ON THE FOLLOWING EVENINGS (CIRCLE): MONDAY TUESDAY WEDNESDAY TH1TRSDAY FRIDAY PLEASE LIST THREE REFERENCES: NAME ADDRESS PHONE 788'- 7o 3 RTIFY THAT THE FACTS Wtl-~ THE FOREGOING APPLICATION ARE TRLrE AND CORRECT T OF MY KNOWLEDGE. · :--- FOR OFFICE USE ONLY: q eO/ DATE R~CEIVED ~. I - 2- ' Return application to: Deputy Ci~.' Clerk/Cooncil Secretary City of Columbia Heights S90 40tb Avenue N,E., Columbia HeigbU, MN ~5421 782*2800 TI)D:' 782-2806 110199