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HomeMy WebLinkAbout01-23-2017 WS Adv. Comm. InterviewsCity of Columbia Heights 59040 th Avenue NE, Columbia Heights, MN 55421 -3878 (763) 706 -3600 TDD (763) 706 -3692 Visit our website at: www.columbiaheightsmn.gov • f�ily3�I��Cd Meeting of: Columbia Heights City Council Date of Meeting: January 23, 2017 Time of Meeting: 5:45 PM Location of Meeting: City Hall- Conference Room No. 1 Purpose of Meeting: Advisory Commission Interviews 5:45 Tricia Conway 6:00 Michael Novitsky 6:15 Tom Kaiser 6:30 Eric Penniston Mayor Donna Schmitt Councilmembers Robert A. Williams John Murzyn, Jr. Connie Buesgens City Manager Walter R. Fehst The City of Columbia Heights does not discriminate on the basis of disability in the admission or access to, or treatment 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 disabled persons are available upon request when the request is made at least 96 hours in advance. Please call the City Clerk at 763 - 706 -3611 to make arrangements. (TDD /763- 706 -3692 for deaf or hearing impaired only.) Name Date /Time 1. What particular skills, expertise, or interest do you possess that you feel would be beneficial to you as a board or commission member? 2. What do you feel are positive and negative aspects of our community? 3. Describe your involvement and participation in community groups and civic organizations. 4. Name three reasons why you are interested in serving? 5. Conflict of interest is defined as the participating on any activity, recommended action, or decision from which the individual has or could have the potential to receive personal gain, whether it is direct or indirect. a. In accordance with this definition, do you own any real property or business located in Columbia Heights in which you have a legal or equitable interest, which could be construed as a conflict of interest? If yes, please explain. Board or Commission recommended for: Least Most Knowledge of community 1 2 3 4 5 Involvement with community 1 2 3 4 5 Ability to present information orally 1 2 3 4 5 Experience /training /interest beneficial to 1 2 3 4 5 this board or commission Knowledge of issues /information assigned 1 2 3 4 5 to Commission Overall Impression 1 2 3 4 5 6 7 8 9 10 Overall Rating Interviewed by Board or Commission recommended for: