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
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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: