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Board and Commission Application Form

  1. Please rank your level of interest in the boxes above by placing a number one (1) for your first choice and number two (2) for your second choice, etc.

  2. Personal Information

  3. Employment

  4. Residency Information

  5. Education

  6. Organization Membership Information

  7. Are you currently serving on other Boards, Commissions, or Committees?*

  8. Have you served on a Board, Commission, or Committee before?*

  9. Supplemental Questions

  10. Commissioners spend from three to eight hours per month preparing for meetings, meeting with residents, and attending commission meetings. Can you meet this time commitment?

  11. Board/Commission Schedule

    *Meetings are typically held once per month as follows:

    Economic Development Authority: Second Thursday of the month at 7:30am.

    Environmental Policy Board: Third Monday of the month at 6:30pm.

    Park and Recreation Commission: Second Thursday of the month at 6:30pm.

    Planning Commission: First Thursday of the month at 7:00pm.

  12. Data Practices Advisory

    Minnesota Statute 13.601, Subdivision 3, states that the following data about applicants for appointment to a public body are public: name; city of residence; education and training; employment history; volunteer work; awards an honors; and, prior government service. If an individual is appointed to a public body, the following additional data are public: residential address; either a telephone number or electronic mail address where the appointee can be reached, or both at the request of the appointee.

  13. You are not legally required to supply the information requested in this application. However, if you do not supply the requested information, the City may be unable to adequately evaluate your suitability for service, which may reduce your chances for appointment to a City board or commission.

  14. 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.

  15. The selection process will vary according to the number of applicants and vacancies and may not include interiew with all candidates. Your application will be kept on file for one year.

    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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  17. This field is not part of the form submission.