Form Center

2. Economic Development Authority
3. Environmental Policy Board
4. Park and Recreation Commission
5. Planning Commission
7. 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.
9. Personal Information
11. First Name*
12. Last Name*
14. Address1*
16. City*
17. State*
18. Zip*
20. Home Phone Number
21. Cell Phone Number*
23. Email Address
25. Employment
27. Present Employer*
29. Work Phone*
31. Position Title*
33. Residency Information
35. How long have you been a resident of Ramsey?*
37. Property owned, rented or leased in Ramsey (other than residence):
39. Education
41. High School
43. College
45. Trade or Business School
47. Organization Membership Information
49. Are you currently serving on other Boards, Commissions, or Committees?*

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

    1. Yes
    2. No
55. If yes, please indicate which board or commission you served on and the organization's name.
57. Supplemental Questions
59. Please list any government, service organization, or professional activities which you have been or are currrently involved in:
61. Please list areas of special interest:
63. Please briefly state why you want to serve on a City board or commission:
65. List any special background, strengths, or abilities you would bring to a board or commission:
67. Briefly describe the strengths of Ramsey today:
69. Briefly describe the weaknesses of Ramsey today:
71. Briefly describe Ramsey as you believe it should be 10 years from now:
73. List any specific goals and/or objectives you visualize for the City:
75. List any issues that may cause, or potentially be perceived to cause, a conflict of interest between civic responsibility and person/professional interests:
77. 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?

    1. Yes, I can.
    2. No, I can't.
79. 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.

81. You may attach a resume if you desire
83. Data Practices Advisory
    Minnesota Statute 13.601 Elected and Appointed Officials. Subdivision 1. Financial disclosure statements. Financial disclosure statements of elected or appointed officials which, by requirement of the political subdivision, are filed with the political subdivision, are public data on individuals. Subd. 2. Correspondence. Correspondence between individuals and elected officials is private data on individuals, but may be made public by either the sender or the recipient. Subd. 3. Applicants for appointment. (a) Data about applicants for appointment to a public body collected by a government entity as a result of the applicant’s application for appointment to the public body are private data on individuals except that the following are public: name; city of residence, except when the appointment has a residency requirement that required the entire address to be public; education and training; employment history; volunteer work; awards and honors; prior government service; any data required to be provided or that are voluntarily provided in an application for appointment to a multimember agency pursuant to section 15.0597; and veteran status. (b) Once an individual is appointed to a public body, the following items 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; first and last dates of service on a public body; the existence and status of any complaints o charges against an appointee; and upon completion of an investigation of a complaint or charge against an appointee, the final investigative report is public, unless access to the data would jeopardize an active investigation. (c) Notwithstanding paragraph (b), any electronic mail address or telephone number provided by a public body for use by an appointee shall be public. An appointee may use an electronic mail address or telephone number provided by the public body as the designated electronic mail address or telephone number at which the appointee can be reached. History: 1979 c 328 s 22; 1981 c 311 s 39; 1982 c 545 s 24; 1984 c 436 s 27; 1999 c 227 s 22, 2005 c 163 s 43; 2008 c 315 s 10; 2012 c 290 s 37
85. 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.
87. 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
89. Electronic Signature*
91. 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).
Leave This Blank:


93. 1. Receive an email copy of this form.
94. Email address

    This field is not part of the form submission.

95. Submit Submit and Print

* indicates a required field