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801.2P - Application to Serve on the Legislative Advisory Council

801.2P - Application to Serve on the Legislative Advisory Council

Adopted: September 2012
Revised

 

Download 801.2P - Application to Serve on the Legislative Advisory Council

 

The information requested below is for the purpose of evaluating your application to serve on the District 196 Legislative Advisory Council.  You are not required to provide the requested information, however, your failure to do so may prevent the district from processing your application.  The information will be available to District 196 staff members processing your application and assembling the advisory council.  Some of the information may also constitute public data under the Minnesota Government Data Practices Act.

 

Name (please print)                                                                                                         

 

Address                                                                                                                     

 

Phone                                                   Email                                                            

 

Occupation                                                                                                                

 

How long have you been a resident of District 196?                                                     

 

Do you have children who attended District 196 schools?          □ Yes       □ No

 

Briefly describe your experience and/or education related to government affairs lobbying and/or the legislative process.                                                                                          

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       

 

Explain why you are interested in serving on the Legislative Advisory Council.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         

 

                                                                                                                                 

signature                                                            date

 

THANK YOU FOR YOUR INTEREST!  Please submit this completed application to:  Director of Communications, Independent School District 196, 3455 153rd St. West, Rosemount, MN  55068 or email it to:  Tony.Taschner@district196.org