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Series 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)                                                                                                     


Phone                                                 Email                                                          


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: