Charter Commission Application

Charter Commission Application Form

Katie Schmidt, City Clerk
7550 Sunwood Drive NW, Ramsey, MN 55303
Phone: (763) 433-9842
Email: kschmidt@cityoframseymn.gov

First Name:

Last Name:

Address:

Address 2:

City:

State:

ZIP

Email:

Home or Cell Phone Number:

Elibibility Questions

Are you registered to vote in the State of Minnesota?

Yes

No

Do you serve on the Ramsey City Council?

Yes

No

Do you currently serve on the Judiciary?

Yes

No

Employment

Present Employer:

Work Phone:

Job Title

Recidency Information

How long have you been a resident of Ramsey?

List property owned, rented, or leased in Ramsey (other than your primary residence):

Education

High School

College

Trade or Business School

Organization Membership Information

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

Yes

No

Have you served on a board, Commission, or committee before?

Yes

No

Supplimental Questions

Please list any government, service organization, or professional activities which you have been or are currrently involved in:

Please explain your understanding of the Charter Commission in its relation to the City Council.

Please list areas of interest that would benefit the Charter Commission.

Please briefly state why you want to serve on the Charter Commission.

List any special background, strengths, or abilities you would bring to the Charter Commission.

Please explain the role/purpose of the Charter Commission.

As a member of the Charter Commission, what changes, if any, would you propose to the City Charter.

List any issues that may cause, or potentially be perceived to cause, a conflict of interest between civic responsibility and your personal or professional interests.

The Charter Commission meets on an as needed basis with a minimum of one meeting per year. Can you meet this time commitment?

Yes

No

Are there any evenings you would not be available for meetings? Please describe below.

You may attach a resume if you desire.

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Allowed extensions pdf, doc, docx, xls, xlsx, jpg, jpeg, gif, png, tif

Data Practices Advisory

Minnesota Statutes 13.601 Elected and Appointed Officials

You are not legally required to supply the information requested in this application. However, if you do not supply the requested information, it may be difficult to adequately evaluate your suitability for service.

Electronic Signature Agreement *

By signing the 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.

Applicant Signature

Clear

Appointments to the Charter Commission are made by the Chief Judge of the Tenth Judicial District. Charter Commission seats are open until filled. Applications will be kept on file for fourteen months.

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).