Application to Appointment

Thank you for your interest in serving your community! Please familiarize yourself with the City's various boards and commissions and their attendance policy.Please indicate in order of preference which of the following boards and commissions you are interested in serving by choosing a 1st choice, a 2nd choice and a 3rd choice. Note Red asterisks(*) indicates the required field

• Committee/Board	1st*	2nd	3rd
  Art Center Board
  Board of Appeal & Equalization
  Community Health Committee
  Construction Board of Appeals
  Energy & Environment Commission
  Heritage Preservation Board
  Human Rights & Relations Commission
  Park Board
  Planning Commission
  Transportation Commission

• Seeking Reappointment Student Application

• Data Practices Advisory

  Your name, address, current employment position, previous work history, education and training are public data under the Minnesota Data Practices Act (Minn. Stat. Sect. 13.43, subd. 2 & 3) and must be provided to anyone who requests it. Other information is considered private; however all information in this application will be provided to the city council in a public forum and will be reviewed in public. It will therefore be part of the public record. Although you are not legally required to provide any of the information requested in this application, the information is needed to determine your suitability for appointment to a board or commission and failure to provide it may result in you not being considered for a position.

• Applicant Information

  Residents of Edina are eligible for appointment to any of the advisory boards established by the city council. Please complete the following information and attach extra sheets if necessary. You may also attach a resume if you wish. The selection process may vary by board or commission and according to the number of applicants and vacancies and may include interviews with some candidates. For more information, please contact Debra Mangen 952-826-0408.
• Name * First Last
• Street Address *
• Postal/Zip Code *
  Select One55343554105541655424554355543655439
• Home Telephone Number * ### - ### - ####
• Work Telephone Number * ### - ### - ####
• Cell Telephone Number ### - ### - ####
• Email *

• Additional Information

• How long have you been an Edina resident? *
• Employer *
• Occupation *
• Education *
• Community service, civic and professional activities: *
• Why are you interested in being appointed to an Edina advisory board or commission? *
• What strengths and abilities would you bring to the board or commission? *
• Any additional notes?

• Student Applicants

  Student members of advisory boards or commissions serve a one-year term.
• Name of school now attending:
• Expected graduation date: MM / DD / YYYY

• Potential Conflicts

• Are you or any of your family members presently employed by the City of Edina or serving on any of the City's advisory boards of commissions? *

  
  

  Yes No
• If yes, please explain:

• Conflicts of Interest

• A conflict of interest may exist when a board or commission member is required to take an action or make a recommendation that would affect the member’s financial interest or that of an associated business.Are you aware of any such potential conflict of interest? If you are appointed and become aware of such conflicts, you should promptly disclose them to the City Manager. *

  Yes No
• If yes, please provide details:
• As a board or commission member, what issue(s) might cause conflict between your civic responsibility and personal or professional interests? How would you manage these conflicts? *

• CITY CODE, SECTION 1500.09 Attendance Requirements

  A. Purpose. To assist boards and commissions in fulfilling their purposes and duties and to ensure that they are not prevented from doing so by the repeated absence of their members, the Council hereby establishes an attendance policy for members serving on boards and commissions.
  
  B. Removal. Any member of a board or commission established by the Council who fails to attend three consecutive regular meetings, or in the case of members of the Planning Commission, four consecutive regular meetings, or who fails to attend at least 75 percent of the scheduled meetings in any calendar year, whether regular or joint work sessions with the Council, shall be deemed to have resigned as a member of the board or commission.
  
  C. Exceptions.
  

  a. The requirements of this subsection shall not apply to attendance at special meetings, or of meetings of committees or subcommittees, including committees of the whole, established by a board or commission pursuant to Subsection 1500.05.
  b. The requirements of this subsection shall not apply to members of the Housing and Redevelopment Authority of Edina, the East Edina Housing Foundation or the City Council.

  
  D. Annual Review. The Council shall conduct an annual review of the attendance of members of boards and commissions established by the Council.
  
  E. Vacancies. The successor to any member of a board or commission who has been removed pursuant to this subsection shall be appointed pursuant to Subsection 1500.04.
  
  History: Ord 162 adopted 4-4-74; amended by Ord 162-A1 3-6-75, Codified Section 180 Ord 162-A2 5-16-90; Ord 2007-21, 01-02-08; Ord 2009-7, 05-05-09; Ord. 2011-02, 02-10-11 deleted Section 180, replaced by Section 1500, amended Ord 2011-14, 08-04-11

• Equal Opportunity Notice

  The City of Edina does not discriminate on the basis of disability in the admission or access to, or treatment or employment in, its services, programs and activities. Upon request, accommodations will be provided to allow individuals with disabilities to participate in all City of Edina services, programs, and activities.

• 2013 student interview dates have been set. Please rank your preference below.

  Preferred Interview Date:	1st	2nd	3rd
  Monday June 10, 2013 between 10:00 a.m. and 12:30 p.m.
  Thursday June 13, 2013 between 4:00 and 6:30 p.m.
  Wednesday, June 19, 2013 between 1:00 and 3:30 p.m.
  None of these dates work for my schedule, I would prefer:

• I have read and understand the information above and wish to be considered for appointment to a city advisory board or commission.