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Advisory Commission Application Form

  1. Coon Rapids, Minnesota - with a racoon face and blue and green accents
  2. City of Coon Rapids
    Advisory Commission Application

    Please complete this form to apply for a voluntary position on a City board or commission.

  3. Please rank in numerical order the commissions on which you wish to serve:

    Leave blank any commission on which you do not wish to serve.

  4. Please include: Name, Address, Phone Number

  5. Government Data Practices Act - Tennessen Warning:*

    The information provided by you on this application will be used to determine your suitability for appointment to an advisory commission.  Participation as an advisory commission member is strictly voluntary and you are not required by law to provide this information. However, should you not furnish this information the City may have difficulty determining your suitability for appointment, contacting you regarding your information, and if selected, with your duties on the advisory commission.   

    Under Minnesota State Statute 13.601, subd. 3, the following information is considered public information before appointment: name, city of residence, education and training, employment history, volunteer work, awards and honors, prior government service, veteran status. Once an individual is appointed, the following additional items of data are considered public: residential address, telephone number, email address.  

  6. Leave This Blank:

  7. This field is not part of the form submission.