Application for Appointment (Printable PDF)

CITY OF LAKE PARK
2032 2nd Street ~ PO Box 239
Lake Park, Minnesota 56554
(218) 238-5532 ~ www.lakeparkmn.com
Application for Appointment
City Council
Please complete and return with a letter explaining your experience in a sealed envelope to
Clerk’s Office by
4:30PM May 1, 2015.
1. Full Name: __________________________________________________________________________
2. Physical Address: ____________________________________________________________________
3. Phone Number you can be reached at: _____________________________________________
a. Please circle the what type of number this is: HOME
CELL WORK
4. Please circle the 2 departments with which you would most like to work as a liaison:
Clerk’s Office
Utility Department
Liquor Store
Police Department
Senior Nutrition
Fire Department
5. Tell us a little about yourself:
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6. What unique aspects will you bring to the current council?
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7. If you are not chosen to be appointed, would you still be willing to participate on any
city boards or committee? Yes
No
Equal Opportunity Employer
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