Memo- Applications for Commissions
Memorandum
I Office of the Mayor
To:
From:
Date:
Subject:
Members of the City Council
Eugene J. Maxwell, Mayor
February 16, 2005
Appointments to Commission
I am recommending the following appointments to the Human Rights Commission:
Dima Ershaid
12807 Dolitlle Drive
Minnetonka, MN 55305
Erin Landy
4721 Woolridge Road
Minnetonka, MN 55345
Alec M. Lehrman
14805 Minnehaha Place
Wayzata,MN 55391
Joan Stately
225 - 16th Avenue North
Hopkins, MN 55343
Lori Oestreich
1242 North Landmark
Hopkins, MN 55343
Please accept and concur with this appointment.
Application for Commissions, Committees & Board Memberships
City of lIopkins
1010 1st Street South' Hopkins, MN 55343 . 952.935.8474 . 952.935.1834 (fax)
www.hopkinsmn.com
Commission(s), Committee(s), or Board(s) which you are interested in:
o Charter Commission Q Park Board
o Police Review Committee ~ Human Rights Commission
o Zoning & Planning Commission 0 Other
NAME: Dtb1('~ e;.rACc,;j
ADDRESS: 0 ?Sn:;Z ~ \\ \,\\... ~"
PHONE NUMBER: I
CllY: ALf(l neJn.n.ka....STATE:~ ZIP: ,:>S 30S
Briefly describe your education and experience: ~e...c....
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Please indicate why you want to serve on this committee, board, or commission:
':l:. \NO.,V\t -t,., ~{..,..--i(\.J ine.. o.l;\-",^-,UM ~ f'Hr-.v- (l).I\\\eh"'C"l\.. "'(\"The "'""""""5""'-
of'(1:vp,-s;t:) c-J ea(>~ COfY\iY'\v...~\\\j.
Important Notice To All Applicants
Minnesota law requires that you be informed of the purpose and intended uses of the information you provide to the City
during the application process. Any information about yourself that you provide during the application will be used to
assess your qualifications. Although you are not legally required to supply information, if you do not supply the information
requested, it may mean that your application is not considered. Your name, address, and phone number are public data under
Minnesota Law.
Signature
Apo' !:2. o")~ t) (; -
Date
~~~
PLEASE RETURN TO:
City Manager
1010 1st Street South
Hopkins, MN 55343
Application for Commissions, Committees & Board Memberships
City of lIopkins
1010 1st Street South. Hopkins, MN 55343 .952.935.8474.952.935.1834 (fax)
www.hopkinsmn.com
C mmisslon(s), Committee(s), or Board(s) which you are interested in:
o Charter Commission DJark Board
o Police Review Committee S-Human Rights Commission
o Zoning & Planning Commission 0 other
NAMEj~r~ ~\~
ADORESS, 4 L\ l. r>~cy \-2.0\_
Briefly describe your eQucation and exper!ence:
\ C'u'\) n. ,. ,,,,.err 0"'-. \-G1A\flC;; y.-\'o..\J Or-rc::a\ ("}..~. v---t).\J e
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<1.-,'(') \'f'Int>).., r).'n A "Y:~\.
\
PHONE NUMBER,"
CITY: ",^",\,<<",\C'~V'oO.. STATE: ~ ZIP: ~4, 5
"'aCI
Please indicate why you want ~o serve on t~ls committee, board, or commission:
~ -q'\\~v... ~-t- \\\\"', ~\?"a..r-c n ~~ ~-C. lr"I\~ ru~
<l1'" -'<"C) \("0- ,-r-o n. XY\. ~ ~\t'>. '0 --r<::: l'J-).. "'<> -c"'o\,- ')(""(\. ctt'rl ~\('
W"'\ 0")"- C0Y"1N""\L1\<hj. \ \T\\\"\V-- -'<"Y'<' ~ \-'t" \N.C'>. w:',\. ('\ \'7-l'> \"":'P t"'x
"t" "'-l \ V"'V\;f''' e:. ""'~'C'().
)
Imp rtant Notice To All Applicants
Minnesota law requires that you be informed of the purpose and Intended uses of the Information you provide to the CIty
during the application process. Any information about yourself that you provide dUring the application will be used to
assess your qUllllflcatlons. Although you are not legally required to supply information, if you do not supply the Information
requested, It may mean that your application Is not considered. Your name, address, and phone number are public data under
Minnesota Law.
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Date
PLEASE RETURN TO:
CIty Manager
1010 1 st Street South
Hopkins, MN 55343
Application for Commissions, Committees & Board Memberships
City of lIopkins
1010 1st Street South. Hopkins, MN 55343 . 952.935.8474 . 952.935.1834 (fax)
www.hopklnsmn.com
Commission(s), Committee(s), or Board(s) which you are interested in:
o Charter Commission 0 Park Board
o Police Review Committee gHuman Rights Commission
o Zoning & Planning Commission 0 Other
NAME: A \ eC. M, L-eJloM"->'?
ADDRESS: 1 !.J<{,oS \1. iiAVI\?_~'L\'''' PIQC <-
BrieflY describe YOl,!!:..edu~atlon and exp~rl
r <'<. "" '" J v 0 (" '" 1- He
CIN:
PHONE NUMBER:
lJqlZa~
STATE: 1K I\l ZIP: ?;7 ~ "( I
Please indicate w;hy Y9l-l \\Vant t9 serve on this committ~e, board, or commission:
j; 1.AJ",,,,to\ \\ F'L 0 ca '...,4e..;-0 \A.-t GO\MIM'-'w'} q-
he)r VlAal::( q ct.if-fe('l:\.1c-L IVI ~~_ks It (.7,
Imp rtant Motlce To All Applicants
Minnesota law requires that you be informed of the purpose and intended uses of the Information you provide to the City
during the application process. Any information about yourself that you provide dUring the application will be used to
assess your qualifications. Although you are not legally required to supply Information, if you do not supply the Information
requested, It may mean that your application is not considered, Your name, address, and phone number are public data under
Minnesota Law.
~~.~
~ -2 -crp
Signature
Date
PLEASE RETURM TO:
City Manager
1010 1 st Street South
Hopkins, MN 55343
APPLICATION FOR COMMISSION, COMMITTEE, BOARD MEMBERSHIP
COMMISSION(S), COMMITTEE(S), OR BOARD(S) WHICH YOU ARE INTERESTED IN:
Charter Commission Police Review Committee
~ Human Rights Commission Zoning & Planning Commission
Park Board
Other
Name: jdo...V\ '-%Ov-6t--~
Address: XJ.C: - J In +L.... Ave-. A)()
City, State, Zip Code: 1/0 d~'YI <j) 1./1 J
I s-S"'a fP3
Briefly describe your education and experience:
ah&,fAJA>/.R.- rJo~ ;Y\ JIIi;JuJ1lChhll/O}j- \A.JovteJl
,
PI
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WOY'8Y\~ a+ ,~L+.e,lcls .pI":
Please indicate why you want to serve on this committee, board, or commission:
I'b
~~~ ,J,;h11L -&0 !"l'IrnYYlfJYl i-':.J ~~Sl.le5.
-r:. o./S(") ,Jt,u'Y\oI) -Ii (' 01' InC4'rJh --JaJ -h> pIH'''~IA.' V\.j-.l2J..._-pe~Sf'lV)a.2 : S;S It.eJ
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~ e.,l)Y)"I YY'I \II 'n j t-")(, I"
The above information is public and may be disseminated to the general public.
Phone Number: ~.
-'
I--
This information is private and will only be used by the
City to contact you regarding this application.
A,6<1A1/Yl,&/'t
Si ature
(J.-t-J-OOb
Date
PLEASE RETURN TO: City Manager
City of Hopkins
1010 First Street South
. Hopkins, MN 55343
0110111999
Application for Commissions, Committees & Board Memberships
City of IIopkins
1010 1st Street South' Hopkins, MN 55343' 952.935.8474 . 952.935.1834 (fax)
www.hopkinsmn.com
Commission(s), Committee(s), or Board(s) which you are interested in:
o Charter Commission 0 Pari< Board
o Police Review Committee I]<Human Rights Commission
o Zoning & Planning Commission 0 Other
NAME: LOR- L Of=;: ~T7c.F- Ie I~.
ADDRESS: I ~ L/;( N' L..4-Y) D /YIk, Ie...
PHONE NUMBER . _
CITY: / h ,t! Kl:. A/ c::, STATE: I:!2dl. ZIP: 5 5 "3 L/- 3
Briefly describe your education an,! el\Perience: , II- A j. .
T 0..~ b1:1 0./ ~L1J1 ~Wu / &A~A' o. ~Al..o ) /
~~JJ ~/dLtJ,-,)'~ G~~'
~"~1;~ wit:J.o ~ ~j,k. (d<~~
Please indicate why you want to serve on this committee, board, or commission:
~ ~ c ~/~~ 0_,. *kvr~(~~~~
~~,~~~~ ~~~
~)f';j~ ~~/YL<j fr't6 L<) CJ.J (.Q.M..Q)-.
Important Notice To All Applicants
:'/l.innesota law requires that you be informed of t.'1e purpose and intended U5es of the !nformatkm YOIJ provide to the City
during the application process. Any information about yourself that you provide during the application will be used to
assess your qualifications. Although you are not legally required to supply information, if you do not supply the information
requested, it may mean that your application is not considered. Your name, address, and phone number are public data under
Minnesota law.
*, () L-j- 1-0&
Signature
Date
PLEASE RETURN TO:
City Manager
1010 1st Street South
Hopkins, MN 55343