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2. Application for City Council*

   Thank you for your interest in serving your community as a City Council member. (Note eligibility requirements - a Council member must be an eligible voter, 21 years of age or more or will be when assuming office, a resident of Owatonna who has maintained residence in the city for at least thirty (30) days before appointment, and be able to attend required meetings on a regular and consistent basis.) Checking the 'City Council Member at Large' box below will document your interest and serve as attestation that you have reviewed all eligibility requirements.

   1. City Council Member at Large
4. First Name*
5. Last Name*
7. Street address, city, state, zip code*
9. Ward:*
   -- Select One --First WardSecond WardThird WardFourth WardFifth Ward
11. Email address*
12. Home phone*
13. Cell phone*
15. Place of employment
16. Work phone (optional)
18. If you previously served on the Owatonna City Council or any boards or commissions to the City Council, please list below including years served.
20. Type of Service
21. Years served
23. Type of Service
24. Years served
26. If you previously served on public boards or commissions in any other cities, please list below including location and years served.
28. Type of Service/Location
29. Years served
31. Type of Service/Location
32. Years served
34. What is your educational background?
36. High school completed?*
37. College degree (specify)
38. Trade or vocational (specify)
40. Do you live within the Owatonna city limits?*

    1. Yes
    2. No
42. How long have you been a resident of Owatonna?*
44. Why are you interested in serving on the City Council?*
46. What do you feel are the greatest duties and responsibilities of the City Council?*
48. What do you think are the most important issues facing our community over the next several years?*
50. Describe what issues and ideas you would like to see addressed by the City Council.*
52. Are you aware of the meeting schedule for City Council members and willing/able to commit to attending the meetings on a regular and consistent basis?*

    1. Yes
    2. No
54. As a Council member, what issue(s) might cause conflict between your civic responsibility and personal or professional interest? How would you manage these conflicts?
56. Acknowledgement*

    By clicking on the “Accept” button, I hereby certify that every statement I have made in this application is true and complete to the best of my knowledge. I also agree that falsified information or significant omissions on either the application or during my interview may disqualify me from further consideration for appointment to an advisory board. I authorize investigation of all statements contained in this application or made during my interview as may be necessary.

    1. Accept
58. Please be advised that in accordance with Minnesota Statute 13.601, the following information is considered public data: name, city of residence, education and training, and employment history. The private data you provide is needed to identify you and to assist in determining your qualification for appointment. Only authorized employees and appointing authorities have access to the private information submitted.
60. The information you provide will be used to identify you as an applicant, enable us to contact you when additional information is required, send you notices, and assess your qualifications for appointment. This data is not legally required, but refusal to supply the information requested may affect the Mayor's ability to accurately evaluate your application.

62. Should you be appointed to the City Council pursuant to Minn. Stat. 13.601, your residential address will become public information. In addition, either a telephone number or email address where you can be reached will become public. The purpose is to list contact information for City Council members on a public roster.

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66. 1. Receive an email copy of this form.
67. Email address

    This field is not part of the form submission.

68. Submit

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