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Lakeville Area Historical Society Board Application

  1. Please be advised that in accordance with Minnesota Statute, 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.
  2. Have you previously served on any committees to the City Council of Lakeville? If so, list committee and time served.
  3. Have you previously served on public boards or commissions in any other cities? If so, list them below.
  4. What is your educational background?
  5. 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.
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  7. This field is not part of the form submission.