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04-887Council FIle # � � O � � GreenSheet# 3022467 Presented By Refened To RESOLUTION CITY OF SAINT PAUL, MINNESOTA 2� Committee: Date i RESOLVED, that the Saint Paul City Council consents to and approves the appointments, made 2 by the Mayor, of the following individuals to serve on the Homeless Advisory Board 3 4 5 6 7 8 9 10 ?i 12 13 14 15 16 17 18 A�pointment Name Representing Stephanie Batfle at-large member Kenneth Cooper provider of housing or overnight or day shelters for single adults Sylvia Herndon at-large member Becky Hicks provider of youth services Andy McMahon Corporation for Supportive Housing Roh rJdman Minnesota Housing Finance Agency Rosemarie Reger-Rumsey Saint Paul Area Coalition for the Homeless Tom Triplett at-large member John Vomastek at-large member Patrick Wood at-large member Term Expires September 30, 2006 September 30, 2007 September 30, 2005 September 30, 2007 September 30, 2005 September 30, 2007 September 30, 2005 September 30, 2007 September 30, 2006 September 30, 2006 Oy- $�67 � Green Sheet Green Sheet Green Sheet Green Sheet Green Sheet Green Sheet � DepartrnenNoffice/council: Date Initiated: �,o -M�otS�� 55SEP-04 Green Sheet NO: 3022467 Contact Person & Phone• Deoartrnent Sent To Person Initial/Date Kurt Schuliz � I 0 or's ffic 266-6590 p��yn 1 or'sOfSce I De artmentDirector Must Be on Council Agenda by (Date): Number 2 ' Attorne I � For RoUting 3 �Ylavor's O�c¢ � MavodAssistant Order 4 ouncil 5 i Clerk Ci Clerk Total # of Signature Pages _(Clip All Locations for Signature) Action Requested: Approval of the appoinhnenu, made by the Mayor, of following individuals to serve on the HOMELESS ADVISORY BOARD: Stephanie BattTe, Kenneth Cooper, Sylvia Herndon, Becky Hicks, Andy McMahon, Bob Odman, Rosemazie Reger-Rumsey, Tom Triplett, John Vomastek and Pahick Wood. Recommendations: Approve (A) or Reject (R): Personal Service Contracts Must Answer the Following Questions: Planning Commission 1. Has this person/firm ever worked under a contract for this department? C16 Committee Yes No Civil Service Commission 2. Has this person/firm ever been a city employee? Yes No 3. Does this personffirm possess a skill not normally possessed by any current city employee? Yes No Explain all yes answers on separate sheet and attach to green sheet Initiating Problem, Issues, Opportunity (Who, What, When, Whe�e, Why): Advarrtapes If Approved: DisadvanWpeslfApproved: pisadvantages If Not Approved: Total Amount of Cost/Revenue Budgeted: Transaction: �ESQC�iG�i c$R#e!' Pundinp Source: Activity Number: Financial Information: �fp�pS � � �� , (Explain) �7=0 Jul 10 03 07:56a � Agplication for Committee, $oard, ar Commission Please return to �Iark Eagebretson 'Mayor's Office, Room 390 City HalI 15 �F/est Kel:ogg Blvd., Saint Paut, MI�` SS 102 Phone:651-266-8533 Fax:651-266-85I3 p.2 Oy SS � T6c Min�esot. Gc�ernmeat Daea Pzattices Ac[ (Min�esota Seatuces Chapcer i3) governs ihe Cny's cse of �hc ic:ormaticn co�tx.aed ia this npplfcation. Some o: the informaeion sougat iu this app�ica[icn is priva�c cata endr. tSe Act, Th< requestc: in.`orma;ioa w�ll be us•d by tue anpointir.g autnority to wrry out the Cicy's of[icia! appointmc�t respo�sf6ili!ies. � are not recuired te p;ovide any i¢,orcatioa. Howeve:, [ailure to answer tSe app;:ea:ion quest:ons may �au:e the appu;pUng antho�ity to teje.[y0ut app(�ca:fa�. The majority of i[ems conta:aed in Ihin apylsahon e[c pub7ic, iucluding : amc, acdress, enoloyment, skills, iraiafag ar.d ezperieece, and are t6erefore available to aoyone :equeshng it. Th< ;e�aining ieems on ihe applieatioa fa::n aro classified as priva�e. The private daea is available only lo you aud to o:herpvr:ons in the City who, because oFwo;kass�¢nmeu[s. ceasona6lv-��nfr. o�.....,..v_ :_:__.__.:__ Name Home Teiepl Please E-mai Planning District Council . Preferred m Occupation Place of em Employmen Committee( YWCR of SL Paul 222 6307 City Counci] �Vard 7 /7 page i of2 What skills/training or experience do you possess for the committee(s) for which you seek appointment^ Jul 10 03 07:57a Personal References Name Add*e TeIegl P[cast Ti 3IIl � Address YWCR of St Paul 222 6307 Telephones �a � Pleaseinclude.\reaCodes home Name Addre Telep; rteas< w..L - worK ��5« p.3 ON- �� _ .� Reasons for } our interest in this particular committee 0��1�jy��j ,,/ / � // � / ��J .L/9/,�/.Ujy�,r _I_.!!1Y1d/NL� CX7I/JJl.�� a��. �//�� RYI/A///ln n...�w/�/) //.. _ . . �./ Have you had previous contact wiih the commitiee for which you are making application7. If so, when, and under what circumstanees? In an attempt to ensure that commiftee representa[ion reflects the makeup of our community, piease check [he box applicabie to you. This in:ormation is strictly voluntary. � White (Caucasian} � Hispanic f�jBlack (African-American} ❑ Asian or Pacific Is]ander I�� American Indian or Alaskan Eskimo � Male Female� Date of birth Disabled: � Yes No� If special accommodati ns are needed, please specify How did you hear about�his opening? 2of2 � _ worK c[her oy-��7 Application for Committee, Board, or Commission Please return to NIark Engebretson 'Mayor's Office, Room 390 City Hall 15 West Kellogg B1vd., Saint Paul, MN 55102 Phone:651-266-8�33 Fax:651-266-8513 Tte Minnesota Government Dacz Practices Ac[ (Minnesota Statutes Cha�ter 73) governs the Ci:y's use of the in.`ormation conta3ned in tni5 appiitation. Some of tbe informa:ioa soughc ic tiis applicatioa iS nrivate da[a unde: tke Act. Thc reques:ed information will be nsed by the anpoia[ing authori:y .o ex:ry oct ehe City's ofiicial apoointme�t responsibili[ies. You are not required to provide any information. However, :ailurc to answer the apolicacion questions may cause the appointing acthority to reject your apnlicztioa. The majo:i:y oi items contained in chis appllcac�on ace public, includiag name, address, employment, skills, LTaiaing and ezperie�ce, acd are tSerefore available to anyone :equesting iL The remainiog items on the zpplication form are classified as priva[e. The private data is availa6le only to you znd to other persons in the City who, because o: work assigr.mcats, reasoazbly require access to the information. Name �;.� t� E� �—t \ C Home address Telephones� PI<ase indude Area � E-mail address �� .��.,�.a av� i` ^ SKCCI kA ,.[ 1 � — � Z �_ � Planning District Council Preferred mailing address � Occupation � Place of employme t �� Employment address .` Committee(s) applied for ` , `r. fPr�� C1[y' 22�"'IF;'C) 5 2� _'7S City Council Ward � . �.�+ST «�« � �' Fc� (:�.i > lrtsn4 � � ��U � �� }u;�� e � 4 s � i7 J. S � R� ��,;, h9L- 7 � �h�� i27�} � 1 /U ) page 1 of2 \ What skiils/training or experience do you possess for the committee(s) for which you seek annointment? /� oy- �� Personal References Name l�£v;tC—f �� Y i�'� � Address S�t ( N -�`?� (Q,,,"Z Telephones � � � `� Z� �?�"� Pleaseinclude qr Codes home Name lr� c. �� `�E � £ work una� �51� 7 other P_ddress 2�1'3'� /a��.c�a 1na« (�:�oo��..2✓ SSlZ� Telephones �j � •ZZy- 963 / Please include Area Codes home work oxher Name Address Te!ephones Please include Area Codes home your int in KRO4 �y�/ c,.., w � work particular comm ttee �^--�, c�-c� r.'ll �� other �w /lD�n.... Have you had pzevious contact with the committee for which you are making application? If so, when, and under what circumstances? In an attempt to ensure that commiftee representation re'flects the makeup o_f our community, please check the box applicable to you. This information is stiictly voluntary. White (Caucasian) � Hispanic �Black (African-American) � Asian er Pacific Is!ander � A�e*ican Iadian or Alaskan Eskimo �ale Female � Disabled: � Yes No �� If special accommodations are needed, please sgecify Date of birth ��j 3�j How did you hear about this opening? �'��„� � page 2 of 2 �llN-24-2003 82:02 PM MARY HALL 651 222 2412 P.�Z D y- �� 1 Applicatlon for Gommlttee, Board, or Commisslon Please return to Mark Engebretson Mayore Offfce, Room 390 City Hall 15 Weat Kellogg Bivd., Saint Paul, MN 55102 Phone:651-226-8533 Fax:651-268-8513 The Minnasofa Oovernment Data Practices Act (Minneaota Statutes Chapter 13) governs the City's use of the InformaUon contalned In this applicetlon. Soms of the informadon eought in thls appiicailon Is prlvate data under the Act The roquaatad InformaUon will ba uaed by the appoinGnp authority to carry aut the City'a of�cial appolntment reaponaibilities. You are not requlred co provlde any inform�tlon. However, failure to answer the applicatlon questions may ceuse the eppointing authorlty t0 reJed your eppllcatlon. The maJorlty of itema contained In thle applicaBon are public, including name, address, employment, akltis, training and experlence, end are therefore availmble to anyone reque�ting It. The rmmelning items on the applicatlon form are classlfled as private. The private data ia aveilable only to you and to othet peraona in the Clty, who, becIDUSa of wosk aaslgnments, sassonab{y requlse accsss to the informat�on. Name Sy�Ivla . Herndon Home Address 4361 Orion Lane Eagan MN 55123 atreet cRy atate zlp Telephones 851-452-8385 651-280-8807 851-227-9914 Pleae� Include Area Coden home work fax E-mail address aherndonC&ccspm.ors� Planning Oletrict Council City Council Ward Preferred maliing address 438 Maln Street Salnt Paul MN 551 6 etfeet Clty etete zlp Occupation Administretor , Place of employment Cathollc Gharities of he Archdl cese of Sai[at Paul arLd Minneaqolis Employment address 438 Maln treet Safnt Pau! MN 55102 _ Commlttee(s) applled for St. Paul/Ramaey Countv Homeleas Advisory Board What skilis/treining or experience do you possesa for the committee(s) for which you see appointment? :FIiiT-L�liit i � : • • b �•�7fifR3�1C�3T . : • • • : �, : � : • IC�L�I�T�-T$3L- -�� : = : • : • , . • < = i = 1 i• 1 '.Il= • •a a •• : • 1' =11= • •• ': • �: .: • �• _ : •.• • �a:_ • •• :;11' ! •• /'.� ■i : • • �• • � • •• : 1' •' ��' ' • �: • _ _ �� 1 •c.: • • _ •�.� • : �• ' •• : � : �il:l ; ��: • _ • • •• : .Il • :� : � • : c.l• �'l!• �. l• � _ ;�• • • � •• ill • : 1� a 6.1• �• �a •• • �: _ • • s.: • �c � • • • i.11 •:: ,-;�• • :• _ ��:, • •�. • •a{- • • �a •:� �• ' •• ::11 � � %1 =11• • '/= • � 1• '! - •: 1 �� . 1 - 1 �. =1• 1 • • •a; . � ?.11 • 1- 1�1 •_•• . :11 . • ' •� 1-:Ia� • : ��. • :• _ • r • • ':11 .1 ! ' 1• '1• ?��t • �• .�� •�: •1. :11 �1- '-H �.l! � - 1• • �• �:. � =, 1• : • . . � :'.�� •:�: • JUN-24-2005 02;0a PM MRRY HqLL 651 222 2412 P_05 Personal Referencea Oy" g�� Nama Allison Boisvert (Senior Director) Address,200 nd Avenue South h"Inneaoolis MN 55403 Telsphones 812-871-1533 Please indude Aree Codso home Name MaN Ell n alker tAdministrative Asaist�ntl Address B St t S' Pa MN 102 Telephones Pleaoe Include Area Codes Name Gerrv Lauer ( aint P ul Ho sina Directo 1 - Addresa �38 b^ain Straet Saint Paul MN 55102 Telephones 651 844 5001 651- 90-6805 851- 27-9914 Pieaee Inciude Aree Codes home work fax Reasons for your interest in thls parGcular committee I would like to have the o�portunitv to hav� an imt�ect o the decision makinsa for the homeless in the amaev Coun / Sal t Paul area on a larqgr scope I wo�ld al o�a.pareciate he opcartuni ta w rk with4ther aaen ies and �ool our rg�ources to betters s rve th homsless - — Have you had prevlous contact wlth the committee for which you are making application? tf so, when, and under what circumstences? �q it I�m underst ndin� that this is a new committe — In an attempt to ensure that committee repreaentatlon reflects the makeup of our community, piease check the box applicable to you. Thl� information is sVtctly voluntary. � White (Caucasian) � Hfspanic ■ Black (Afrlcan-American) � Asian or Pacific Islander � Amer{can lndian of Alaskan Eakimo � Male ■ Female Date of biRh 7-21-49 Disabled � Yes No ■ If special accommodations are needed, please specify How did you hear about tfiis opening? Steve Rlce page 2 of 2 08�1J�2004 10:4J Fe1% 651 982 4511 CUB FOODS �001 Ol�� Applicatian for Committee, Board, or Commission Please return to Mark Engebrctson Mayor's Of�ce, Room 390 City Iiall 15 West ICellogg B1vd., Saint Paui, MN 55102 Phone:651-266-8533 Fax:651-266-8513 TLc Minaesoca Goverameat Data Pcaclices Ac[ (MinneSOta ScstL[es Chs �er 1 i ieFonpatioa eon[ained in tbis applica[ion. Some of the iafocmation sough[ in this app] cauoo 5 ste data uoder che ace. Th<rcquesaed infocma�ion will bc used by �h� apnoincing auchoriry co carry out thc Ciry'; offieisl appoincmenc respoesibili�ies. You arc no[ rcq�ired [o provid< any informatjoa. Howevet. £nilure to unswcr tye applieatioa questions may eause the appointirtg auchOCicy �o rejtU yous application, TLe majociry oFitcros con[ained in [his sppl(�a�ion sre public, iaeluding aame, addres3, employmtn[, skilis, [rainipg �od experieneq snd are cherefore ovailsble oo ¢nyonc rcquesting i[. Thc rcrosining i[ems on the �pplication Carm sce claxsified as priva[e. T6e Drivgte dats is available onty ro you and [o o[her personi in c6c Ci[y wpo, becauye of work assignmcn�s, reosonably rcquire access �o efie informa�ion. Name ��'}�., 1 I.A�c Home address `Tq Telephoaes ��- �b�-�{�S� fles.c�jpeludeAr�a oUe• E-mail address ��,ri}��._1 Pianaing Distzict Councii Preferred mailing address ��j Occupation Place of employment Employment address Committee(s) applied for 1 Ciry Council Ward �' • LN N �'et� L�Y�, nno�l �ZS ! I�G S.. �'torne1cbS� ,bl�c �ools f�,� w 5t r � � G� af 5-k F�,a,9 �vv_ v 1 y�IT�iKSJ �5`YUL�d1lS Iri tI�E Q5� � st�--ee�" bas�ccl �llabora �vrrh x�.1 ar�l �lome�� abusL she ►1t�rs ih r�� S� LN N Ln ke M N ?�62 � � b5 t- b32-3� � -d�na�p" � �,�nU am CESm � Ew�(e 0. �3 f� '� U.hl� i"Ey " -1 educah 1 ri�H -'t� m soual OP MN Nz''t'bcX' �: page 1 of2 SPi�U-t ; st • F2',a� I� ca Cqx.h t ov, -fzr— - +i�e Na�nc1ns s ISA��►G� :�la�v+0. I�SSockt-ha• fi-a�' ��ducut�on oP ti�xnc.'�S G��ldlra� � �o�th � What skills/training or experience do you possess for the committee(s) for which you seek appointmeat? o8ila!20U4 10:45 FAb 651 982 4511 CUB FOODS �001 Dy- S�� Fersonal References Name �1 5fi� Sauver Address �p (olborne �}' �• ��,� N1� �jJ��2 Telephones (tf �—� "Z�vb1 �O�l'��'�i3� PleaseinclodtAreeCodez home mo�k o�hcc Name � lAlY1�f10�Yl�lt � Address �bz.j � xA'�C�Q�10. �JC�'�)(G �vd �0��'� �JSa.I� `� � �s�''�i,iA.� M1V Telephones (OJ��' Z12 • a�,$ �OSf� Zq3 •SqZ3 �� PleaseinetudcwreaCoCcs home Work ochar Name �,� TMN.GC,L Address ��_�U.��G�" 5 cSfi- T0.w1 �1t�1 �cj �6.5 Telephones (f �- q��1 - g��s �051- (�3 �uqb� Plcase ipcludc Atea Codcs bom: work ochcr Reasons for your interest ia this particular committee My wae. ceRte�s Glr0U,11d ..---,.. _ 1,-._.__,.�a�� I_,1,1a., ...,,a .,..,.�-1„ .., � �F.�-!.� nf 5c,�nt an a lariterSCale. Have you had previous contact with the committee for which you are making application? If so, when, and under what circumstances? Tn an attempt to ensure that committee representation reflects the makeup of our community, please check the box applicable to you. This information is strictly voluntary. � White (Caucasian) � $ispanic �Black (African-American) T � Asian or Pacific Tslandet � American Indian or Alaskan Eskimo � Male Fcmale� Date of birth `l • g•�0} Aisabled: a Yes No � If special accommodations aLe needed, please specify How did you hear about chis opening? �q��5} -Fy�y� �1[ comm � �'CG '�O havc, 5a �n t"Pau.l Pu,�A l�� 5 ch o01 s a.p �y r page 2 of 2 07/12/2004 04:00 6127219903 CSH MN PaGE 02 {/ 7 I � Application for Committee, Board, or Commission piease return to Mark Engebretson IvZayor's Offioe, Room 390 City �all 15 W est Keltogg Blvd., Saiat Pau1, MN 55102 Phone:651-266-8533 Fax:651-26b-8513 The Minntsota Go�crnmcnt Uala Pncticcs Aet (Minnceota St+tu[cs Chepter 13J go�cens �hc Ciiy's usc ef thc ioformalion eancaincd io Lhis applioa[ioa. Somc of the inCocmaiion sough� fn �his aOP��x��on ia priva�e da[a under lhe Aei, The requtsted in�o*ms[ion will be ustd by [he ap➢ointing authonty co ea[ry out �he City'e oftioial aypoinemen� « sponaibi]itie9. Ynu arc not rcquittd to ptovide anY �nformation. However, failutt w anawei Ihe ayplication quefriane msy cavse the appoincine narhoriey ta acjcet your application. The majority of i�ems wntained in this aDplication Are po6��c, intlud�ng nome. addresx, empl0ymene, vkills, iraining snd o:perienoe, and ere the*efore available to �nyonc rcqucnung it. The �cmaining i[<ms o� thc appli<ation form are classi[ied xs privaec Th: privste data is nvailablc onty to you nnd to o�hcr persona in the C�ty who, becaute of work assignmenu, rceaonsbly roquire seccea to the �aforin3[ion. Name Home address Tcicphones �l�-�a9-anQ (�.�-�,��-3�� 1�.�—,�til�:?d� PI(9pt 1�1tlRAG At<R COYCtl rt mc �-mail address �, rr,c mnt�on �_�c h c�9��' Pl�nning Dist�ict Council cicy council wara Prefcrrcd mailing address Occupation Place of employ Fmploymcnt address Committcc(s) flpplied for What skillsJtrai»ing or cxperience do you possess £or the committce(s) for which you seek appointment? 5��ha� 7 pagc 1 of2 07/12/2004 04:00 6127219903 CSH MN PAGE 03 a�- �� personall2eferences Namc Address Telephoi Piexecio<...�,�...�.��...- .._..._ Name Addre Telcp Plcae� .�.�..... ....o .,...., Name_�� .e �1�� Address _�'`"'1 �Y11JflSrl� �,�1Q �,k �GnJ� Y�7�1 .��_ �T __"�� Telephones ��— ��a�"' ��L{(� Pleese Includo ArCn C�dev home work o[h<r Reasoas for your interest in this particular committee I-Iavc you had previous contact with the committee for which you are making application? If so, when, and undex what eircumstances? In an attempt to ensure that committee represencation re£lects the makeup of our community, please check the box applicable to you. This informatlon is strictly volumtary. �White (Caucasian) � Hispanic �Black (African-American) � Asian or Pacific tslander � Amerioan Indian or Alaskan Eskimo �iVlale Female � Date of birth �a,�_ Disabled: � Yes No� If special accominodatians arc nceded, please specify� How did you hear about this opcning? ��, S}� ; ��pT�� J" pagc 2 of 2 � � •� Application for Committee, Board, or Commission Please return to Mark Engebretson Mayor's Office, Room 390 City Hall R�r�t`.�c� 15 West Kellogg Blvd., Saint Paul, MN 55102 FE9 �� 2003 Phone:651-266-8533 Fax:651-266-8513 The Minnesota Government Data Practices Act (Ninnesota Statutes Chapter 13) �overns the C�ty's u{��f,`I�� J�,� �j_ informa[ion contained in [his apphcation. Some of the information sought in this application is priea'2' ata un`der t e AcL The requested information wiil be used by ehe appointine auchoricy ro carry out the City's of(icial appointment responsibilities. You are not required to provide any information. However, failure [o answer th: appl[cation questions may cause the appointin� authority [o reject your application The majority of items contained �n this application are public, includin� name. address, employment, skills, trainine and experience, and are there(ore a��a�lable to anyone requesting it. The remaini�� items on the apptica[ion form are classified as private. 7he pn�ate data �s available on(y to you and to othe�on� in the C�whA, because of work assienments, reasonably require aceess [o the information. Name Home Telep Please E-mai Planning District Council �� 1��/� �-�� y hnr i Cit Council Ward 7i Preferred mailing address /� d� � l'��lt� � C �� %�� 3� �/�! j�� p1/j �}d%GS:iz �' �ee� q /, n ��Y � / s[a[e ��v j5�10% Occupation �N ��i«,Yrn/,'r �//.. �5�`..L��/I�i i/,' Place of employment Employment address � � Committee(s) applied for page l of2 What skills/training or experience do you possess for the committee(s) for which you seek appointment? Oy- �� 7 Perso - - - Name Addre telephones l �p%Q.�! �tf- Please inctude Area Codes home � work o[her Name Address /��;.� Telephones � �7 ' 7J1 —� � f�f ��G�c; �/�� 5 ��c_� Please inciude Area Codes home work othec Name � �/ar1'? �.c /p, �ni+ , Address � Tl„n S �)�`�/` �Lw . -. . � ./. �/..-- E_° � � v Ptease indude Area Codes home work other �fl Reasons fo/ your interest in this particular committee ��f.�j�'/ �� Have you had previous contact with the committee for which you are making application? If so, when, and under what circumstances? � White (Caucasian) � Hispanic �Black (African-American) � Asian or Pacific Islander � American Indian or Alaskan Eskimo � Male Female � Date of birth � � Disabled: � Yes No� If special accommodations are needed, please specify How did you hear about this opening? page 2 of 2 In an attempt to ensure that committee representation reflects the makeup of our community, please check the box applicable to you. This information is strictly voluntary. oy- 8'�� Appiication for Committee, Board, or Commission Please return to Nlark Engebretson 'Mayor's Office, Room 390 City Hall 15 West Kellogg Blvd., Saint Paul, MN SS102 Phone:651-266-8533 Fax:651-266-8513 The Minaesota Gove:nment Da[a Practice5 Acc (Minnesota Statu[es Chap;er li) governs :he City's use of :he ie:ormxtioa conuined in this application. Some of the infor�acion sougb[ in c3is applicaxion is p:ivate data ueder t6e Act The reques[ed inforoatioa will be used by .6e appointing authori.y to car.y out the City's ofticial appointmeot responsibili[ies. You are no: required [o provide any mfo*mation. Aowever, failure to answei the appi:cation quesrioas may cause the appoin:ing authority to reject your app:itation. The eiajority of items eontained in this application att public, iocludmg nase, address, employmen[, skills, traimng aed ezperience, aod are thereiore a�'a�lable to aoyone requesting i[. The rema:nin� itens on the application form are classified as private. 2he private data is available only to you xnd to other persons ia the C�[y whq because of work assignmencs, reasonaSly require access [o the information. IQame �n<o�.,,,.,�.',. 17�,.__ n... ._ . Home address 7�/t L(nwecd �ve S�" % ati 1 NlN SS/05 o t mry stzoe z�p Telephones �[�,J-r�� 222_3n7� ((�5/) 22�-�r'-c)�j /(SI) 2Z'�5'S83 PleaseincludeA !C d h work Fax E-mailaddress r��i-�-�h�na h U p� VA{��0 COrY1 Planning District Council f�, ,` 1-�(]� City Council Ward Z Preferred mailing address Z/� nf i�� s� W�St- �/�aG4/ /�/t/J S�-r/ 0 Z Sft I mry staee z�p Occupation L7t�1�eCt01� �.� j��„-h'�.,,,o �how.,. c/�,.__._ i_ n_ ,_ r ii_ Placeofemployment ��"e�i'pcj r/OttSe pf �t' PQ�ti� Ly�G Employment address 2/� �f i'y�� ..h.�Q�- �est S �/lN �'j�l� z Committee(s) applied for StP.,,.l �l?��...�,,,, /�.,..._.i-. , ds�, �._.,.. 1t_ __ i r_ . IL __ _� What Skills/training or experience do you possess for the committee(s) for which you seek appointment? s t¢r ��2ni`nn f�tlsr �' •�yeti✓5 Pl�1DR �l1`�C✓ Dr� col5zn(cr5 4h�. r 4�5 S-I2rd2�,{s , _ �� i�GlYtct paf'n°I VYlem,�7eF' C�� af"t�Cit4� fSYeA I,ECC�i .7"�3'' �C[P55 Qn� �G�.I'vi5eu I:FJItYT}�/ C��n.�Yl�il4Y1'1 flr C�LLYf �/mn'Ii�� 1 Cer�-�b�'nec� ��°c�Fe�s�E�-�.( -�x�eP��i�o�a in 5��-t tf�e�-�eF�— �nyeavs oN- 8�7 Personal References Name (�eY. .TChn d�'�G��ori2 �Pasf['�'� / ��h�ic'c�l Address 5� r�'Q,t 5everrl Stv'ee� �l� ! ac� t, M�i. 55JD Z Telephones �6�1> 2z� 753(, ��-�Cy.ne� Please iaclude Area Codes home work othe: Name Address l� 9 � Li neeln �e St Paul iVtnl. 55�r5 Telephones ((� �Cl�, {2e�-E. Please include Area Codes home � work other Name Address )b7 Z M nt. S5/D Telephones ��5�� 2Z�-_ SC�,�j Please include Area Codes home work other Reasons for your interest in this particular committee�p��t - ff� is ��Z�•y�t� {�+ brcv�'c�P a�e�liccl,sv2�,✓P �f-Fovl� fc Ye✓�'etiv �cn�( GtCfLfvess �fie vieecEs FF lew^-i'ncFrnv nPr�1e in �`hP 5t P��2G a��ea 7he Ci1vr°ent -eC�namy- l�at��inal(v �' leca/��- /�nalZeS �r'rn�na d CCm��rehert>`/�e Ce�mm Yno✓ e ne�e�ar � - evev be ' Have you had previous contact with the committee for which you are making application? If so, when, and under what circumstances? L��vv �cmm�� In an attempt to ensure that committee representation reflects the ma$eup of our community, please check the box applicable to you. This information is strictly voluntary. � White (Caucasian) � fiispanic �Black (African-American) � Asian or Pacific Islander � American Indian or Alaskan Eskimo �Male Female� Dateofbirth D$-�-.�� Disabled: � Yes No � If special accommodations are needed, please specify How did you hear about this opening? M �'d� �Y1G�q� yy�Qn�' GYl 5�'t2�f"2V� �t£L(Si��q �G�Y� ste Sn�w'� J �l1�iV page 2 of 2 oy- �8? Application for Committee, Board, or Commission Please return to Mark Engebretson Mayor's Office, Room 390 Ciry Hall 15 West Kellogg Blvd., Saint Paul, MN 55102 Phone:651-266-8533 Fax:651-266-8513 Thc Minncso[a Govcrnmcn[ Da[a Practiccs Ac[ (Mmncso[a Statu[es Chaptcr 13) govcrns [hc City's usc of [he mformation con[ained in [h�s application. Some of the ioformation sought in [his appficanon is pnva�e da[a under the Act Thc requestcd fnforma[ion u'ill bc uscd by thc appoin[in� autlionty to carry out thc City's official appointmen� responsibilities. You are not rcqu�red [o provide any information. However, failure to answer [6t appf�cation quzs[ions may cause thz appointing authority to rejcet your applica[ion. The majonty of items contained in this applicanon are pubf�c, includ�ng name, address, employment, skills, [raining and expertence, and aro [hereforc avaifable [o anyoue reques[ing iL The remain�ng items on the appliwtion form aro ctassified as p��[e. The pnvate data is available only [o you and to o[hzr pzrsons in the City who, because of work assignmen[s, reasonably roquire access [o the information. Name Thomas J. Triplett Home address 112 Western Av N SC. Paul, MN 55102 ` strcet ney s[ace np Telephones 651-222-0239 651-266-8530 PleaseincludeArcaCodes home work fev E-mailaddress tom.triplett@ci.stpaul.mn.us Planning District Council $ Preferred mailing address Occupation Place of employment Employment address City Council Ward 1 390 City Hall, St. Paul, MN 55102 SLfCCI Attorney Mayor's office 390 City Hall Committee(s) applied for_ Ramsey County/City of Saint Paul Homeless Advmsorv Board What skills/training or experience do you possess for the committee(s) for which you seek appointment? _ I have a long-standinR interest in this issue I have varticipated in a number of charitable activities related to this matter and have been mentor�ng a young man who has been homeless for part of his life. With my business and city government contacts, I believe I can help make a difference in the lives of the homeless page 1 of2 o�- �� Personal References Name Larry Dowell President St Pau7 Area Chamber of ('o maro Address 409�I��Bber��SE, SE�••••-av.�r-��8-� Telephones _�1-265-4000EwA�� Please include Area Codes home work o[her Name �Alan Spillers, Director of Development Address Cathed��o�St �aa� Telephones Please include Area Codes home work other Name Rob Eller Isaac, Co—pastor Address Unitv Unitarian Chimrh Portland and Milrnn Ava� Sr Pa 1 Telephones Please include Area Codes home work other Reasons for your inteTest in this particulax committee Desire Co helv the homeless with�ermanent aolnt;onc to their ind;cidual �r.r�as _ Have you had previous contact with the committee for which you are making application? If so, when, and under what circumstances? _ No, other than a request by the mayor to consider appl ing for ln an attempt to ensure that committee representation reflects the makeup of our community, please check the box applicab(e to you. This information is strictly voluntary. � White (Caucasian) � Hispanic �Black (African-American) � Asian or Pacific Islander � American Indian or Alaskan Eskimo � Male Female � Date of birth 4/�9/47 Disabled: � Yes No � If special accommodations are needed, please specify How did you hear about this opening? from page 2 of 2 08/04/2004 13:47 6512653850 SPPD OPERATIONS DZVI PAGE 01 oy St � Application for Committee, Board, or Commission Please return to Mark Engebretsou Mayor's Office, Room 390 City Hail 15 West Kellogg Blvd., Saint Paul, MN 55102 Phone:651-266-8533 Fax:651-266-3513 The Minaesota Go�ernment Deta Psscticca pct (Mianesou StatoSes CSapter i3J go� thc City's uee of ih< information contained ia tbis spplica[ion. Some oEtLe infotmatiaa sovght ia this applicaiion is pcivete dsta under thc Act. The requected iaformanon+�il! bc uxcd by �ht appointing acthotity to ca[iy out the City's off�cial appointm<nt responsibilisics. You a:c not rcquiccd co yxovide any informalioa. Aowevet, failu:e to enswer the application quenions may cause th< appointing authoxity to reject your applics�ion. The majo[ity otitcros coataincd m this applieation ste yublic, iacluding name, addcc55, cmploymcnt, akills, training aad ezperiencc. and are iherefore availaple �o anyone rcqu<ating it. Tbe remaiaing itcros on the appliwtion fotm yre elesaified aa privatc. Thc pzivate dau is available only 7u you aad to othar percoaa in the City bccause of aork ass:gnments, teasonably require >cceas [o [he iaformst�on. Namo �hn Y(1//7A-$�T�jG / � Flomeaddress 3�33 L,(Ll7ffinT l�/LdE_ �DD�/�..Dv Md� r"c.• ��r � n�w aiP Telephones 51- �l�s- o SY7 bs�-zbb �. plaun<InelaAeArmCedo MOb,��. dak fez — E-mail address �pl�n VOihGSfG1C c� C r $�.Qr..� • Mu. _._.___—`��-__ _ . _ , _ _..__...�. _._,._ Plannin� District Council City Council Ward Freferred mailing addrass 3�c / � pv-L ��.. �j• ��( M x) Occupation f'O i�G � Place of employment � bmployment address -36 Committee(s) applied for i CCC.. {' S� . -P�,K n S+ . S ,_ SSio �„—, � page 1 of2 What skills(training or experience do youpossess for the committee(s) �or which you seek appointment7 08/04/2004 13:47 6512653850 SPPD OPERATIONS DIVI Personal References Name �vyy� �4.�� Address PAGE 02 oy• ��7 Telephones ''S —/� 3 / Plcas<ioclndeAnaCodev homc � �ork r other Nsme_ Address 'IeleQhones Pltaet Ipoludc Arca Codes home Name Address Telephones Plceet include Arca CoAes home � �G`_ wo[k wo�k Reasons for your interest in this particular committee ...,. F.�1-.� Have you had previous contact with the committee for which you are making application? If so, when, and under what circumstances? in an attempt to ensnze that co�nmittee representation reflects the makeup of our community, please check the box applicable to you. This information is strictly voluntary. '�33rhite (Caucasian) �Hispanic �Black (African-American) � Asian or Pacific Islandez � American Iadian or Alaskan Eskimo � Male Female � Date of birth Disabled: � Yes No �-- If special accommodations are needed, piease specify How did you hear about this opening'? ocher oth cr page 2 of 2 Appiication for Committee, Board, or Commission Please return to Niark En�ebretson 'Mayor's Office, Room 390 City Hall 15 West Keliogg Bivd., Saint Paul, MN 55102 Phone:651-266-8�33 Fax:651-266-8513 o��8g"1� -:-- •! �� i ; `t Zu�3 The bSi¢nesota Gove:nment Data Practices Acc (y[innesota Statu.es Chan.er 13) governs tlte Ci!y's use of the informztion contained in this application. Some of the informa:ion sought in t¢�s application ts prtvate datz ucder the AcL TLe requesceC information wiLl be used by the appointing auchority to carry out the Ci[y's oli:cial appointmeot zesponsibili[ies. You a;e eo[ required to p:ovide any i¢formation. However, failuro to answer [fie a�nlication qucscions may cause Che appointing authority to reject your application. TLe majority o{items contained:n [his applicat�o¢ are publie, including aase, addYtss, employment, skills, traiaing ar.d experience, and are therefore zvailable to anyooe requesting iL The remaining items on the application form are classified as priva�e. T6e private data is available only to you aod to o[her persons ia the City who, because of work assign�gents, teasonably require access to the information. Name �c,}Ri��i �-��,.� I ),.�-, Home address Telephones E-mail address fiic� �/�%LICI�...�� Vi �J � street S 6s"5� nome .�.•Q� zy � � u�f. c�M � Planning District Council �J ��, � � -� r.� -�r Preferred mailing address Occupation �3 z�p c,,�coot (� oco Ic .�..o�vea4lz�.•o�-Y J City Council Ward�_ Place of employment pEop�E �NCe�ta z tLp J Employment address 31� �£ S� � � SSIO� Committee(s) applied for �'.� �'�„+ ��.,�� (� ...,�.. I�,,.,,(«. /I �_'. _ . i?_ _ ! ,st,..�., s4�./� c_�RfE�ti la ".� �n�r MrJ �sso�:�.-I page 1 of 2 Y(e,.r�( ��c,�l-�, ��:�h<tis, r�� ;+ p<� i, r, N '; What skills/training or experience do you possess for the committee(s) for which you seek appointment? -to.r�L �s��_��. M� sf� - ��,F��'� �a�,�5 i��", A s +' M is rf�� I4`�9 - 2cti�ck c� n �� I � I�c rr� e} Tj�r �c � c �-I � �cssr ss � d�v / ��- £�C � 2 s I�l / 3 F /�1 G< �%] ,C �n , SPFc I' �� 1' f oy- $�C1 Personal References 1�Tame G�� 4,� Address �p [- [•xc`+trc: S+'. Telephones �S�- �15- L� Please include Atea Codes home Name Y �.n ��erti�Jli �oo work other E�CI(LLESS _ vF �=C�'.c4� 1.�2 - �aC VT�'L4n�S �Ri./' 1�h�$ �1J �ST��. i � Telephones ��Z- �?S- ;�060 ex� ��.� Please include Area Codes home work other Name C Address �j,�, la�a:.l.<..,� ��s� - 3`�bR ��_r�� A�c t�L• ;4L SSS �F�r �F� SS'�� Telephones �6�-:rR� �j,/-3 �r�,� � c�+�.,sl Please inelude Area Codes home work � � other Reasons for our interest in this articulaz committee ` Y P ON9-S�u��,.,� �.1"�CMCC� i�+ n r . Have you had previous contact with the committee for which you are making application? If so, when, and under what circumstances? In an attempt to ensure that committee representation reflects the makeup of our community, please check the box applicable to you. This information is strictly voluntary. � White (Caucasian) � Hispanic �Black (African-American) G1 Asian or Pacific Islander � American Indian or Alaskan Eskimo —�---- �Male Female � Date of birth �j�- L-'�� Disabled: � Yes No � If special accommodations are needed, please specify How did you hear about this opening?' �'r r�� ; (1 � ( �c � t;r-� - For- ��+F on2 £SS ,.� Z �iC`J` I�ICC l.i�t �i l� � � �T O i k�� page 2 of 2