Advisory Committee Application

For more information on the purpose and expectations on these committees, please visit the METRO Blue Line Extension Community Advisory Committee and Business Advisory Committee webpages.

Please hold your calendars for Monday, Jan 11 at 7 p.m. Applicants MAY have the option to appear before the City Council on this date. Look for an email with additional information on Tuesday, January 5.

Name*
First Last
Email*
Address*
Street Address Address Line 2 City State ZIP Code
Phone (best)*
Phone (alternative)
For which committee are you applying?*
- METRO Blue Line Community Advisory Committee (must live in Brooklyn Park)
- METRO Blue Line Business Advisory Committee (must represent a business located in Brooklyn Park)
Are you applying as a business or nonprofit representative?*
- Business
- Nonprofit
Name of business or nonprofit*
Why are you interested in serving on this METRO Blue Line advisory committee?*
What skills or experiences would you contribute to the committee?*
Tell us about any relevant community or work experience that relates to this committee.*
Are you an active transit user?*
- Yes
- No
Race (optional)
Gender (optional)
Tennessen warning*
Minnesota law requires that you be informed of the purpose and intended use of the information you provide to the City of Brooklyn Park during the application process (MS 13.04) By submitting an application you acknowledge that your name, city of residence, education, training, employment history, volunteer work, awards and honors, prior government service, and veterans status become public information and must be released to a member of the public upon request (MS 13.601). If you are chosen for the advisory committee, your residential address and either a telephone number or an email where you can be reached (your choice) will also become accessible to the public. 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 to a city commission. You may not be considered as an applicant if you fail to provide the public information requested on this application. Agreement To the best of my knowledge, the information included in this application is accurate and true. I authorize investigation of all statement contained in this application for appointment as may be necessary to arrive at an appointment decision.
- Agree
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