Planning Commission Application
City of Jordan
210 1
st
Street East
Jordan, MN 55352
1. NAME___________________________________________ DATE___________
2. PHONE____________________ EMAIL________________________________
HOME ADDRESS__________________________________________________
3. JORDAN RESIDENT (how many years)_________________________________
4. EDUCATION______________________________________________________
__________________________________________________________________
5. EMPLOYMENT (firm and profession/occupation)
__________________________________________________________________
__________________________________________________________________
6. CIVIC, PROFESSIONAL, COMMUNITY ACTIVITIES. Please list past and present
civic activities and/or organizational memberships, particularly those that may be relevant to the
appointment you are seeking.
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
7. PREVIOUS PUBLIC EXPERIENCE (appointive or elective)
__________________________________________________________________
__________________________________________________________________
8. Please describe your understanding of the responsibilities of the Board,
Commission or Committee that you are applying for and your special background,
strengths, or abilities you would bring to a board or commission.
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________