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<br />CASS COUNTY GOVERNMENT <br />APPLICATION FOR BOARDS AND COMMISSIONS <br /> <br />Board of Commission for which you are applying: <br />Cass County School Reorganization Committee <br /> <br />YOUR NAME (Last, First, Middle) County Legislative District Number <br />Moen, Randall William Cass 20 <br />Mailing Address City State Zip Code <br />PO Box 142 1468 157th Ave SE Hunter ND 58048 <br />Your Occupation - Title (Owner) Business Phone Number Residence Phone Number <br />Agency Manager (Insurance) 701-874-2161 701-874-2296 <br /> <br />Employer Name <br />Hunter Insurance Agency, Inc <br />Employer Address City State Zip Code <br />PO Box 268 109 Main St Hunter ND 58048 <br /> <br />EDUCATION AND GENERAL QUALIFICATIONS <br /> <br />LEVEL NAME OF SCHOOL LOCATION No. Years Did You Major Course(s) <br /> Attended Graduate? of Studv <br />High School Dakota High School Arthur, ND 4 Yes <br />College 3 years Univesity of ND Grand Forks <br /> 3 No Business <br />Trade/Business/Correspondence <br /> <br />Memberships in Organizations Dakota School Board 1990-1997(then reorganized to Northern <br />and Offices Held Cass) <br />Indicate Dates Held Northern Cass School Board 1997 to Present <br />Volunteer Activities Hunter Ambulance Service 1988 to present (Treasurer) <br />Indicate if Past or Present Hunter Fire Dept 1986 to present <br />Hunter Community CLub <br /> Northern Cass Summer Rec Board 1998 to present(President) <br />Your Special Skills and I was a board member when Dakota and Cass Valley North <br />Qualifications <br /> reorganized into what is now Northern Cass School of rural Hunte <br /> I have experience in the process and believe I know what these <br /> patrons are going through. With declining enrollment it may be <br /> <br /> <br />ear <br /> <br />Years <br />A uainted <br /> <br />Ole Aarsvold (State <br /> <br />RR 2, Box 12 <br /> <br /> <br /> <br />701-488-2290 <br /> <br />30 <br />35 <br /> <br />Edward Ewertz <br /> <br />PO Box 281 ~~B48r, ND 701-874-2161 <br />15 Ninth St S <br /> <br />Daylen Ramstad <br /> <br /> <br />701-235-7501 <br /> <br />45 <br /> <br />I certify that the facts contained in this application are true and correct to the best of my knowledge. I authorize investigation of all statements contained <br />herein and the references listed above to give you any and all information concerning my qualifications and any pertinent information they may have, <br />personal or otherwise, and release all parties from all liability for any damages thM result from furnishing {~ rme to you. <br /> <br />RETURNCOMPLETEO FORM TO: SIGNATURE ""-"'-........ ~ ~_M ~ <br />Cass County Commission Q \.l. ",-- "- <br />PO Box 2806 DATE...D. - ,;} "\ \.) ..:> <br />Fargo NO 58108-2806 <br /> <br />(Please attach a copy of your resume') <br />