The data supplied on this form will be used to process your application for the Bloomington Leadership Program. Per Minnesota Statutes, some of the requested data may be private. It is available to you, as well as the City of Bloomington staff and volunteers who need this information to perform their duties. Private data is not available to the public. Data may be shared as required by law. You are not legally required to provide this data, but without it the City of Bloomington staff may not be able to select you to participate in the program, and/or you may not receive updated information. The data is needed to distinguish the application from others.
The City of Bloomington does not discriminate against or deny the benefits of its services, programs, or activities to a qualified person because of a disability. To make a request for a reasonable accommodation, ask for more information, or to file a complaint, contact the Community Outreach and Engagement Division, City of Bloomington, 1800 West Old Shakopee Road, Bloomington, MN 55431- 3027; 952-563-8733, MN Relay 711.
