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CIVIC KIM COM.'CUNITY - kC7TV- = --rS: <br />Describe past cr p =esent civic and /o_ community activities <br />which may be relevant in qualifying you to serve on thin board <br />c commission. <br />WILL 'DISWSS IQ `;'F'eSdJ, <br />?.=e you aware o_ the ir.:portance of = egular meeting attendance <br />including the time commi,�ment involved in preparing for <br />meetings, and do you feel you have the time available to be an <br />.active participant? f Yes No <br />Comments: . <br />r AM it P 7-p C T1 AS AVPM1 A$LE. T'o A&rty. <br />PAit:t1Ci PAt4T. . <br />CONFLICT OF iNTER ST • <br />i wish to disclose t't^.e fo17.ac:ing aotantiel ccr._iicts. of <br />int?re_t that may or will arise if i bBCOne a mere- of this <br />boa=d or <br />�o,JE <br />----------------------------- <br />The selection process -i11 va=-y according to the numbe- of <br />applican:.S and vacancies, and may not Include interviews with <br />all ccadldates. <br />TrkNK YOU FOR YOUR INTEREST IN SERViNU ON A BOARD OR ComyjISSION. <br />Re"�.,r n zRtl; cat; on To: <br />City. Clerks C-f ice <br />C 4 -v of Elk R_ve= <br />PO BOi: 490 - 33065 O=ono ?z: Rwav <br />EIk River, 2Yn 55330 <br />Phone �-_ -? :20 <br />Post -11 m brand tax �tranSM)nal memo 7/671 , a of pasts <br />From <br />-qql- <br />. ■ <br />