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CIVIC AND COMMUNITY ACTIVITIES: <br /> <br />Describe past or present civic and/or community activities which may be <br />relevant in qualifying you to serve on this board or commission. <br /> <br />~ucCl.,w~ · ,-'"'; ~. . . . ~ ' ' <br /> <br />ATTENDANCE: ~ ~'lc~.'] rr~ c~/~-~ a~,'(fu._ ~~-~t,~&~,ct~ ~ ~,, ~ <br />Are you aware of the imp~rta~~~ meeting attendancev - including the <br />time commitment involved in preparing for meetings~,.,and do you feel you <br />have the time available to be an active participant: ~_ '/es No <br /> <br />Comments: <br /> <br />CONFLICT OF ~NTEREST: ' <br /> <br />I wish to disclose the following potential conflicts of interest that may or will <br />arise ffI become a member of this board or commission. <br /> <br /> Signature <br /> <br />The selection process ~411 vary according to the number of apphcants and <br />vacancies, and may not include interviews with all candidates. <br /> <br />THANK YOU FOR YOUR INTEREST IN SERVING ON A BOARD OR <br /> COMMISSION. <br /> <br />Return Apphcation To: <br /> <br />City Clerk's Office <br />City of Elk River <br />PO Box 490 <br />Elk River, MN 55330 <br />Phone: 441-7420 <br /> <br />Appointment: <br /> <br />Date: <br /> <br />Term: <br /> <br />OFFICE USE <br /> <br />s:kforms\brdcomap.doc <br /> <br /> <br />