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Attendance: Are your aware of the importance of regular meeting attendance including the time <br />commitment involved in preparing Eor meerings, and do }-ou feel }>ou have the time available ro be <br />an active participant= Yes D No <br />Comments: <br />Conflict of Interest is defined as the participation in any= activit}~, recommended action, or decision <br />from which the. individual has or could have the potential to receive personal gain, whether it be <br />direct or indirect. (See attached "Conflict of Interest" Ordinance) <br />In accordance with this definition, do }•ou have any legal or equitable interest in any business, <br />however organized, wluch could be construed as a conflict of interest? ^ Y'es ~ No <br />If yes, provide details on a ate iecc of ~a e . <br />- --- - ~~ , <br />:applicant Si ature <br />C -- l1~ll <br />Date <br />Questions ma}~ be directed to the Administration Department at 763.63.1000. <br />OFFICE USE ONLY <br />'1 he :applicant is: <br />Council Action: <br />yt~New Applicant <br />D Not Appointed <br />O appointed to: _ <br />Date appointed: <br />Term Expires: _ <br />O :~pplping for Reappointment <br />