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CMC AlXrD COMMIINI~ ACTMTIES- <br /> <br />Describe past or present civic and/or community activities which may be <br />r~ev~ant in qualifying you to serve on thi~ board ox commi~sio- - ~ ~ <br /> <br />ATTENDANCE: <br /> <br />Are you aware of the importance of regular meet~n g attendance including the <br />~ime commitment involved in preparing for meetings, and do you feel you <br />have the t~r-e available to be an active participant: '~' Yes No <br /> <br />Comments: <br /> <br />.CONFLICT OF INTEREST: <br /> <br />I wish to disclose the following potential conflicts of interest that may or will <br />arise ifI become a member of this board or commission. <br /> <br />The selection process will vary according to the number of applicants and <br />vacanmes, 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 Application To: <br /> <br />City Clerk's Office <br />City of Elk River <br />13065 Orono Parkway <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:~formz\brdcomap .doc <br /> <br /> <br />