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CI\qC 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 />I donated my labor and our company donated brick to the Elk River, <br />Ramsey D.A.R.E. houses. I am a member of the Chamber of Commerce, <br />S.N.B.A. and also serve on the Home Show Committee. <br /> <br />ATTENDANCE: <br /> <br />Are you aware of the importance of reg-ular meeting attendance including the <br />time commitment involved in preparing for meetings, and do you feel you <br />have tile time available to be an active participant: x 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 if I become a member of this board or commission. <br /> <br /> / S~gnature <br /> <br />The selection process will vary according to the number of applicants and <br />vacancies, and may not include intelwiews with all candidates. <br /> <br />THANK YOU FOR YOUR INTEREST IN SERVING ON A BOARD OR <br /> COIVIiVIISSION. <br /> <br />Return Apphcation To: <br /> <br />City Clerk's Office <br />City of Elk River <br />13065 Orono Parkway <br />PO Box 490 <br />Elk River, 1VIN 55330 <br />Phone: 441-7420 <br /> <br />Appointment: <br /> <br />Date: <br /> <br />Term: <br /> <br />OFFICE USE <br /> <br />s:\forms\brdcomap.doc <br /> <br /> <br />