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Attendance: Are -our a«-are of the importance of regular meeting attendance uzcluding the nLne <br />conunitment in~-olved in preparu7g for meetings, and do ~-ou feel ~-ou ha~-e the rune a~-ailable to be <br />an acti~-e participants ~ 1'es ^ \o <br />Comments: -~ ~~ ~ ~~? f ' / ~ ~~%~~ ~ ~. <br />Conflict of Interest is defined as the participation in any- acti~-itt-, reconunended acrion, or decision <br />from ~tihich the indi~-idual has or could ha~-e the potential to recei~-e personal gain, «-nether it be <br />direct or indirect. (See attached "Conflict of Interest" Ordinance) <br />In accordance ~i-ith this definition, do ~-ou ha~-e and- legal or equitable interest in~an~- business, <br />l:^..-_~ ~_ orgaiazed, ~.'l..cl: Cvilld b~ CGnsti~led ao c. CGnfuCt Cf :atere~t.' .n. Yes s~ ~.O <br />If ~-es, provide details on a sec~iate ip ece of ~a er. <br />rtrte. fl ~ ~~~ '1j`(j~'/^/fir ~ k /j <br />,n <br />~pplicant Signan "e Date <br />Questions may be duecred to the Administration Department at %63.635.1000. <br />OFFICE USE ONLY <br />The Applicant is: <br />Council Action: <br />~Ne~i Applicant <br />^ \ot Appointed <br /> <br />Appointed to: _ <br />Date Appointed: <br />Term Expires: _ <br />^ Appl~-ing for Reappointment <br />