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Attendance: Are -our a«-are of u1e importance of regular meeting attendance including the time <br />commitment in~-oh-ed in preparing for meetings, and do ~-ou feel ~-ou hay-e the trine a~-ailable to be <br />an acti~-e participant ~ 1"es ^ \o <br />Comments: -~ ~~2 ';~ ~"l}~ B ' ~ <~ ~`~7/t= ~ ~~~ <br />Conflict of Interest is deemed as tiie participauon its any- acti~-it<-, recommended action, or decision <br />from which tlae indi~-idual has or could ha~-e the potential to recei~-e personal gain, «%hether it be <br />direct or indirect. (See attached "Conflct of Interest 'Ordinance) <br />In accordance with dlis definition, do ~-ou have any- legal or equitable interest in any- business, <br />~"~ i :?'~~'~ "~ ~~ '"11 .Otlid b~ .:o._,~rued aS .. CCin+uCt ^vi ..i~.i'~t.' ^ i~i:s ~ ~:V <br />If ees, pro~ride details on a se Karate piece of a er. <br />~ ~~ <br />,; i; <br />~~pplicant Signatt'-e Date <br />Questions maa be directed to the _~diniiustration Deparnnent at 76.635.1000. <br />OFFICE USE ONLY <br />The Applicant is <br />Council Action: <br />New Applicant <br />^ Not Appointed <br /> <br />Appointed to: _ <br />Date Appointed: <br />Term Ezpiles: _ <br />^ Appl~-ing for Reappointment <br />