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CIVIC AND oON[MLNIT'~ ACTIVITIES: <br /> <br />Describe past or present civic and/or cormnunitv activities ~hat may be relevant in quali~ing you to <br />ATTENDANCE: <br /> <br />Are you a~vare of the UT~portance o£ regular meeting a~tendance mdudmg the m2e comm2u~nent <br />involved in preparing for meetings, and do you feel you have the m-ne available to be an acnVe <br />participant: ~' Yes No <br /> <br />CONFLICT OF INTEREST: <br /> <br />I ~vish to disclose the following potential conflicts of interest that may or ~viil arise if I become a <br />member of this board or commission. (See attached "Conflict of Interest" Ordinance) <br /> <br />Silo-nature Date <br /> <br />The select/on process will var7 according to the number of applicants and vacancies, and may not <br />include interviews with all candidates. <br /> <br />THANK YOU FOR YOUR INTEREST IN SERVING ON A BOARD OR COMMISSION. <br /> <br />Return Application To: <br /> <br />City of Elk River <br />City Clerk's Office <br />13065 Orono Pazkxvay <br />Elk lever, MN 55330 <br /> <br />kppointed To: <br />Date Appointed: <br />Term Length: <br /> <br />OFFICE USE <br /> <br />Phone: 763.635-1000 <br />F:~x: 763.635- [090 <br /> <br />S:clerk/bardcom/application/application <br /> <br /> <br />