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CIVIC AND COMMUNITY ACTIVITIES: <br /> <br />Describe past or present civic and/or community activities that may be relevant m qualifying you to <br />serve on this board or commission. ~9.::7 lc .a..~x<~ ~C ,' °--8 .~t_~ c ~ (.Lo :,m"'*q <br /> <br />ATTENDANCE: <br /> <br />Are you aware of the importance of regular meeting attendance including the time commitment <br />revolved in preparing for meetings, and do you feel you have the time available to be an active <br />participant: .5'"'Yes No <br /> <br />CONFLICT OF INTEREST: <br /> <br />I wish to disclose the following potential conflicts of interest that may or ~vill arise if I become a <br />member of this board or commission. (See attached "Conflict of Interest" Ordinance) <br /> <br />Signature (J Date <br /> <br />The selection process will vary 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 />Ret-urn Application To: <br /> <br />City of Elk River <br />City Clerk's Office <br />13065 Oron0 Parkway <br />Elk River, MN 55330 <br /> <br />Appointed To: <br /> <br />Date Appointed: <br /> <br />Term Length: <br /> <br />OFFICE USE <br /> <br />Phone: 763.635-1000 <br />F~x: 763.635-1090 <br />wxvw. ci. elklriver, nan.us <br /> <br />S:clerk/bardcom/application/application <br /> <br /> <br />