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CIVIC AND CObIMUNITY ACTIVITIES: <br /> <br />Describe past or present civic and/or cormnunitv activities that. may be relevant in ,qu~lifyin,g you to <br />ATTENDANCE: <br /> <br />Are you aware of the in2portance of regular meeting attendance including the tune co~rnTdtn2ent <br />revolved in preparing for meetings, and do you feel you have the time available to be an active <br />participant: '/c Yes __ No <br /> <br />CONFLICT OF INTEREST: <br /> <br />I wish to disclose the following potential conflicts of interest that may or xvill arise if I become a <br />member of this board or comrmssion. (See attached "Conflict of Interest" Ordinance) <br /> <br />Signature Date"O <br /> <br />The selection process ',viii 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 />Return Application To: <br /> <br />City of Elk River <br />City Clerk's Office <br />13065 Orono Par~vay <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 />[~mx: 763.635-1090 <br />www.ci.clk river.nm.us <br /> <br />S:clerk/bardcom/application/application <br /> <br /> <br />