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CIVIC AND COMMUNITY ACTIVITIES: <br /> <br />Describe past or present civic and/or con~mumty activities that may be relevant in quali%ing you to <br />sez~e on this board or com~Wassion. <br /> <br />AIWENDANCE: <br /> <br />Are you a~vare of the importance o~' regular meeting attendance mctudmg the ~ae co~Zmr-ment <br />mvdved m p{~parmg for meetings, and do you feel you have the m~e available to be an active <br />participant: ~' Yes No <br /> <br />Comments: <br /> <br />CONFLICT OF INTEREST: <br /> <br />I ~vish to disclose the follo~vmg potential conflicts of interest that may or wRt arise if I become a <br />member of this board or commission. (See attached "Conflict of Interest" Ordinance) <br /> . \ <br /> <br />S~ Date <br /> <br />The selection process will vary according to the number of applicants and vacancies, and may not <br />include interviews ~vith 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 Parkway <br />Elk River, MN 55330 <br /> <br />Appointed To: <br /> <br />Date Appointed: <br /> <br />Tezm Lengd~: <br /> <br />OFFICE USE <br /> <br />Phone: 763.635-!.000 <br />[:ax: 763.635- i090 <br />w-w'w.ci, clk-civ c r. max. ~s <br /> <br />S:clerk/bardcom / application/application <br /> <br /> <br />