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CIVIC AND ~OMMLSNIIt ACTIL ITIt!.~: <br /> <br />Describe past or present civic and/or commumty activities that may be relevant m qual/fymg you to <br />serve on tins board or cotmmssion. <br /> <br />Are you a~vare of the importance o£ regular meet-rog attendance including the rm~e coOn-rmn~nent <br />mvoived in preparing for meetings, and do you feel you have the ume available to be an acnVe <br />participant: ,.~"_ Yes __ No <br /> <br />CONFLICT OF INTEREST: <br /> <br />I wish to disclose the folloxvmg potential conflicts of interest that may or will arise if I become a <br />member of th_is board or commission. (See attached "Conflict of Interest" Ordinance) <br /> <br />Sig-narure Date <br /> <br />The selection process svill vary according to the number of applicants and vacancies, and may nor <br />include interviews wi~ 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 Parkxvay <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-[000 <br />[;,,~x: 763.635- t090 <br />~vxvw.ci.clk .rix'ct.lmm. us <br /> <br />S:clerk/bardcom / application/application <br /> <br /> <br />