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CIVIC AND COMMUNITY ACTIVITIES: <br /> <br />Describe past or present civic and/or communiW activities that,may be relevFnt in qualifying you to <br />serve on this board or comrmssion. ~_~ <br /> <br /> J*/6/ :"//S e)--'- <br />ATTENDANCE: <br /> <br />Are you axvare of the importance of regular meeting attendance including the time commitment <br />involved in prep.aring for meetings, and do you feel you have the dine available to be an active <br />participant: ~ Yes No <br /> <br />Cormuents: <br /> <br />CONFLICT OF iNTEREST: <br /> <br />I ~vish to disclose the following potential conflicts of interest that may or v¢ill arise if I become a <br />member of this board or commission. (See attached "Conflict of Interest" Ordinance) <br /> <br />Signature Date <br /> <br />The selection process ',vill 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 Park~vay <br />Elk River, MN 55330 <br /> <br />5ppointed To: <br /> <br />Date Appointed: <br /> <br />Term Length: <br /> <br />OFFICE USE <br /> <br />Phone: 763.635-1000 <br />l::ax: 763.635-t090 <br />xvxx-,v, ci.eik- river.mn.us <br /> <br />S:clerk/bardcom/application/application <br /> <br /> <br />