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Attendance: Are your aware of the importance of regular meeting attendance including the time <br /> commitment involved in ppeparing for meetings, and do you feel you have the time available to be <br /> an active participant? Yes ❑ No <br /> Comments: <br /> Conflict of Interest is defined as the participation in any activity,recommended action, or decision <br /> from which the individual has or could have the potential to receive personal gain,whether it be <br /> direct or indirect. (See attached "Conflict of Interest" Ordinance) <br /> In accordance with this definition, do you have any legal or equitable interest in Vol siness, <br /> however organized,which could be construed as a conflict of interest? ❑ Yes <br /> If yes, provide details on a separate in ece of paper. <br /> ALA b 4, Kjjk 0= <br /> Applicant Signa re Date f <br /> Questions may be directed to the Administration Department at 763.635.1000. <br /> This application will be kept on file for one - - a new application <br /> must be filed. <br /> OFFICE USE ONLY <br /> The Applicant is: ❑ New Applicant ❑ Applying for Reappointment <br /> Council meeting date: <br /> ❑ Appointed to: <br /> Term Expires: <br /> ❑ Not Appointed <br />