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CIVIC AND COMMUNITY ACTI\~ITIES: <br /> <br />Describe past or present civic and/or community activities which may be <br />relevant in qualifying you to serve on this board or commission. <br /> <br />Library Volunteer (Little Falls-1978-79) <br />Active volunteer member of The Volunteer Center (St. Paul) on fund-raising advisory <br />committee <br />Numerous past volunteer committees in Minnetonka Youth Hockey Association, children' <br /> schools and church <br /> ATTENDANCE: <br /> <br />Are you aware of the importance of regular meeting attendance including the <br />time commitment involved in prepmffng for meetings, and do you feel you <br />have the time available to be an active participant: xx Yes __ No <br /> <br />Comments: <br /> <br />I'm a fulltime homemaker and work 20 hours per week outside the home. <br />This schedule allows me time to participate actively in community <br /> volunteer activities. <br /> <br />CONFLICT OF INTEREST: <br /> <br />I wish to disclose the following potential, conflicts of interest that may or will <br />arise if I become a member of this board or commission. <br /> <br /> None that I know of. <br /> <br /> Sig-nature <br /> <br />The selection process will vary accordh~g to the number of apphcants and <br />vacancies, and may not include inte~-~-iews '~4th all candidates. <br /> <br />THANK YOU FOR YOUR INTEREST IN SERVING ON A BOARD OR <br /> COMMISSION. <br /> <br />Return Apphcation To: <br /> <br />City Clerk's Office <br />City of Elk River <br />13065 Orono Parkway <br />PO Box 490 <br />Elk River, MN 55330 <br />Phone: 441-7420 <br /> <br />Appointment: <br /> <br />Date: <br /> <br />Term: <br /> <br />OFFICE USE <br /> <br />s:kforms\brdcomap.doc <br /> <br /> <br />