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CMC A!NrD COMZdTJNITY ACTMTIES: <br /> <br />Describe past or present civic and/or community activities which may be <br />.relevan. t irt qua/ifying you to serve on this board or commission. <br /> <br /> Are you aware of the ~mpor~ance of regular mee6,~ g atienclance including the <br />:i6r~e commiknent involved in prepsming for mee~,~gs, and do you feel you <br /> have the 6,~e available to be an active participant: )~ Yes __ No <br /> <br />Commen~s: <br /> <br />,CONFLICT OF INTEREST: <br /> <br />I wish to disclose the following potential couplets of interest that may or will <br />akrise ifI become a member of th~s boa.rd or commission. <br /> <br /> Signature' <br /> <br />The selection process will vary accora~u g to the number of applicants and <br />vacancies, and may not include interviews with all candidates. <br /> <br />THANK YOU FOR YOUR INTEREST IN SERVING ON A BOARD OR <br /> CO1VEV[ISSION. <br /> <br /> Return Application To: <br /> <br /> City Clerk's Office <br /> City .of Elk thiver <br /> 13065 Orono Parkway <br /> PO Box 490 <br /> Elk 1R/vet, Mlq 55330 <br /> Phone: 441-7420 <br />'.. %. ". ' s:kformSM~rdcornap.~loc ' <br /> <br />Appointment: <br /> <br />Date: <br /> <br />Term: <br /> <br />OFFICE USE <br /> <br /> <br />