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CMC AAqD GOlIM73NITY ACTIVITIES: <br /> <br />Describe past or present civic Ecl/or community activities which may be <br />relevsmt in qusH~ying you to serve on th~. boazcl or commission. <br /> <br />~ly a .~-~er of th~ Sherburnm County Masonic Lodge,' Elk <br /> Rib_r, MN. <br /> <br /> P. og~rs Ar~a Chan~er of Co,~_rce ,~-~e_r, rePrese~_ Ruan <br /> ~tion. <br />ATTENDANCE: <br /> <br />Are you aware of the ~mportance of reg'u.laz meeting attendance include= g the <br />*~me commitment involved in preparing for meetings, and do you feel you <br />have the ~me available to be an active participant: x Yes No <br /> <br />Comments: <br /> In applying for this ooamission I will nske this timm commitment. <br /> <br />CONFLICT OF INTEREST: <br /> <br />I wish to disclose the following potential conflicts of interest that may or will <br />a_~e ffI become a member of th~-~ boazcl or commission. <br /> <br />I have no potential conflicts of interest if I beo~ a .~-~er of <br />this co~,,,ission. <br /> <br /> Signature <br /> <br />The selection process will vary according to the number of applicants and <br />vacancies, and may not include interviews with all candidates. <br /> <br />THANK YOU F0tt YOUR INTEREST IN SEIIVING ON A BOAPJD 0il <br /> C05INSSSION. <br /> <br />Return Apotication To: <br /> <br />City Clerk's Of:Sce <br />City of ELk River <br />13065 Orono Parkway <br />PO Box 490 <br />E11c River, ~ 55330 <br />Phone: 441-7420 <br />s:Xt'o'rn~brclcomep.d~c <br /> <br />Appointment: <br /> <br />Date: <br /> <br />Term: <br /> <br />OFFICE USE <br /> <br /> <br />