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Attendance: Are, your aware of the importance of regular meeting attendance including the time <br />commitment involved in preparing; for sneetings, and do you feel you have the time available to be <br />an active participant? lel Yes Q No <br />Comments: <br />Con ict 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, whethet it be <br />direct or inditect. (Sce attached "Conflict of Interest" Ordinance) <br />In accordance with this dchnitios4 do you have any legal or equitable interest in any bushwss, <br />however organized, which could be construed as a conflict of interest.? f> Yes d No <br />If yes, provide details on a st: arate ]tiece 2 tuner, <br />Aplyuca t Signature Date <br />Questions may be directed to the Administration Department at 763.635.1000. <br />OFFICE USE ONLY <br />The Applicant is: <br />Council Action: <br />New Applicant <br />U Not Appointed <br />Appointed to: _ <br />Date Appointed: <br />Term Expires: s• _ <br />© Applying for Reappointment <br />