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<br />. <br /> <br />CMC AND CO:MMUNITY ACTMTIES: <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 />.--- <br /> <br />ATTENDANCE: <br /> <br />Are you aware of the importance of regular meeting attendance including the <br />time commitment involved in preparing for meetings, and do you feel you <br />have the time available to be an active participant: ::f- Yes _ No <br /> <br />co~m~n:w NL- bj-lAC: f)d'vV & "b '-<!- k J /-4 iL , Uvr "K <br />I,'-v--' f~cI f~v4 q ...e~~ did/r^C) ~f>"orA.+. <br /> <br />CONFLICT OF INTEREST: <br /> <br />. I wish to disclose the following potential conflicts of interest that mayor will <br />arise if I become a member of this board or commission. <br /> <br />N&U~ <br /> <br />I~./CN~& <br /> <br />Signature <br /> <br />---------------~-~----------------------------------------------~--------------------------------------_. <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 FOR YOUR INTEREST IN SERVING ON A BOARD OR <br />COMMISSION. <br /> <br />Return Auulication To: <br /> <br />OFFICE USE <br /> <br />. <br /> <br />City Clerk's Office <br />City of Elk River <br />13065 Orono Parkway <br />PO Box 490 <br />Elk River, M:N 55330 <br />Phone: 441-7420 <br /> <br />Appointment: <br /> <br />Date: <br /> <br />Term: <br /> <br />s:\J'orms'\brdcomap .doc <br />