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<br />-';,. " <br /> <br />. <br /> <br />CMC AND COM:MUNITY 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 />CC//I'Q/l-t 19 /1i2mb2i ~WJ1Q Ux~y )!&/~&a0r <br /> <br />ATI'ENDANCE: . <br /> <br />Are you aware of the importance of regular meeting attendance including the <br />. time commitment involved in preparing for meetingsr.. ~d do you feel you <br />have the time available to be an active participant: L Yes _ No <br /> <br />Comments: <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 />. <br /> <br />d <br /> <br />~ature <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 Application To: <br /> <br />OFFICE USE <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 />Appoin tm en t: <br /> <br />Date: <br /> <br />Term: <br /> <br />s:\forms\brdcomap.doc <br />