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<br />" <br /> <br />CMC MTJ) COMMUNITY ACTMTIES: <br /> <br />. <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 />:r At..v.L ~~O'tt ~IJ~ 1; ~ ~p~ ,d~. ~1 <br />~ ~ ~ Scw.l../lt O"?\ ~ t..,~^ 5~~~-lViqf.f <br />pw:tA.' ~. I hAVtl. :>er<v6i:> ~ ~ s~~~. <br />- . d S~Rd\.. <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: A 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 />'I \ \ ve.:., kJ <9~ <br /> <br />~~ <br /> <br />Signature <br /> <br />--------------------------------------------------------------------------------------------------------- <br /> <br />The selection process will vary a.ccording 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 />Appointment: <br /> <br />Date: <br /> <br />Term: <br /> <br />. <br /> <br />s:\forms\brdcomap.doc <br />