Laserfiche WebLink
<br />CMC Al\TJ) COM:MUNITY 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 /> <br />.Y~( 1i~/~tJ -f<c..ck (\C>S5 ('0.-.,.\r-1 sk.', clc..sscs ";).r~..,A G.ornmj,l;'~ c)~ <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, ~o you feel you <br />have the time available to be an active participant: ~Yes _No <br /> <br />Comments: ~/ It t! <br />Co"dvC'1- LVukl, <br /> <br />fc~j * (..J ~ t' c;.;-s :7 v f Ao. j <br />fY'\ <..L -t-; r'\.S ..t r D-E'p t I-J (' Co As. <br /> <br />..(0 <br /> <br />l>lc.l' '^- ".J <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. :f k....v( CfP~G..,~j <br /> <br />Oc-'re ..f.j"c.. 6()CfeJ be/;re 4u vc"cc /1'7'1. (,-:,&((("1'\ u.~"l,jt c\t'1S <br /> <br />()" +~ l'(~-\-hs c ~ w",.J ~J 1/."11" / <br /> <br />/e~ <br />ignature <br /> <br />. <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 />Appointment: <br /> <br />Date: <br /> <br />. <br /> <br />Term: <br /> <br />s: \torms \brdcomap.doc <br />