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<br />. t,- <br /> <br />CMC AND 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 />"I h...v.(... v':"v~.(.(l/r.(d ~ Co,,",!... fgc>f1-.11 h-t.sh fJ,... /J #I'll. b'"i.s,,, /".../ I <br />, ( <br />~ ..,r.. ~ T--.I" '1.J~.'( } I Iw.,." ..4r 1.lJ. I i'l'< l,\.. pO:. ~I'./<.r. <br /> <br />A'ITENDANCE: <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: L Yes _No . <br /> <br />Comments: <br /> <br />CONFLICT OF INTEREST: <br /> <br />. <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 />~!l--P <br /> <br />Signa e <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 Apulication 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 tment: <br /> <br />Date: <br /> <br />. <br /> <br />Term: <br /> <br />5:\forms~rdcom..p.doc <br />