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<br />CIVIC AND COMMUNITY ACTIVITIES: <br /> <br />. <br /> <br />Describe past or present civic and/or community activities which may be <br />l'elevant in qualifying you to serve on this board or commission. <br /> <br />Lt,y/r~f'(a ~ Cvi-'Vl~-?7')~.h-. I~~'- <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: ~es _ No <br /> <br />Comments: <br /> <br />---- <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 />The selection process will vary according to the num er 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 />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 />OFFICE USE <br /> <br />Appointment: <br /> <br />Date: <br /> <br />Term: <br /> <br />. <br /> <br />s:\f'orms'\brdcomap .doc <br />