Laserfiche WebLink
<br />CIVIC A.~TJ) COMM1JNITY 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 />-'~( I-I~/p t J. -f~c...c" C \o~5 Co.., ,"\ <"'7 'S" k', ( /c..ssc s ~/.r-~" , A G.o m m v~ I ~ cd. <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 J-.OU feel J-.OU <br />have the time available to be an active participant: ~Yes _No <br /> <br />Comments: ;;, II! f,t!'1 r . I I I <br />t f\ (.~ '1f (.,J C; t' c;...r s :7 .. , f\O.. c! <br />C,,(\J,vc+ (...V~~{, f'r\.<.J ./--;<'\-) ~r b~f't l-!n ~s . <br /> <br />-fe, ~lc..", ~~J <br /> <br />CONFLICT OF INTEREST: <br /> <br />. <br /> <br />I wish to disclose the follo'wing potential conflicts of interest that mayor ,,",ill <br />arise if! become a member of this board or commission. ~ k...v( 'fp('c..a.J <br /> <br />bc*r~ ..f-J..c. 6CJCJj bekrl' ~ \Ie-Ice ;"nt, C(..:",;.crr'l c...~",-,~ 6"15 <br /> <br />c>" +1-< r'(~{l...s c ~ WG',l lc..~J li;(l,; / <br /> <br />e//I/ <br />/, igli.ature <br /> <br />--------------------------------------------------------------------------------------------------------- <br /> <br />The selection process \"ill vary according to the number of applicants and <br />vacancies, and may not include interviews \vith all candidates. <br /> <br />THANK YOU FOR YOUR INTEREST IN SERVING ON A BOARD OR <br />COl\1]\ITSSION. <br /> <br />Return Arm licatia" 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:\rorms \brdcomap.doc <br />