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<br />CIVIC A..N'D CO!vThfu""NITY ACTrVITIES: <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 />YWCA Youth Program, Youth Director of after school and Saturday activities. <br />Grandma's Marathon, Water station volunteer. <br />Salvation Army, Duluth and Elk River Bell Ringer. <br />For self, an occassion Craft Vendor. <br /> <br />ATTENDA.N'CE: <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: None <br /> <br />CONFLICT OF INTEREST: <br /> <br />. <br /> <br />I 'Wish to disclose the follo\\'ing potential conflicts of interest that mayor will <br />arise if I become a member of this board or commission. <br /> <br />As of this date, none. <br /> <br />l'71r>~~\~ ~va1~' ~CYl <br /> <br />Signature <br /> <br />--------------....-.--------------.-.-------------------------------------------------------------------- <br /> <br />The selection process will vary according to the number of applicants and <br />vacancies, and may not include interviews v.'ith all candidates. <br /> <br />THA..l\JK YOU FOR YOU:RINTEREST 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:\forms 'brdcomap .doc <br />