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<br />CMC AND COM1\f(JNITY 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 />.:;; ~v~ ~orF~~ ;Jif"J" ctVt.lA \ ~:c/;c CI-'\..d CC,M",",.,.J-!-.:/ 6/~p$ 7htPGltfJ.. /'"Iy exP(j'I("e~ <br />J"" lJ../s ;e,'( l1,.;J lIilcJ<( vuj t.;M"~" .eY:I't::rit'^c<. c4-h"\.:) c;oJ^ . ;;: J-/c.~ Ie! ~/\'./cy j~ <br />tJPprc~,.+y 70 5uCJ(. 01\ JJ..1S (.'D,.,.,~ISlc_ &t"te/'Pa./lJ. /"'\-:;II:~e"ul"J.l: GMJ if/ill.. I'I'"')Y /ro,o~f. <br /> <br />ATTENDANCE: <br /> <br />lu:e 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: -X.. 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 />.c::- ~ <br />~ .- <br />-- Signature <br /> <br />-------.-.--------------....----------------------------------------------------------------------------- <br /> <br />The selection process v,ill vary according to the number of applic2..!lts and <br />vacancies, and may not include interviews v.ith all candidates. <br /> <br />THA.."\JK YOU FOR YOD""R mTEREST IN SERVIN'G ON A BOP..RD 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 />Appoint:nent: <br /> <br />Date: <br /> <br />. <br /> <br />Term: <br /> <br />S: \( orms \brdcomap .doc <br />