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<br />'" <br /> <br />CMC AND COMMtJNITY ACTIVITIES: <br /> <br />. <br /> <br />Describe past or present civic and/or community activi.ties ~'hich may be <br />relevant in qualifying you to serve on this board or commission. <br />1: h"y~ VJh.l\'l.t(u<cl ~ CO"-tk F#()tr-.II ~shfj,...lI ~;;r.l. bl&.~~ ~...II <br />, ( <br />~ 7t,4 TfAoI., 't.J~r~ I. J......" t1tR<Itt!:;! lil'<l.\. FO: ~i'.l<r. <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: 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 may or ~ill <br />arise if! become a member of this board or commission. <br /> <br />~!l--I <br /> <br />Signa e <br /> <br />-------------------------.----------------------------------------------.-..----------------------------- <br /> <br />The selection process Vlill 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 BO.A.RD OR <br />CO:MMISSION. <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 />J\ppointment: <br /> <br />Date: <br /> <br />. <br /> <br />Term: <br /> <br />s:\forms\brdcotn&p.doe <br />