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APPLICATION FOR REAPPOINTMENT TO CITY <br />ADVISORY BOARD/COMMOSSOON <br />Reappointment to: <br />APPLICANT INFORMATIION <br />Name: Brian Balabon <br />Occupation: <br />Finance <br />Arena Commission <br />City of Residence: Elk River <br />Employer: <br />Vista Outdoor <br />Statement of Interest: Please state briefly why you are interested in continuing to serve on the <br />board/commission for which you are seeking reappointment. <br />I have enjoyed serving on the commission and view it as a way to serve my community. <br />We are at a critical juncture with the direction of the arena(s) in Elk River, and with two <br />daughters in Elk River Youth Hockey, I not only have a vested interest in their future <br />using the arena, but also the future generations after them. <br />Relevant Experience: Please describe your educational, professional, civic, or community <br />participation, which may be relevant in serving on this board/commission. <br />---Have served on ER Arena Commission since 2014 <br />---CoChair, Volunteer Committee, Hockey Day Minnesota 2014 <br />---Year round youth coach (hockey & softball) for 6+ years <br />---Business/Finance Degree, University of Minnesota <br />Attendance: Are your aware of the importance of regular meeting attendance including the time <br />commitment involved in preparing for meetings, and do you feel you have the time available to be <br />an active participant? ■ Yes ❑ No <br />Comments: <br />Conflict of Interest is defined as the participation in any activity, recommended action, or decision <br />from which the individual has or could have the potential to receive personal gain, whether it be <br />direct or indirect. (See attached "Conflict of Interese' Ordinance) <br />In accordance with this definition, do you have any legal or equitable interest in any business, <br />however organized, which could be construed as a conflict of interest? ❑ Yes ■ No <br />If yes, provide details o ice_ of paper. <br />1/9/2017 <br />Appli nt Signature Date <br />Applications will be kept on file for one year; after that time, a new application must be filed. <br />OFFICE USE ONLY <br />Council Meeting Date: <br />❑ Reappointed <br />Term Expires: _ <br />❑ Not Reappointed <br />