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<br />CMC AND COMMUNITY ACTMTIES: <br /> <br />· Describe past or present civic andJo~ community activities which may be <br />relevant in qualifying you to serve on this board or commission. ~ () (J n <br />/J1~ ~~ V;:cUJ~~ . #f~'~~' <br />~ ~h~~t~~~.IL-e:~ ~ <br />~. ~/ ~//Jp/J A. ,t2d- ~_/}'4 ..._~__r~~. \ . <br />AY'/l .;. --. ~. < ~. I ~ <br />~~O/~~ .~. ~~. . <br />ATI'ENDANCE: . ~- r/' ~ ~ <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: k Yes _No <br /> <br />\ <br />. Comments: <br /> <br />CONFLICT OF INTEREST: <br /> <br />. I wish to disclose the follo'Wing potential conflicts of interest that mayor will <br />arise if I become a member of this board or commission. <br /> <br />$Af~ <br /> <br />Signature <br /> <br />--------------------------------------------------------------------------------------------------------- <br /> <br />The selection process will Val'y 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 BOARD 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, M:N 55330 <br />Phone: 441-7420 <br /> <br />Appointment: <br /> <br />Date: <br /> <br />Term: <br /> <br />s:\f'orms\brdcomap.doc <br />