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<br />~" -'. <br /> <br />. <br /> <br />. <br /> <br />. <br /> <br />. . <br /> <br />CIYIC AND COMM1JNITY ACTIVITIES: <br /> <br />Describe past or present civic and/or community activities which may be <br />relevant in qua1i:fying you to serve on this board ~o~~;~on. . <br />..//~ ~Cl- ~ ~ <br /> <br />r~ ~~ 7~.~ <br />A.TTE}'IDANQE,; . <br /> <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 ThTTERESrc <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 />-'?t ~ <br /> <br />;Z:!~~T <br /> <br /> <br /> <br />--------------------.------------------------------------------------------------------------------------ <br /> <br />The selection process will vary according to the number of applicants and <br />vacancies, and may not include interviews with all candidates. <br /> <br />THANK YOU FOR YOUR ThTTEREST rn SERVING ON A BOARD OR <br />COMMISSION. <br /> <br />Return Annlication To: <br /> <br />City Clerk's Office <br />City of Elk Biver <br />13065 Orono Parkway <br />PO Box 490 <br />Elk River, M1'J 55330 <br />Phone: 441-7420 <br /> <br />OFFICE USE <br /> <br />Appointment: <br /> <br />Date: <br /> <br />Tenn: <br /> <br />s:\rorms\brdccnDap.doc <br />