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<br />... <br /> <br />. <br /> <br />CMC Al\TD COMMUNITY ACTIVITIES: <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. . I. <br />~~ ~ 1/~ ~~I ~ ~/~ <br /> <br />.4b,w[i4J-J~!~' d~~tM~~ <br />~~~14i-~~/~~~4~ <br /> <br />A'M'ENDANCE: <br /> <br />Are you aware of the importance of regular meeting attendance including the <br />time commitment involved in pl"epaling for meetings, and do you feel yo~ <br />have the time available to be an active participant: JL Yes _ No <br /> <br />~~ts: ~~~~~~-r/ <br />~ .a ..LA -;;z Af/f ~ ~ '1fIL ~ ~ ~ ~7 <br />1%m>>UUJdv ~ ~4 {}-. ~~ YJPact.. <br />CONFLI6T OF INTEREST: <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 />~ <br /> <br />~~ <br />Signature ----- <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 INTEREST IN SERVING ON A BOARD OR <br />COMMISSION. <br /> <br />Return Anplication To: <br /> <br />OFFICE USE <br /> <br />. <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 />Appointment: <br /> <br />Date: <br /> <br />Term: <br /> <br />\ <br />\ <br />\, <br /> <br />s:\forms\brdcomap.doc <br />