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<br />CIVIC AND COMMUNITY ACTIVITIES: <br /> <br />Describe past or present civic and/01: community activities that may be relevant in qualifying you to <br />serve on this board or commission. <br /> <br />ATTENDANCE: <br /> <br />Are you aware of the importance of regular meeting attendance including the time commitment <br />involved in Pyaring for meetings, and do you feel you have the time available to be an active <br />participant: Yes _ No <br /> <br />Comments: <br /> <br />CONFLICT OF INTEREST: <br /> <br />I wish to disclose the following potential conflicts of interest that mayor will arise if I become a <br />member of this board 01: commission. (See attached "Conflict of Interest" Ordinance) <br /> <br />- \-Jo\l\e - <br /> <br />~ <br /> <br />tf610\ "06 <br /> <br />Date <br /> <br />The selection process will vary according to the number of applicants and vacancies, and may not <br />include interviews with all candidates. <br /> <br />THANK YOU FOR YOUR INTEREST IN SERVING ON A BOARD OR COMMISSION. <br /> <br />Return Application To: <br /> <br />OFFICE USE <br /> <br />City of Elk River <br />City Clerk's Office <br />13065 Orono Parkway <br />Elk River, MN 55330 <br /> <br />Appointed To: <br /> <br />Date Appointed: <br /> <br />Term Length: <br /> <br />Phone: 763.635-1000 <br />Fmc 763.635-1090 <br />\vww.ci.elk-river.mn.us <br /> <br />S:clerk/bardcom/ application/ application <br />