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<br />CIVIC AND COMMUNITY ACTIVITIES: <br /> <br />Describe past or present civic and/or comm. unity ac~vities that may be relevant in qualifying you to <br />serve o~ this board or commission. ~Q....e::"" ~ e u. So \'\, S c:ev-e of> .0,\ t. f\EQ.A,; c.:, '\ <br /> <br />\\c:..T\ol\. C61'1'Y\_"*..c...~ ~<:lCL '5f'\~~,\ l.~tt) S;'~{.J- \~~~ <br /> <br />ATTENDANCE: <br /> <br />Are you aware of the importance of regular meeting attendance including the time commitment <br />involved in ..!'r:raring for meetings, and do you feel you have the time available to bean active <br />participan1:,A- 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 or commission. (See attached "Conflict of Interest" Ordinance) <br /> <br /> <br />7/10' ~CJ~ <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 />City of Elk River <br />City Clerk's Office <br />13065 Orono Parkway <br />Elk River, MN 55330 <br /> <br />OFFICE USE <br /> <br />Appointed To: <br /> <br />Date Appointed: <br /> <br />Term Length: <br /> <br />Phone: 763.635-1000 <br />Fa.'c 763.635-1090 <br />www.ci.elk-river.rnn.us <br /> <br />S:clerk/bardcom/ application/ application <br />