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<br />CIVIC AND COMMUNITY ACTIVITIES: <br /> <br />Describe past or present civic and/or community activities that may be relevant in qualifying you to <br />serve on this board or commission. 1 h J lJ e" 1)..1 0 y t: eJ 0 g a- p cl y'" 0 f 1M \ 50 b <br /> <br />lV,' t~, c -e nt-ev pGl i 11 tw i1 h oue Y' ~O Go W/W1lJ VI ,'fl' ~$ 6 f1W\.3h Y I ~~ c)-e~ <br />a 'Ii d.. Oir "'J + C <br />I I v, e"e.- ,...; . <br /> <br />ATTENDANCE: <br /> <br />Are you aware of the importance of regular meeting attendance including the time commitment <br />involved in preparing for meetings, and do you feel you have the time available to be an active <br />participant: X-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 />1 u.l"u.12Jlo'- <br />Signature <br /> <br />'1 )J7/cr <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 />Fm.:: 763.635-1090 <br />v,-ww .ci. elk-river.rnn. us <br /> <br />S:clerk/bardcom/ application/application <br />