Laserfiche WebLink
CHIC AND COIvIMUNITY ACTIVITIES: <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. <br />8 oY~ c3 rt c~ C~ . r 1.S C /,,c b ~'~ r.~ OT A i r~ G~b /5 <br />~-, ~~~~~ ~ s~:>+t o b r' ~~u ~~~~ ~ ed~r m ~ Vie., _ <br />ATTENDANCE: <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: ~ Yes - No <br />Comments: ~`~°.-~ ~i ~ "~'~.~, <br />w ~ 11 >~ 6~- b ~ ~ <br />~--~ ~Yar~ 194~C~~~s <br />p~bl~ <br />m ~~ ly `~ <br />CONFLICT OF INTEREST: <br />I wish to disclose the following potential conflicts of interest that may or will arise if I become a <br />member of this board or commission. (See attached "Conflict of Interest" Ordinance) <br />F <br />~~~~ <br />I - <br />Signatut ~ ~> Date <br />The selection process will vary according to the number of applicants and vacancies, and may not <br />include interviews with all candidates. <br />THANK YOU FOR YOUR INTEREST IN SERVING ON A BOARD OR COMMISSION. <br />Return Annlication To: <br />City of Elk River <br />City Clerk's Office <br />13065 Orono Parkway <br />Elk River, MN 55330 <br />OFf'iCE USE <br />Appointed '1'0: <br />Date Appointed: <br />Term Length: <br />ti:~~c'I.I•:It li\ It( h11i I )t a )pl `•,,1 phli~ :ni~m aml ll~si•ripti~~ns\AP1~lic~~iunRli.V LSI517.llC)C <br />Phone: 763.635-1000 <br />l+ac 7G3.G35-1090 <br />www.ci.elk-river. mn.Us <br />