Laserfiche WebLink
CIVIC AND COMMUNITY ACTIVITIES: <br />Describe pastor present civic and/or community activities that maybe relevant in qualifying you to <br />serpve on this board ox commission. ~ Q~ ~~ <br />~G( (i ~~ ~Gi ~ tjv~ L~c @{ i-'~ ~- GS S i ~t,~ .. (~ L -l.C/`b1.'Y j;,~ r~~ SAS ~T Ci n%~4t,~ ' p G+-n. ds ~~ <br />V` 155 ~ ~ ~ W Vv G~ ~*~(%1 ~ N (~ ~.~ t ~-.'~ ` <br />ATTENDANCE: <br />Are you aware of the importance of regular meeting attendance including the time commitment <br />involved in pre axing fox meetings, and do you feel you have the time available to be an active <br />paxtiapant: ~ Yes _ No <br />Comments: <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 />Signature <br />t(! ~~~ <br />Date <br />The selection process will vary according to the number of applicants and vacancies, and map not <br />include interviews with all candidates. <br />THANK YOU FOR YOUR INTEREST IN SERVING ON A BOARD OR COMMISSION. <br />Return Application To: <br />City of Elk River <br />City Clerk's Office <br />13065 Orono Parkway <br />Elk River, MN 55330 <br />OFFICE USE <br />Appointed To: <br />Date Appointed: <br />Term Length: <br />:~:~,Ct:.,l:ii€i~P£}~.[~'35~€~91~4 ;Al~~s3icariov arn~ I~e~scrsiz~.its:is~:4i~,~sti€:~:€icaaz~~tk't~ [`"sEI3,~t:3£; <br />Phone: 7G3.635-1000 <br />Fa.~: 7G3.G35-1090 <br />www. a. e1L--rivez.mn.us <br />