Laserfiche WebLink
CIVIC AND COMMUNITY ACTIVITIES: <br />Describe past or present civic and/or community activities that map be relevant in qualifying you to <br />serve on this board or commission. Q <br />G~ y--"~ ~~ ~ ©C9--fir d'--'sJ <br /> <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: <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 />~(~ ~• O~ <br />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 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 />ti:':C't...}~F~i,t~~3:~ f3('f');~d ;:~~a~s~i~:ar:a:~aa arzet ~3e~:ri~acitaaz4 ~.:~~2~~i€a.:as:is>ci~3~1~ I;~;l~.a94"}~: <br />Phone: 763..635-1000 <br />FaY: 763.635-1090 <br />wsv<v. ci. elk-rive>'.mn.us <br />