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CIVIC AND COMMUNITY ACTMTIES: <br /> <br />Describe past or present civic and/or community activities that may be relevant in qualifying you to <br />serveontbJsboardorcommission. 'To D,zgT~% gl4,~'T' OF- bt,t ~ ~l Otc_ ,4-~--"r-t o r ]~-.~ <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: ~ Yes No <br /> <br />Comments: <br /> <br /> , 7-- <br /> <br />CONFLICT OF INTEREST: <br /> <br />I wish to disclose the following potential conflicts of interest that may or will arise ifI become a <br />member of ti'tis board or commission. <br /> <br />Si Date <br /> <br />The selection process will vary according to the number of appl/cants 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 />Appointed To: <br /> <br />Date Appointed: <br /> <br />Term Length: <br /> <br />OFFICE USE <br /> <br />Phone: 763.441.7420 <br />Fax: 763.4~.1.7425 <br />w'arw, ci.elk- dyer. mn.us <br /> <br />s:\clerk\boardcomkapplication.doc <br /> <br /> <br />