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.CIVIC ARq) CO~TY ACTMTIES: <br /> <br />Describe past or present civic and/or community activities which may be <br />relevant in qu~g you to serve on th~.~ board or comrn~.~sion. <br /> <br />ATTENDANCE: <br /> <br />Are you aware of the importance of re~tlar meeting attendance including the <br />t/me commitment involved in preparing for meetings, ~nd do you feel you <br />have the t~rne available to be an active participant: ~ Yes . No <br /> <br />CONFLICT OF INTEREST: <br /> <br />I wish to d~.~close the following potential conflicts of interest that may or will <br />akrise ffI become a member ofth~s board o:comra~ssion, c,c <br /> <br />The selection process ~ v~y accor~g to the nmber of appSc~ts ~d <br />vacates, ~d may not ~ude ~te~ews ~th ~11 c~dates. <br /> <br />THANK YOU FOR YOUR INTEREST IN SERVING ON A BOARD OR <br /> COM/~MSION. <br /> <br />Return Application To: <br /> <br />City Clerk's Off[ce <br />City of Elk R/vet <br />13065 Orono Parkway <br />PO Box 490 <br />Elk Privet, MN 55330 <br />Phone: 441-7420 <br /> <br />n, ppointm ent: <br /> <br />Date: <br /> <br />Terin: <br /> <br />OFFICE USE <br /> <br />' "' s:kformskbrdcoraap.doc <br /> <br /> <br />