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co uni par 'ci anon, w 'ch may be relevant in serving on this board/co 'ssi n. <br />y~ •~, <br />%d d~ t ~ ~Yj c ~ 7~e-~ <br />Attendance: Are your aware of the importance of regular meeting attendance including the time <br />commitment involved in preparing for meetings, and do you feel you have the time available to be <br />an active participant? Yes ^ No <br />Comments: <br />Conflict of Interest is defined as the participation in any activity, recommended action, or decision <br />from which the individual has or could have the potential to receive personal gain, whether it be <br />direct or indirect. (See attached "Conflict of Interest" Ordinance) <br />In accordance with this definition, do you have any legal or equitable interest in any business, <br />however organized, which could be construed as a conflict of interest? ^ Yes ^ No <br />If yes, provide details on a se arate iece of a er. <br />~~~ ~~~ <br />pphcant Signature Date <br />Questions may be direc o the City Clerk's office at 763.635.1000. <br />Return Completed Application To: <br />City Clerk <br />City of Elk River <br />13065 Orono Parkway <br />Elk River, MN 55330 <br />OFFICE USE ONLY <br />The Applicant is: `~ New Applicant ^ Applying for Reappointment <br />Relevant Personal/Professional Experience: Please describe your professional, civic, or <br />Council Action: ^ Not Appointed <br /> <br />Appointed to: _ <br />Date Appointed: <br />Term Expires: _ <br />