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Feb 12 03 lO:50a Ronald L 3ohn~on 763-323-98~5 <br /> <br /> Describe your educational and professional experience or skills that qualify you to serve <br /> on this board or commission. <br /> <br /> CIVIC AND COMIvlUNITY ACTIVITIES: <br /> <br />/ Describe past or present civic and/or community activities that may be relevant in <br />[ qualifying you to serve on this board or comn~,'ssion. _ <br /> <br />ATTENDANCE: <br /> <br />Are you aware of the importance of regular meeting attendance including the time <br />commitment involved in preparing for meethags, and do you feel you have the time <br />available to be an active participant: / Yes ~ No <br /> <br />CONFLICT OF INTEREST: <br /> <br />I wish to disclose the following potential conflicts o'finterest that may or will arise ifI <br />become a member oftkis board or commission. <br /> <br />Signature ~-.// - Date <br /> <br />The selection process will vary according to the number of applicants and vacancies, and <br />may not include interviews with all candidates. <br /> <br />THANK YOU FOR YOUR INTEREST IN SERVING ON A BOARD OR <br />COMMISSION. <br /> <br />OFFICE USE <br /> <br />Appointed To: <br /> <br />Date Appointed: <br /> <br /> <br />