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CIVIC AND CONLMUNITY ACTIVITIES: <br /> <br />Describe past or present civic and/or community activities that may be rdevant in qualifying you to <br />serve on this board or commission. <br /> <br />ATTENDANCE: <br /> <br />Are you aware of the importance of regular meedng attendance inducting the dine commitment <br />involved in preparin,g, for meetings, and do you feel you have the time available to be an active <br />participant: ~. Ye~' No <br /> <br />Comments: <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 this board or commission. <br /> <br />Signature Date <br /> <br />The selection process will vary according to the number of applicants 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 Appl/cadon 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: 763.441.7425 <br />w,mv.ci.elk-r/ver.mn, us <br /> <br />a:\clerk\boardeom\applieation.doc <br /> <br /> <br />