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CIVIC AND COMMUNITY ACTIVITIES: <br /> <br />Describe past or present civic and/or community activities that may be relevant m quali~ing you to <br />se=eo,~sboa,-aorco==ssio~. /, &,,,.,.,/ ,,,~,,~.,~.,./s/,~.., ,,-f ?~,.,,,;,,.~ <br /> <br />ATTENDANCE: <br /> <br />Are you aware of the importance of regular meeting attendance including the dine commitment <br />involved in prepar/ng for meetings, and do you feel you have the dine available to be an active <br />participant: k,~Yes No <br /> <br />CONFLICT OF INTEREST: <br /> <br />I wish to disclose the following potential conflicts of interest that may or will arise if I become a <br />me=be~ o~ ~ bo=d o~ com=~s~o=. ~,. ~.~.~/~ ~. ~.~ ~Z.~ &~./, ;; ,; g'~o.":~- <br /> <br />~e selec~on process w~ v~ accoz~g to ~e =tuber of app:cants and vacancies, ~d may not <br />mdade Nte~ews wi~ ~ can~dates. <br /> <br />THANK YOU FOR YOUR INTEREST IN SERVING ON A BOARD OR CONNISSiON. <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 />F:u,:: 763.441.7425 <br />,m, rw. cLetk- river, mn. us <br /> <br />s:\clerkkboardcom\ forms\application-doc <br /> <br /> <br />