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EDUCATIONAL AND PROFESSIONAL EXPERIENCE: <br /> <br />Describe your educational and professional experience or skills that qualifyyou to serve on this board <br />or commission. <br /> <br />See the attached. <br /> <br />CIVIC AND COMMUNITY ACTIVITIES: <br /> <br />Describe past or present civic and/or community activities that may be relevant in qualifying you to <br />serve on this board or commission. <br /> <br />See the attached. <br /> <br />Are you aware of the importance of regular meeting attendance including the time commitment <br />involved in preparing for meetings, and do you feel you have the time available to be an active <br />participant: X Yes __ No <br /> <br />Comments: My attendance record speaks for itself. <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 />member of this board or commission. <br /> <br />None. <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 Application To: <br /> <br />City of Elk River <br />City Clerk's Office <br />13065 Orono Parkway <br />Elk River, MN 55330 <br /> <br /> Phone: 763.441.7420 <br />settings\temporary internet files\olk24\application.doc <br /> F~x: 763.441.7425 <br /> www.c£elk- river.mn.us <br /> <br />Appointed To: <br /> <br />Date Appointed: <br /> <br />Term Length: <br /> <br />OFFICE USE <br /> <br />c:\documents and settings\davea\local <br /> <br /> <br />