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CIVIC AND COl%4/VI-UNITY ACTIVITIES: <br /> <br />Describe past or present dvic and/or community activities that may be relevant in qualify/rig you to <br />serve on this board or commission. <br /> <br />ATTENDANCE: <br /> <br />Are you aware of the importance of regular meeting attendance including the dme commitment <br />involved in preparing for meetings, and do you feel you have the dine available to be an active <br />participant: ~/Yes No <br /> <br />C o iTlr~cP~ts: <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 th/s board or commission. <br /> <br />?_5::_T ..................... 2 ......................................... s:::!_ ........... <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 />Kemm 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 />Fax: 763.441.7425 <br />*narw.d.elk- dver.am.u~ <br /> <br />s:\clerk\boa~dcom\application.doc <br /> <br /> <br />