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F~b 1~ D3 03:0~p p.~ <br /> <br />CMC .AND COMMLD4Ty ACTIVITIES: <br /> <br />Describe past or present civic and/or community activities that may be relevant in qualify/ng you to <br />se~e on this board or commission. ~- zo~o -: ~ // w · ., ~ --. ~ <br /> -' - <br /> <br />ATFENDANCE: <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: ~ Yes __ No <br /> <br />CONflICT OF INTEREST: <br /> <br />I wish to disclose the following potential Cor~]icrs of interest that may or will arise ffI become a <br />member of this board or commission. ~ <br /> <br />Signature <br /> <br />.Tb_.e s.ele, cuon.process will vary according to the number of applicants and vacancies, and may <br />mclucte mtervtews with al/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 />Appointed To: <br /> <br />Date Appointed:. <br /> <br />Term Length: <br /> <br />OFFICE USE <br /> <br />not <br /> <br /> Phone: 763.441.7420 <br />~ettings\paul.hkgi\local aett/ngsX, temporary iatarnet files\olk25Xapplication.doc <br /> Fax: 763.441.74",..5 <br /> www. d.eik-rixm-.mn, us <br /> <br />c:kdocuments and <br /> <br /> <br />