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CMC AND COM2vFUNITY ACTMTIES: <br /> <br />Describe past or present civic and/or community activities that may be relevant in qualifSfing you to <br />serve on ri'tis board or commission. <br /> <br />ATTENDANCE: <br /> <br />Are you aware of the importance of regular meedng attendance including the time cOmmitment <br />involved in prep ,ar?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 INTER_EST: <br /> <br />I wish to disclose the following potential conflicts of interest that may or will arise if I become a <br />member of d-tis board or commission. <br /> <br />Signature Date <br /> <br />The selection process w/il vary according to the number of applicants and vacancies, and may nor <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, N[N 55330 <br /> <br />Appointed To: <br /> <br />Date _Appointed: <br /> <br />Term Length: <br /> <br />OFFICE USE <br /> <br />Phone: 763.441.7420 <br />Fmc: 763.441.7425 <br />w,~v.ci.etk- river.mn, us <br /> <br />s:Xclerk\boardcomXapplicat~on, doc <br /> <br /> <br />