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CIVIC AND COMMUNITY ACTMTIES: <br /> <br />Describe past or present civic and/or community activities ~ar may be relevant m qualifying you to <br /> <br />ATTENDANCE: <br /> <br />Are you aware of be importance of regular meeting attendance including dxe dine commitment <br />involved in preparing for meetings, and do you £eel you have ~e rime available ro be an active <br />pamcipaar: L J/Yes . No <br /> <br />CONFLICT OF INTEREST.: <br /> <br />I wish ro disclose ~e follo~ving potential ccaflicts of interest ~at may or will a_~se if I become a <br />memberofchisboardorcornmission. /~,{,. ~/4~,/ty3UEf ~v,~r~-4/~O~ 4~z/5 ~; ~ <br /> . - ~ - . . / . ,' <br /> <br /> accor~g co ~e number of appRc~ts and vacates, ~d may nor <br />~e <br /> selec=on <br /> process <br /> v~ <br />include ~te~ews w{~ ~ can~dates. <br /> <br />THANK YOU FOR YOUR INTEREST iN SERVING ON A BOARD OR COI"IMISSiON. <br /> <br />Return Application To: <br /> <br /> City of Elk River <br />- City Clerk's Office <br /> 13065 Orono Parkway <br /> Elk River, M2N 55330 <br /> <br />Appointed To: <br /> <br />Date Appointed: <br /> <br />Term Length: <br /> <br />OFFICE USE <br /> <br />Phone: 763.441.7420 <br />Fa.,:: 763.441.7425 <br />www. c2.elk- aver. mn. us <br /> <br />a:\clerk\boardcom\forms\app llcation-d~c <br /> <br /> <br />