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p~JU~ 1~ '95_ • Q1 ~ 21 PM LEADS 612-574-3362 CITY/FLK RIVEA p, 2 ~ 40~ <br />-r- .~ ~. .."'.-.. JIIL 23 '9S 12:54FM <br />~•, <br />s•~ ' <br /> • <br />CIVIC AND COMMUNITY ACTIVITIES: <br />Describe past or present civic and/or community acti vities ~. <br />~ <br />which may be reidvs~t in qualifying you to serve on• this board •'• <br />:• <br />or aom~niesion. ' <br />• , ~ ~. <br /> <br />. . •.;; d. <br />•,~ <br />ATTENDANCE : <br />• • <br />: ~ ~•' <br />• :5' <br /> <br />Are you Ware of the importance or regulai•,meeting a ~ ~ i. <br />ttendance' ~ • <br />~ <br />including the' time colnmitlOQnt involved'• in preparirtq for ' ' • ' • <br />:;; ~~'' °'r`' <br />me®tings, ' 8nd do you feel you 'haves' t?-e ,'time •avasiabl e ' to :be 'an ~ ' .,~•,<~; <br />~ <br />-~~ <br /> <br />•.~ .~ ' <br />activ@ 'participant?• .~ Yes '~~ ~:No• N <br />• <br />, <br />' ~ :;•.;;;•': <br />, <br /> <br /> <br /> <br /> <br /> <br /> • <br /> <br />~ <br />• , .. <br />~ <br />~ <br />' <br />• <br />~~• <br />• • i'' <br />~ <br />,~ <br />• <br />`• <br />' <br />~"' <br />h; <br />~ <br />,.. <br />• <br />• ' • ~; • <br />'~CONFLICT <br />•'OF <br />IfZTERFST: • ' • <br />~ : <br />,: <br />'• <br />¢:~~ ~ <br />•,.~ .,.. <br />;;t <br />;` <br />. <br />, <br />paten~al•~coriflicts <br />i wish'to"~disciose~•the fallowing" of ~~~~.:~•~ •" , '. ~: <br />h:~•"'~•:`~~ <br />, <br />interes~t• t~hat <br />aiay or will arias'it~••I'~b~ccme~:a~•~~'n~mber • <br />•; .~~:. <br />.;of ~•th3s• '~~:`'"'~~" <br />, <br />-. <br />r commission. ~ ~~ ~• <br />, ,;., . <br />' <br />.•~'~"'`~ <br /> , <br />' <br />• <br />. <br />• ~ y: , <br /> <br /> <br /> <br /> <br />• <br />..The. selection .process will vary according • to the i:umber of ~ • ~ ~ <br />'..~~~ <br />app3icants and vacancies, 8nd may not include intervi~W: with ~ ~• <br />all candidatQS. '. <br />TIiANK YOU FOR YOVR INTEREST SN' SERVINt3 OK A 80ARD OR COADdISSION. • <br />.Return_ floiication To: ,' <br />CSty Clerks Office ' <br />City of Elk River • <br />PO Sox 490 - 13065 Orona Parkway <br />Elk River, Mn SS33o • <br />Phone 441-740 <br />