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5.1. SR 06-25-2001
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5.1. SR 06-25-2001
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1/21/2008 8:32:34 AM
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City Government
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6/25/2001
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CIVIC AND COMMUNITY ACTIVITIES: <br /> <br />Describe past or present civic and/or community activities that may be <br />relevant in quahfying you to serve on this board or commission. <br /> <br />I served on the Elk River Area Board of Education from 1987 until 1991. In the 1980's, I served on the Community <br />Education Advisory Council for six years as both a member and as chair. In addition, I have been involved with various <br />youth sports with my thr~e children, have served as a Brownie Leader, and volunteered in the schools. I have worked as <br />a literacy volunteer with the Minnesota Literacy Council. <br /> <br />ATTENDANCE: <br /> <br />Are you aware of the importance of regular meeting attendance including the <br />time commitment involved in preparing for meetings, and do you feel you <br />have the time available to be an active participant: ~. Yes No <br /> <br />Comments: <br /> <br />CONFLICT OF INTEREST: <br /> <br />I wish to disclose the following potential conflicts of interest that may or will <br />arise if I become a member of this board or commission. <br /> <br />ignature ' - .Date'____ <br /> ......................................................... <br />The selection process will vary according to the number of apphcants and <br />vacancies, and may not include interviews with all candidates. <br /> <br />THANK YOU FOR YOUR INTEREST IN SERVING ON A BOARD OR <br /> COMMISSION. <br /> <br />Retflrn Apphcation To: <br /> <br /> City Clerk's Office <br /> City of Elk River <br /> 13065 Orono Parkway <br /> PO Box 490 <br />. Elk River, MN 55330 <br />Phone: 441-7420 <br /> <br />Appointment: <br /> <br />Date: <br /> <br />Term: <br /> <br />OFFICE USE <br /> <br />s:\forms\brdcomap.doc <br /> <br /> <br />
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