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CMC AND COMMIJNITY ACTIVITIES: <br /> <br />Describe past or present civic and/or community activities that may be <br />relevant in qualifying you to serve on this board or commission. <br /> <br />ATTENDANCE: "~ ~ ~ ~ ~ <br /> <br />Are <br /> you aware of the importance of regular meeting attendance including the <br />t~rne commitment involved in preparing for meetings, ~nd 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 />Sigmature ~; 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 />Return 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:Xforms\brdcomap.doc <br /> <br /> <br />