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Advisory Commission Application Form

  1. Residency Information

    Members of the Heritage Preservation, Planning, and Utilities Commission must be Elk River residents. Residency is not a requirement for the Arena, Energy City, and Parks and Recreation Commission.

  2. Public Contact Information*

    The city maintains a directory of current board/commission members on the city's website. Once appointed members are required to provide a telephone number, email address, or both where the appointee can be reached. This is the contact information we will include in our online directory. Please indicate which contact information you would like us to use:

  3. Conflict of Interest*

    Conflict of Interest is defined as the participation in any activity, recommended action, or decision from which the individual has or could have the potential to receive personal gain, whether it be direct or indirect. Do you have any legal or equitable interest in any business, however organized, which could be construed as a conflict of interest?

  4. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

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  6. This field is not part of the form submission.