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Educational Background: <br /> Business and Civic Experience: <br /> Areas of Interest/Skills: <br /> Other County Boards/Committees/Commissions presently serving on: <br /> Term Expiration Date: <br /> Have you ever been charged with and/or convicted of a criminal offense? If so,please explain <br /> References <br /> List three persons who are not related to you and who have definite knowledge of your qualifications and fitness for the <br /> position for which you are applying. <br /> Name Business/Occupation Address Telephone <br /> I understand that this application will be kept on active file for two years and I hereby authorize Cabarrus County to verify <br /> all information included in this application. I further understand this application is subject to the N. C. Public Records <br /> Law (NCGS 132-1) and may be released upon request. Meetings of the appointed boards and committees are subject to <br /> the N. C. Open Meetings Law(NCGS 143-318.10). <br /> Date Signature of the Applicant <br /> BOC 001(Revised 07106) Attachment number 4\n <br /> 1-6 Page 163 <br />