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~` i <br />F <br /> 9 <br />1 <br />7 <br /> F <br /> Educational Background: <br /> <br /> <br /> f <br /> <br />Business.and Civic Experience: t <br />4 <br /> <br /> k. <br /> .. <br /> Areas of Interest /Skills: <br /> . <br /> € <br /> c <br /> i <br /> - <br />.. ~. <br /> Other County Boards /Committees /Commissions presently serving on: <br />' ~ Term Expiration Date: <br /> <br />Have you ever been charged with and / or convicted of a criminal offense? If so, please explain d <br />1 ` <br /> <br />1 <br /> References <br /> . <br />List three persons who are not related to you and who have definite knowledge of your qualifications and fitness for the i <br />' position for which you are applying. <br />' Name Business / Occu ation Address Tele hone <br />1 <br />I understand that this application will be kept on active file for two years and I hereby authorize Cabatrus 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 00J (Revised 07/06) <br />Attachment number 2 <br />I - 2 Page 319 of 320 <br />