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Office Use Only <br />DATE RECEIVED: <br />Application for Appointment to <br />Cabarrus County Advisory Boards and Committees <br />The Cabarrus County Board of Commissioners believes that all citizens should have the opportunity to participate in <br />governmental decisions. One way of participating is by serving as a citizen member of one of the County's various <br />advisory boards. If you wish to be considered for appointment to an advisory board, please complete the information <br />below and return it to the CLERK TO THE BOARD OF COMMISSIONERS, P. O. BOX 707, CONCORD, NC 28026- <br />0707, Fax (704) 920-2820. For more information about the various boards, you may contact the Clerk at (704) 920-2109. <br />Advisory Board(s) /Committee(s) Interested In; (Please list in grder of preference) <br />1. <br />2. <br />3. <br />xxxxxxxxxxxxxx <br />Name: <br />Home Address: <br />Mailing Address (if different): <br />City /State /ZIP: <br />Resident of Cabarrus County: Yes No <br />Telephone: Home: _ _ Work: <br />Cell: <br />email Address: <br />occupation: <br />3usiness Address: <br />~ity /State /Zip: <br />~o You Have a N. G. Driver's License? Yes No Age (optional}: <br />Vumber hours available per month fox this position: <br />3est time of day/or days available: <br />Fax: <br />- over - Item# 34 <br />Attachment number 2 <br />Page 197 of 199 <br />