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Educational Background: <br />' Business. and Civic Experience: <br />' Areas of Interest /Skills: <br />. .. . <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 />~. <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 / Occu ation Address Tele hone <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 I32-1) and may be released upozi 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 Item# 26 <br />BOC 001 (Revised 07/06) Attachment number 2 <br />' I _ ~ 407 of 408 <br />