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Application For Appointment To <br />Cabarrus County Advisory Boards and Commissions <br /> <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 advisory boards. <br />If you want to be considered for appointment to an advisory board, please complete the form below and mail it to the Board <br />of County Commissioners, Post Office Box 707, Concord, North Carolina 28026-0707. <br /> <br />Advisory Board / Commission Interested In: <br /> <br />Address: 1~o7 <br />City/State / Z~: <br /> <br />Telephone: Home: <br /> <br />N.C. Driver's Lice~ No.: <br />Occupation: ~~ <br />Business Address: /~o~ <br />Age (option~): <br /> <br />Educa~ona Back~ound: <br /> <br /> Resident of Cabarrus County ~1 yes [] no <br /> Circle your township <br />Central Cabarrus (11) Harrisburg (1) New Gilead (5) <br />Concord (12) Kannapolis (4) Odell (3) <br />Georgeville (9) Midland (10) ~oplarTent <br />Gold Hill (7) Mount Pleasant (8) Rirnertown (6) <br /> <br />Number hours available per month for this position: <br /> <br />Business and Civic Experience / Skills: <br /> <br />Other County Boards / Committees / Commissions presently serving on: <br /> Board, Committee, Commission: <br /> <br />Term Expiration Date: <br /> <br />Have you ever been charged with and / or convicted of a criminal offense? A/O If so, please explain _ <br /> <br /> References <br />List three persons who are not related to you and who have definite knowledge of your quaiificatlons and fimess for the position <br />for which you are applying. <br /> <br />Name Business / Occupation Address I Telephone <br /> <br />I understand that this application wiI.1 be kept on the active file for two years only and I hereby authorize Cabarrus Count)' to <br /> <br /> Date Signature of the Applicant <br /> <br /> <br />