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Applicatior. For Appointment To <br />Cabarrus County Ad',isory Boards and Commissions <br /> <br /> The Cabarrus County Board of Commissioners ~lieves that all citiz~, should have the oppommity to participate <br />governmental decisions. One way or' participating is ~ serving as a citizen ~.ember of one of the County's advisory <br />If you want to be considered for aplx~intment to an a2~isory board, please canplete the form below and mail it to the Boa.< <br />of Courz! Commissioners, Post Office Box 707, C~cord, North Carolina ~026-0707. <br /> <br />Advisory. Board / Commission Interested In: <br /> <br /> Resident ~Cabarms County [] yes [] no <br /> circle your township <br />Central Cabarr~ (11) Harrisburg (1) · New Gilead <br />Concord (12) Kannapolis (4) Odell (3) <br /> <br />Gold Hill (7) Mount Pleasant <br /> <br />Age (opffonal): Number ho-ms available per month.-br tl~is position: <br /> <br />Other Ccunty Boards / Commimes / Commissions t:resently serving on: <br /> Boa'd, Committee, Commission: <br /> Term Expiration Date: <br /> <br />Have you ever been cl'~arged wit~ and / or convicted ::f a criminal offense? ~"~C) If so, please, explain <br /> <br /> References <br />List three~ersons who are not mi:ted to you and who hzte definite knowledge or, your qualifications and fimess for the pesiticr_ <br />for which you are applying. <br /> <br />Name } Busings / Occm. ation .Address - } Telephone <br /> <br />I unders ,t.md that this application will be kept on the z-.'ive file for two years cr~iy and I hereby authorize Cabarms County tc <br />verify al/information included in this application. <br /> <br /> Signature 0-f th~ Applicant <br /> <br /> <br />