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AppttcaUon i-or Appomunent to <br />Cabarrus County Advisory Boards and Commissions <br /> <br />The Cabatrua County Bo~d of Commlsstor~rs belt~ that aL! citizems should have th~ opportunity to participate <br /> <br />govcmmc~ual decisions. Om way of patticipatlnl ia by mervin$ as z citizen member of one o[ the County's advisory boards <br /> you wmt to be conmidemi for aPl~tnunent to an advtmory board, pteasa complete the fonu below and mail it to the Boar <br />of County Commissioners, Post Office Box 707, Concord, Nonh Carolina 28026-0707. You may detach this pase and us <br />az a self-mailer. <br /> <br />Advisory Board / Commission Interested In: <br /> <br />Name: Ca~y wi ~ ~ i ~m ~1 ~-w Resident of C~barms County [~ yes [2] no <br />Add~: 906 South Juniper Street Clrcle yourtu~imhlp <br /> <br />City/Sta~f77P: Kannapolis~ N.C. 28081 <br />Telephone: Home: (704) 938-4432 <br /> Work: <br />N.C. Driver's Licens~ No.:, 8qlqnq5 <br />Occ%lpatio~ ~ ~ ~ 4 ~ n h <br />Business Addm.~: <br /> <br />Central Cabarrus Harrisburg <br /> <br />OeorSeville Midland <br />Gold Hill Mount Pleasant <br /> <br />New Gile: <br />Odell <br />Poplar Te: <br />Rim'crtow <br /> <br />Age (otnional): ~ 7 <br />Educational Back~ound: <br /> <br />N,,mber hours available per month for this p~sitlon: <br /> <br />Business m_nd Civic Experience / Skills: <br /> <br />Other County Boards / Committ_,~_ / Cornm}ssions presently serving on: <br /> Board, Commlt~e, Commi${ioll.' <br /> Term Expiration Date: <br /> <br /> References <br />List three persons who are not mia!ed to you and who have definite knowledge of your qualifications and fitness for the posi <br />for which you aru applying. <br /> <br />Name Business / Occupation Address Telephone <br /> <br />understand that this applteati¢~ will be kapt on tha ~tlve ~ for two years only and I hereby authorize Cabarrus Coun <br />verify mil inform~ou included in this aPl~i~uiou. <br /> <br /> Signature of ~ Applicant <br /> <br />¢,¢, ~ C.~mty Public Affairs Bulledn <br /> <br /> <br />