AG 1994 12 19 - Laserfiche WebLink

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Application For Appointment To Cabarrus County Advisory Boards and Commissions The Cabarrus Count~, Board of Commissioners believes that all citizens should have the opportunity to participate in govemmental decisions. One way of participating is by serving as a citizen member of one of If you want to be considered for appointment to an advisory Ix~ard, please complete the form belot~, lind mail it to of County Commissioners, Post Office Box 707, Concord, North Carolina 28026-0707 ' ' ... Advisory Board/Commission Interested In: I~.J ,.~,~ ...... Address: City/State/ZIP: c~o,,V Oa,e z{, Telephone: Home: ?gl- Work: 7~'g- -- N.C. Driver's License No.: Resident of Cabarrus County Ll~yes Circle your township Central Cabarrus Harrisburg ~ Kannapolis Georgeville Midland Gold Hill Mount Pleasant [] no New Gilead Odel.l Poplar Tent Rimertown Occupation: ..~C'(.~z. ~y.J~,,~ece,~__.&~r eA:/'J ~-Xe~.~&~-) Business Address: 6'5'7 /,.~c"- c~,,xfd¢;e,o 'rd.o. (~,~o~-~ ~ c~. .2J~,~.~ 5~ Age (optional): Number hours available per month for this position: if, a..~~e e~e~5 Educational Background: ~,,~(VW~.z o/~ OF /c]~r~ - /~',2~//~ ¢~Q / Business and Civic Experience / Skills: Other County Boards 1 Committees / Commissions presently serving on: Board, Committee, Commission: ~ Term Expiration Date: References List three persons who are not related to you and who have definite knowledge of your qualifications and fi mess for the position for which you are applying. Name [ Business / Occupation Address ] Telephone understand that ~is application will be kep~ on d~e active file for two years orfl~ar~"h~'¢%¥'~'di~rize Cabarrus County ~o .._ Yeri£y all information included in this application. Signature of the Applicant.