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Application For Appointment To <br />Cabarrus County Advisory Boards and Cemmissions <br /> <br /> The Cabarms Count), Board of Commissionc~ 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 1I~ f6rm below and mail it to the Board <br />of County Commissionera, Post Office Box 707, Concord, North Carolina 28026-0707: You may detach this page and use <br />as a serf-mailer. <br /> <br />Advisory Board / Cowmlssion Interested In: <br /> <br />2. <br /> <br />Address: <br />City / State / 7m:~ <br />Telephone: Home: <br /> Wo~: <br />N.C. ~ver's Li~ No.: <br />~up~on: <br />B~ A~: <br /> <br /> j-- <br />Residen! of Cabarrus County <br /> <br /> Circle ),our township <br />Central Cabarms Harrisburg <br />Concord Kannapolis <br />C-eorgeville Midland <br />Gold Hill Mount Pleasant <br /> <br />D no <br /> <br />New Gilead <br />Odell <br /> <br />Rimenown <br /> <br />AgeCoptlonal): l~ Number hours available per month for this posidon: C~,~ ~ta~u a.s r~c~ofJ <br />EducationalBack~ound: A.)e,,..,_l, o,..~e_~'~c)r- ~r~ k~k.- So._~l 0 <br /> <br />Business and Civic Expericnce / Skills: ~ ~k~.0__j~- 90,,~ <br /> <br />Other County Boards / Committ_ees / Commissions presently serving on: <br /> Board, Commit~e, Commission: <br /> __ . Term Expiration Date: <br /> <br /> References <br /> <br />· List three persons who are not .related to you and wh0 have definite I~ow!edge ofyour qualifications and fimess for the position <br /> for which you ar~ applying. <br /> <br />Name Busine~ / Occupation Addre~ Telephone <br /> <br />I understand that this at)pUc, aEon will be kept on the a~ive ffi( for two years only and I hereby authorize Cabarms County <br /> <br />verify all information included in this application. <br /> <br /> / Dale <br /> <br />Signature of thc Applicant- <br /> <br />q,~, Cabatrus Co~mt7 Public Aitai~s Bulletln .~ 7 <br /> <br /> <br />