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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 />COn m <br /> <br />o <br /> <br />Address: !5'~ <br />City/State/ZIP: <br /> <br />Telephone: Home: <br /> <br /> Work: <br /> <br />N.C. Driver's License No.: <br />Occupation: <br />Business Address: <br /> <br />Resident of Cabarrus County 1El yes <br /> Circle your township <br /> <br />[] no <br /> <br />Central Cabarrus Harrisburg New Gilead <br />~ Kannapolis Odell <br />Georgeville Midland Poplar Tent <br />Gold Hill Mount Pleasant Rimertown <br /> <br />_ Age (optional): 3/z:2 <br /> Educational Background: <br /> <br /> Business and Civic Experience / Skills: do. r}aam' /1'~ i[/5, ~ctg;o 'Trx~. (.'-~rrn ;, o/cx:j <br /> <br />- Other CouCnty B~ards / committees / Commissiods presently serving on: <br /> Board, Committee, Commission: <br /> Term Expiration Date: <br /> <br /> References <br /> List three persons who are not related to you and who have definite knowledge of your qualifi cations and fitness for the position <br /> for which you are applying. <br /> <br />Number hours available per month for this position: <br /> <br />Name Business / Occupation Address Telephone <br />K;'~ p.~h~. C~o~/~r .TOO k,', %o,-/.,¢ ch~ 37~-c/;~ <br /> <br />I understan~ that this application will be kept on the active file for two years only and I hereby authorize Cabarrus County to <br />verify all information included in this application. <br /> <br />/ <br />' ' Date <br /> <br />-* - -' Signatu~ 0fthe ~,~pi-i~nt <br /> <br /> <br />