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Application For Appointment To <br />Cabarrus County Advisory Boards and Commissions <br /> <br />-- The Cabarms County Board of Commissioners believes that all citizens should have the opportun? to participate in <br /> governmental decisions. One way of participating is by serving as a citizen member of one of the Count~'{ fil~,)~ory boards. <br /> If you want to be considered for appointment to an advisor3, board, please complete the form bel, ow,],alBd'm ail ~iNo the Board <br />-- of County Commissioners, Post Office Box 707, Concord, North Carolina 28026-0707. You ~a~y ~et~gh t'~ge and use <br /> as a self-mailer. %~¥ ~" <br /> <br />-- Advisory Board / Commission Interested In: <br /> <br /> · ¢ <br />_ <br /> 2. <br /> <br /> Name: -~?9/e_q ],{~OAI ~gJ'/q/'$/~_X.a Resident of Cabarrus County ~yes <br />-- Address: sa 3/?d, C~c~e your township <br /> City/State/ZI~: ~,' ~[e~S~M~; ~ e, ~/~ Centrfl Cabarms Harrisburg <br />-- Telephone: Home: ~yG--& 2 9 ¢ Co~ora K~apolis <br /> Work: ~ 9 ~/ Georgeville Midlmd <br />_ N.C. Driver's License No.: / ~F] X ~ ~ Gold Hill ~ <br /> <br />[-1 no <br /> <br />New Gilead <br />Odell <br />Poplar Tent <br />Rimertown <br /> <br />Occupation: .~ O c.,~. ~_ W' <br /> <br />Age (optional): ~ ~ Numar hours available ~r month for this position: <br />Education~Backgro;nd: <br /> <br />Business and Civic Expefience / Skills: Z,'b~ C ~, ~ ~.'~,~ <br /> <br />Other County Boards /Committees /Commissions presently serving on: <br /> Board, Committee, Commission: <br /> Term Expiration Date: <br /> References <br />List three persons who are not related to you and who have definite knowledge of your qualifications and fitness for the position <br />for which you are applying. <br /> <br />Name I Business / Occupation Address Telephone <br /> <br />I understand that this application will be kei~t on the active file for two years only and 7'~iieby authorize Cabarms County't'~ <br />verify all information included in this application. <br /> <br /> ~ Date } <br />(CURRENTLY HAS CABLE SERVICE) <br /> <br /> Signature of the Applicant <br /> <br />· .".+ Cabarrus County Public Affairs Bulletin <br /> <br /> <br />