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· , . , APPI. I~ATION ~OR NOMINATION' ~';'. t · <br /> <br />-~o~n~ons ~y be sent ~o: <br /> <br /> Cab~s ~y Board o~ Co~ssXonero <br /> Po8~ O~ftce Box 707 <br /> ~ncord, No~th Ca~olini 28025 <br /> <br /> of various adVisou bodies. <br /> <br /> O~ER ~ ~S/~I~EES/~SSIONS ~S~ SERVING ON~ <br /> <br /> TE~ ~I~TION DATE ,,.f~ , <br /> <br /> NOMINEE BACKGRO~ INFO~TION: <br /> <br /> ~0~ ~P~$S ,, 18~ ~rgia ~. S.w. ~ N.C. ZIP ~ODE <br /> OC~PATION Pr~ti~arole Offi~r ~ONE ~0. (7~} 78q-34~ <br /> <br /> HO. ~O~ 'AVA~BLE PER ~R FOR T~IS POSITION ~n <br /> <br /> EDUCTION B.S. ~io1~ aus~im-~rris Bro*~ ~11~ htl~ta,~ 30314 <br /> <br /> BUSINESS ~ CIVIC EXPERIENCE/SKILLS 1989 Ran for City Counselor/ 1989-Served as Precinct <br /> <br /> Chairman for Ward ~ (41/ 1988-Servod as Girl Sc(~t Trco~ l~r ....... <br /> <br />AREAS OF E)~EKTISE Alii) IRTEREST/SKIIoLS Presently certify with tt~ ~rth ~oli~ ~pt. of <br /> <br /> I understand thac this application rill be~A~ept, on the aC~iv~ [ile for <br /> ~re of l~plign~ <br /> <br /> <br />