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· · · · · · · <br /> APPLICATION FOR NOMINATION .... <br /> <br /> NAME OF ~VISOR¥ BoARD/COMMITTEE/COMMISSION TO WHICH PERSON IS NOMINATED <br /> Domiciliary Home CommUnity Advispjy Committee <br /> <br /> SUBMITTED BY Fr~nc~s Lon~ DATE 3-]1-8~ <br /> TheCabarrus County Board of Commissioners siucerel~ appreciates the i~terest of all citizens <br />_-%n.q°PgtY advisory co~ittees and urges the public to nominate qualified persons for membershi[ <br /> Nominations may be sent to: <br /> <br /> Cabarrus County Board of Commissioners <br /> Post Office Box 707 <br /> Concord, North Carolina 28025 <br /> <br /> For more information, applicants ~ay review iu the County Manager's Office the responsibilities <br /> of various advisory bodies. <br /> <br /> 0~HER COUNTY BOARDS/COMMITTEES/COMMISSIONS PRESENTLY SERVING ON: <br /> BOARD, COMMITTEE, COMMISSION - ~lolt~ <br /> TERM EXPIRATION DATE <br /> <br /> NOMINEE BACKGROUND INFORMATION: <br /> <br /> NAME ]ch~. Ph~rr PHONE NO. 7~,~]-833'~ <br /> <br /> HOME ADDRESS J~,'3] Ch~lrlof~e f,~,~ad ~ Concor(J~ hJ.C.QSOQS' ZIP CODE <br /> <br /> BUSINESS ADDRESS P.¢f~}¢d ZIP CODE <br /> OCCUPATION PHONE NO. <br /> RACE ~v, SEX M AGE 70 <br /> <br /> NO. HOURS AVAILABLE PER MONTH FOR THIS POSITION As <br /> <br /> EDUCATION High School <br /> <br /> BUSINESS AND CIVIC E~ERIENCE/SKILLS 5(~lcs ~)n¢l service of ()}fi¢c !/,acl~|n~ <br /> <br /> AREAS OF EXPERTISE AND INTEREST/SKILLS <br /> <br /> I understand that this application will be kept. on the active f~le for <br /> two years only. <br /> <br /> / Signath~ of Applicant <br /> <br /> <br />