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I <br /> APPLICATION FOR NOHINATION <br />NAM~ OF ADVISORY BOARD/COMMITTEE/CO~ISSION TO ~ICH PERSON IS NO,~IINATED ~c~ ~,~ <br /> <br />The gaba~9 County Board o~ go~issioners sincerely appreciates ~he in~eres~ of all cit~zen~ <br />In ~unry advisory co~i~ee~ and urges ~he publk ~o nom~te qualif~ed peraons for ~mbership. <br />Homination~ ~y be sent ~o: <br /> <br /> CaMrrus ~un~y ~o~rd of Co~ss~oner~ <br /> Pos~ O~fice Box 707 <br /> Concord, ~or~h Carolina 28025 <br /> <br />For ~re ~nfo~at~on, applicants ~y review ~n the ~ry ~nager*s Office ~he re~pon~ibil~ies <br />of verious advisory bodies. <br /> <br />OTHER CO~ BO~$]~I~EES/~ISSIONS P~SEN~Y SERVING ON: <br /> BO~, gO~l'a'~E, CO~ISSION <br /> TE~ ~PI~TION DATE <br /> <br />NOHINEE BACKGROUND INFOP~h~.TION: <br /> <br />~CE ~ SEX ~ AGE ~ <br />EDUCATION <br /> <br />BUSINESS ~ND CIVIC EXPERIENCE/SKILI,S <br /> <br />AREAS OF E.V~PERTISE AND INTEREST/SKILLS <br /> <br /> I understand that this application will be kept. on the active file for <br /> two years only. <br /> <br /> ,~j <br /> Signature of Applicant ~.~,.~.~w~ ;K~Z ~z , '" <br /> <br /> 9 <br /> <br /> <br />