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Are you available for evening meetings? <br />References <br />Name: <br />Relationship to you: <br />Name: <br />Relationship to you: <br />Phone: <br />Phone: <br />Applicant Signature: Date: <br />Parent/Guardian Signature: <br />Please return this application in person or via mail to: <br />Angela Poplin <br />Interim Clerk to the Board <br />Cabarrus County <br />P.O. Box 707 <br />Concord, NC 28026-0707 <br />Fax: 704-920-2820 <br />afpoplin@cabarruscounty.us <br />t EXTEN <br />mrsmin Z—.' <br />SIEMENS EXTENSION <br />SIEEEEES <br />10/2012 <br />1-2 Page 196 <br />