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Office Use Only <br />DATE RECEIVED: <br />Application for Appointment to <br />Cabarrus County Advisory Boards and Committees <br />The Cabarrus County Board of Commissioners believes that all citizens should have the opportunity to participate in <br />governmental decisions. One way of participating is by serving as a citizen member of one of the County’s various <br />advisory boards. If you wish to be considered for appointment to an advisory board, please complete the information <br />below and return it to the CLERK TO THE BOARD OF COMMISSIONERS, P. O. BOX 707, CONCORD, NC 28026- <br />0707, Fax (704) 920-2820. For more information about the various boards, you may contact the Clerk at (704) 920-2109. <br />Advisory Board(s) / Committee(s) Interested In: (Please list in order of preference) <br />1.________________________________________________________________________________________________ <br />2.________________________________________________________________________________________________ <br />3._______________________________________________________________________________________________ <br />Name: ____________________________________________________________________________________________ <br />Home Address: _____________________________________________________________________________________ <br />Mailing Address (if different):___________________________________________________________________________ <br />City / State / ZIP: ___________________________________________________________________________________ <br />Resident of Cabarrus County: ____ Yes ____ No <br />Telephone: Home: ___________________________________ Work: _______________________________________ <br /> Cell: ____________________________________ Fax: _________________________________________ <br />Email Address: ____________________________________________________________________________________ <br />Occupation:________________________________________________________________________________________ <br />Business Address: __________________________________________________________________________________ <br />City / State / Zip: ___________________________________________________________________________________ <br />Do You Have a N. C. Driver’s License? _____ Yes _____ No Age (optional): _______________________ <br />Number hours available per month for this position: _______________________________________________________ <br />Best time of day/or days available:______________________________________________________________________ <br />- over - <br /> <br />