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<br />c~RANGE_ cau~T~, sa,A~DS •,.ANI~ CQMM~SSxONS
<br />If yoq are an O;angeC,ounty resideot. at least•t8 ~ear~ odd, and"willing to
<br />volunteer your tine ar~d expertiec t~+ your cowtunity~ please,ao~~lete••and
<br />return; to: . .., . , .. ~ .~ ,.
<br />OranSe Caunty Board ot~ Co:siissioncrs Office
<br />P. O. Box 8162
<br />l~ilisboraagh. NC $4Z7'a,
<br />HOILE ADORERS s ~/`2_S" /jl,~Wl,~ ,~L~~41Y~ .__.r~,_~ ~
<br />TBLgPSONE: (B } (~) / ,~63~ r~ ~
<br />PLACR OF ~{7iiN~ai\• : ~~/~~~~+~I~ ~/LL /YC _~/.I~i~~ T/JfIE,~
<br />J08 TITLS: Si1~pE,e ISe.t~S,~'~c r'o~g,_„~,__ ., -
<br />- LiS? JOB, voLONTSSR AND gDUGA?ip1+~IL SXPBItIR~tCB ANAIOti SKILLS
<br />YO fro LD LI FoR VS ?o CQlISIDRR. ` '
<br />. ~~ ~ .,
<br />IN ORDER TO ASSU1iS COUNTYI~IIDS RSPRgSENTA?IQN PLEASE INDICATg YOUR T~tSHIP OF
<br />RS~$IDBNC6: ~- -
<br />Binghe~ ~~ Ci-eelrs
<br />H i i l shorouEh _„~_ Sna ^,,,,_,_ ,
<br />Chapel Hf1I .,..~,..,,._ ~.ittle River .^._.,__
<br />Cedar Orova ~_„
<br />WB A$IC YOUR H$LP tN ASSVRINI'J OIVSRSITY OF' MlM8EAS3LIP HY AtIE~. GENbLB AND RACE
<br />BY AN8i~i8RING THS FOLLOMING QURSTIOi~8:
<br />dale ~_ B~iIC BACxGROUNDs'
<br />Feaale _,,,,,,~,_ - African Aaerican ._,~_ Hi~tpaaic ~_
<br />CauQasian _„ Other
<br />Native Awericaa ,.~~,;~ .;
<br />D//~AQQTE OF BIQRTHyi '~,r
<br />dD ~~4 t~~~__ r
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<br />wwwwwwrwww wwww rrwr~w~www rrwrrr~~~~ww iJwrrrw~...wrwirrrLw~w~.wwwww •rr~.~ww ~~.~
<br />PLEASE LIST (IN ORDER GF I'RSlZRBNCS) THE HOARDS/CpN,NISSIONB ON iiHICH Y00
<br />MOULD BS NILLIMG TO SSRYB. O~~~tG-~ Coo ~Lgn~J~%~G ~Z~~.~
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