Orange County NC Website
Z~ <br />VOLUNTEER APPLICATION <br />ORANGE COUNTY ADVISORY BOARDS AND COMMISSIONS <br />If you are an Orange County resident, at least 18 years old, and willing to volunteer your <br />time and expertise to your community, please complete and submit this form. <br />Name: <br />Name Called: <br />Home Address: <br />Phone: (Day) <br />Phone: (Evening) <br />Fax: <br />Email: <br />Place of Employment: <br />Job Title: <br />Township of Residence: <br />Zone of Residence: <br />Sex: <br />Ethnic Background: <br />Date of Birth: <br />Mr Melvin Smith <br />1226 Watson Road <br />Chapel Hill, NC 27516 <br />919-260-2730 <br />919-933-7885 <br />sug920@hotmail.com <br />Town of Chapel Hill <br />Police Officer <br />Chapel Hill <br />Does not apply <br />Male <br />African American <br />09-20-53 <br />Please list (in order of preference) the Boards/Commissions on which you would be willing <br />to serve. 1.Human Relations Commission 2. 3. <br />WORK EXPERIENCE: <br />18 years as a Chapel Hill Police Officer <br />VOLUNTEER EXPERIENCE: <br />EDUCATIONAL EXPERIENCE: BA in Sociology from UNC-CH BA in Criminology <br />from Shaw University <br />Other Comments: <br />How did you become aware of Orange County volunteer opportunities? <br />Other. If Other, how? Annette Moore <br />By submitting electronic application, applicant agrees to Ethics Guidelines and agrees to <br />attend three-hour orientation. <br />This form was submitted online, on 4/19/03 8:58:15 PM <br />