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2 I- <br />This space for office use only <br />8/12/02 Paae 1 of 1 G. Seth Stephens <br />VOLUNTEER APPLICATION <br />ORANGE COUNTY BOARDS AND COMMISSIONS <br />If you aze an Orange County resident, at least I8 years old, and willing to volunteer your time and <br />expertise fo your community, please complete this application and return to: <br />Orange County Commissioners' Office <br />P.O. Box 8181 <br />Hillsborough, NC 27278 <br />Phone (919) 245-2125; 688-7331; 227-3031 FX (919) 644-0246 <br />NAME; __-__-______-__________ G. Seth Stephens <br />HOME ADDRESS: ------------- 5807 Craig Road <br />CITY: ------------------------- Durham <br />STATE: --------------------------- NC <br />ZIP CODE: ----------__-_____ 27712 <br />TELEPHONE: (Home) --------- 630-1886 <br />TELEPHONE: (Work) -------- <br />TELEPHONE: (FAX) ---------- 382-9878 <br />EMAIL: --------------________ gss@duke.edu <br />PLACE OF EMPLOYMENT: --- Tinder Box <br />JOB TITLE: ------------------ Assistant Manager <br />TOWNSHIP OF RESIDENCE: -- Eno <br />ZONE OF RESIDENCE: ------ Does not apply <br />SEX: --------------------------- Male <br />ETHNIC BACKGROUND: ------- African American <br />DATE OF BIRTH: ----------------- 07/08/78 <br />LIST, IN PREFERENCE, THE BOARDS/COMMISSIONS ON WHICH YOU WOULD BE WILLING <br />TO SERVE: 1: ---------------------- Human Rights and Relations <br />2. --------------------- HSAC 3. ---------------------- Recreation and Parks <br />Please Iist any work, volunteer and/or educational experience you would like to have considered <br />in the review of your application. <br />WORK EXPERIENCE: Transportation Officer, Norfolk Southern; Assistant Manager Tinder <br />Box. <br />VOLUNTEER EXPERIENCE: American Legion, Taz Heels Boys' State 1997-2002 <br />EDUCATIONAL EXPERIENCE: Bachelor ofArts -Philosophy <br />OTHER COMMENTS: Currently enrolled in an advanced degree evening program on Tuesday, <br />Wednesday and Thursday evenings. Free all Mondays. <br />How did you become aware of Orange County volunteer opportunities? List all that apply: <br />County Web Site. If other, how? By submitting electronic application, applicant agrees to <br />Ethics Guidelines and agrees to attend three-hour orientation.This form was submitted online, on <br />Mon Aug 12 16:23:39 2002. <br />addr. ver .within Orange County per cd 8/12/02 Land Records <br />