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Wake County -Authorities, Boards, Commissions and Committees, Wake County Volunt... Page 1 of 3 <br />13 <br />Volunteer Application <br />Wake County Advisory Boards and Commissions <br />If you are a Wake County resident, at least 18 years old, and willing to volunteer your time <br />and expertise to your community, please complete and submit this form. (Required fields <br />are indicated by an asterisk *.) <br />First Name: <br />Last Name:* <br />Street Address: (Use residential street address, not a P.O. box.) <br />City: State: Zip:* <br />_. _ <br />NC <br />Home Phone:* Work Phone: FAX: <br />(Required phone number format is XXX-XXX-~CXX) <br />In order to assure countywide representation, please indicate your place of residence: <br />If you live in an Extraterritorial Jurisdiction Area, check here: ^ Yes <br />We ask your help in assuring diversity of membership by age, gender, and race by <br />answering the following questions: <br />Sex: <br />Ethnic Background: <br />___ <br />Date of Birth: (mm/dd/yyyy) <br />_ _ __.. <br />Please select (in order of preference) the boards or commissions on which you are willing to <br />serve (You must select at least one board.): <br />1. <br />2. <br />3. <br />http://Inweb02.co.wake.nc.us/boards/boards.nsf/WebApp 12/9/2011 <br />