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Agenda - 01-31-2012 - 4
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Agenda - 01-31-2012 - 4
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Last modified
8/3/2012 10:01:43 AM
Creation date
1/27/2012 12:33:59 PM
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BOCC
Date
1/31/2012
Meeting Type
Work Session
Document Type
Agenda
Agenda Item
4
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Minutes 01-31-2012
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\Board of County Commissioners\Minutes - Approved\2010's\2012
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Volunteer Application Form Page 1 of 2 <br />17 <br />VOLUNTEER APPLICATION <br />GUILFORD COUNTY ADVISORY BOARDS AND COMMISSIONS <br />If you are a Guilford County resident, at least 18 years old, and willing to <br />volunteer your time and expertise to your community, please complete and <br />submit this form. <br />Date: 12/9/2011 <br />Please Enter Your Name: <br />Title: First: Last: Suffix: <br />___ _ <br />(Mr.,Mrs.,etc.) _ (Sr.,Jr.,etc.) <br />Preferred Name: (if different from First Name) <br />Home Address: <br />City: State: Zip: <br />NC <br />Fax <br />Phone: Home Work ext. ( ) <br />__. <br />( ) ( ) - - <br />Email <br />Place of Employment: <br />In order to help us comply with State reporting requirements, please <br />complete the following questions: <br />Sex: (unspecified) <br />Race: (unspecified) <br />__ <br />Date of Birth: (mm/dd/yyyy) <br />Please list (in order of preference) the Boards/Commissions on which you <br />would be willing to serve. <br />1. - <br />2. - <br />3. - <br />http://www.co.guilford.nc.us/boardapp/boards.asp 12/9/2011 <br />
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