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Agenda - 01-31-2012 - 4
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Agenda - 01-31-2012 - 4
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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
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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 2 8 <br />Watauga County Boards And Commissions <br />If you are a Watauga County resident, at least 18 years old, and willing to volunteer your Gme and <br />expertise to your community, please complete the application below and dick on Print Form. <br />Please sign and mail or fax to: <br />Watauga County Commissioners' Office <br />814 West King Street, Suite 205 <br />Boone, NC 28607 <br />Phone: (828) 265-8000 <br />Fax: (828) 264-3230 <br />Name: <br />Home Address: <br />City: <br />Zip: <br />Telephone: (H) ~ (Fax) <br />Email: <br />Place of Employment: <br />Job Title: <br />In Order To Assure County wide Representation Please Indicate Your Townshi p Of Residence: <br />{` Bald Mountain (~ Stony Fork (` Watauga <br />(~` New River {`: Brushy Fork Cove Creek <br />('`, Beaver Dam (+' Meat Camp (~ Shawneehaw <br />{~` Blue Ridge (" Blowing Rodc {` Laurel Creek <br />(~` Elk (`.:North Fork <br />(~ Boone <br />In addition, Please Indicate If You Live In One Of The Following Areas: <br />Foscoe-Grandfather Community ("':, Valle Crucis Historic Distrid <br />(` Howards Creek Watershed {~ Winklers Creek Watershed <br />(`,South Fork New River Watershed ~"'; Extraterritorial Area <br />We Ask Your Help In Assuring Diversity Of Membership By Age, Gender, And Race, By Answering The <br />Following Questions <br />Gender Ethnic Background <br />{y Male (`; African American (~ Hispanic <br />{". Female {~ Caucasian r-Other <br />(": Native American <br />Please List (In Order Of Preference) The Boards/Commissions On Which You Would Be Willing To Serve. <br />1. <br />2. <br />3. <br />
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