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MW <br />Page 1 of 2 <br />David Potter Sr. <br />Volunteer Application <br />Orange County Advisory Boards and Commissions <br />Name: <br />Name Called: <br />Home Address: <br />Phone (Day): <br />Phone (Evening) <br />Phone (Cell): <br />Email: <br />Place of Employment: <br />Job Title: <br />Year of OC Residence: <br />Township of Residence: <br />Zone of Residence: <br />Sex: <br />Ethnic Background: <br />Mr. David Potter Sr. <br />2507 Red Hill Lane <br />Hillsborough NC 27278 <br />919- 923 -3464 <br />919- 644 -1990 <br />davidp7l44@mindspring.com <br />Self <br />Investor /Builder <br />2005 <br />Eno <br />At -Large <br />Male <br />Caucasian <br />Community Activities /Organizational Memberships: <br />Past Service on Orange County Advisory Boards: <br />Boards /Commissions applied for: <br />Orange County Board of Adjustment (REQUIRES DISCLOSURE STATEMENT) <br />Background, education and experience relevant to this board: <br />Reasons for wanting to serve on this board: <br />Conflict of Interest: <br />Orange County Planning Board (REQUIRES DISCLOSURE STATEMENT) <br />Background, education and experience relevant to this board: <br />Reasons for wanting to serve on this board: <br />Conflict of Interest: <br />Supplemental Questions: <br />Work Experience: Drilling fluid engineer working both domestically and foreign petroleum <br />locations; Former owner of irrigation and well drilling company in Florida. Designed and <br />supplied subsurface irrigation products to municapilities and irrigation companies. <br />Volunteer Experience: Many years ago Jaycees and Lions Club in Tennessee <br />Education: BS in Business Adminstration; Work toward MBA; Petroleum engineer <br />Other Comments: <br />