Orange County NC Website
RESUME' <br /> Name: 1 <br /> Mailing Address IZT- 0 <br /> Zip Code <br /> �3`P'dome Business <br /> Telephone: 7 <br /> Ethnic Background: Black Indian <br /> White Other _ <br /> ; <br /> Sex: dales-r'""• Female Age: <br /> .�..�._ - <br /> Education: (N hest)occupation, <br /> Community Interests and Activities: ;rr :..�i' r;.f/� / " �-�r �1•!! <br /> What segment o county or population would you represent <br /> (Not applicabl in some instances) <br /> I am inter d in serving on <br /> Date: '. .- --- - Signature <br /> f <br />