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20 <br /> Page 1 of 1 Tod Puckett <br /> Volunteer Application <br /> Orange County Advisory Boards and Commissions <br /> Name: Mr Tod Puckett <br /> Name Called: <br /> Home Address: 115 Fellowship Lane <br /> Rougemont NC 27572 <br /> Phone (Day): 919-245-1968 <br /> Phone (Evening): 919-245-1968 <br /> Phone (Cell): n/a <br /> Email: puckett.tod @gmail.com <br /> Place of Employment: Retired <br /> Job Title: Retired <br /> Year of OC Residence: 2014 <br /> Township of Residence: Little River <br /> Zone of Residence: <br /> Sex: Female <br /> Ethnic Background: Caucasian <br /> Community Activities/Organizational Memberships: <br /> Lay Leader- New Bethel UMC <br /> Boy Scouts of America <br /> Past Service on Orange County Advisory Boards: <br /> none <br /> Boards/Commissions applied for: <br /> Human Relations Commission <br /> Background, education and experience relevant to this board: <br /> Career Military, the most diverse environment you can find. Graduate of NCCU as minority <br /> student <br /> Reasons for wanting to serve on this board: <br /> To help ensure Orange County is being as fair as possible to it s citizens and employees. <br /> Conflict of Interest: <br /> Supplemental Questions: <br /> Other Comments: <br /> This application was current on: 1/21/2015 10:45:20 PM Date Printed: 1/23/2015 <br />