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20 <br /> VOLUNTEER APPLICATION <br /> ORANGE COUNTY BICYCLE TASK FORCE <br /> This apho[l,catioiil .s a public docum, �� <br /> If you are at least 18 years old, and willing to volunteer your time and expertise to the Orange County <br /> Bicycle Safety Task Force, you may complete this application and mail/email it to the uddr*ssA*maU <br /> below: <br /> Orange United Transportation Board <br /> (OUTBoard) <br /> do Abigailo Pittman, Planning Department <br /> P.O.Box 8181 <br /> Hillsborough, NC 27278 <br /> Phone(919)245-2567 <br /> Email:ab ittonan oran ecoun% nc^•ov <br /> Your application will be considered by The Commissioners when reviewing and making appointments. <br /> NAME: Alyson West <br /> HOME ADDRESS: 325 Brand wine Rd_ � �� <br /> CITY: Chapel HllhaPel Hill Zip Code: 27516 <br /> PHONE: (Day) 503'734`5299 (Evening/late) ' same -_- (Cell) same <br /> EMAIL: -__ al son• maU com� <br /> PLACE OF EMPLOYMENT: Ravenhouseltd JOB TITLE: Band Man r <br /> ARE YOU AT LEAST 18 YEARS OF AGE? <br /> Yes NO [l <br /> ^~ <br /> ARE YOU A MEMBER OF ANY OF THE FOLLOWING GROUPS? <br /> Law enforcement agency LI Orange County business [l Hillsborough/Orange <br /> Li School representative Bicycle advocacy group Chamber of Commerce <br /> LI Oranqo County Visitors Bureau Fl Orange County Planning Chape| HO|/Cor,boro <br /> |l NCDDT Department staff Chamber of Commerce <br /> r I Group working with drivers education [l Regional planning staff <br /> classes and/or traffic offenders <br /> PLEASE LIST YOUR CURRENT COMMUNITY ACTIVITIES/ORGANIZATIONAL MEMBERSHIPS: <br /> Oar,bomBikoCom|Non-Board Member <br /> Tarwhoe|o-momber <br /> Than | b01______ <br /> ----��------- -- -- --- -'-------'--------- --' - -------- | <br />