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22 <br /> VOLUNTEER APPLICATION <br /> ORANGE COUNTY BICYCLE TASK FORCE <br /> This application is a public document <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 by March 31, 2016 to the <br /> address/email below: <br /> Orange United Transportation Board <br /> (OUTBoard) <br /> do Abigail° Pittman, Planning Department <br /> P.O.Box 8181 <br /> Hillsborough,NC 27278 <br /> Phone(919)245-2567 <br /> Email:abpittman@orangecountync.gov <br /> Your application will be considered by the Commissioners when reviewing and making appointments. <br /> NAME: Todd Jones <br /> HOME ADDRESS:928 Dimmocks Mill Road <br /> Hillsborough 27278 <br /> CITY: Zip Code: <br /> PHONE: (Day) <br /> (919) 245-1709 (Evening/late) (919) 245-1709 (Cell) (919) 245-1709 <br /> EMAIL: mistersensitive@earthlink.net <br /> PLACE OF EMPLOYMENT: <br /> Orange County Schools JOB TITLE:Chief Technology Officer <br /> ARE YOU AT LEAST 18 YEARS OF AGE? <br /> Yes ® No 0 <br /> ARE YOU A MEMBER OF ANY OF THE FOLLOWING GROUPS? (Check all that apply) <br /> El Law enforcement agency Orange County business El Hillsborough/Orange <br /> School representative Bicycle advocacy group Chamber of Commerce <br /> ElOrange County Visitors Bureau 0 Orange County Planning ED Chapel Hill/Carrboro <br /> D NCDOT Department staff Chamber of Commerce <br /> Ei Group working with drivers education n Regional planning staff <br /> 1-1classes and/or traffic offenders <br /> PLEASE LIST YOUR CURRENT COMMUNITY ACTIVITIES/ORGANIZATIONAL MEMBERSHIPS: <br /> Member, Carolina Tarwheols <br /> Consistent Bicycle Commuter <br /> Former Chief Technology Officer, Orange County <br /> • <br /> , • <br />