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24 <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 31i 2016 to the <br /> address/emall below: <br /> Orange United Transportation Board <br /> (OUTBoard) <br /> c/o Ablgaile Pittman, Planning Departm;nt <br /> P.O.Box 8181 <br /> Hillsborough,NC 27278 <br /> Phone(919)245-2567 <br /> Email: abpIttman@orangecountync.goy <br /> Your application will be considered by the Commissioners when reviewing and making appointments <br /> NAME: William Langston <br /> HOME ADDRESS:_400 North Elliott Road <br /> CITY Chapel Hill Zip Code: 27514 <br /> : <br /> 9196994055 9196994055 9196994055 <br /> PHONE: (Day) (Evening/late) (Cell) <br /> EMAIL wmlangston@gmail.corn <br /> ' <br /> JOB TITLE: <br /> PLACE OF EMPLOYMENT Whirlpool Corporation Regional Sales Mgr <br /> : <br /> ARE YOU AT LEAST 18 YEARS OF AGE? <br /> Yes 0 No 0 <br /> ARE YOU A MEMBER OF ANY OF THE FOLLOWING GROUPS? (Check all that apply) <br /> El Law enforcement agency El Orange County business [1 Hillsborough/Orange <br /> El School representative EI Bicycle advocacy group Chamber of Commerce <br /> COrange County Visitors Bureau ri Orange County Planning ri Chapel Hill/Carrboro <br /> NCDOT Department staff Chamber of Commerce <br /> ri Group working with drivers education El Regional planning staff <br /> "classes and/or traffic offenders <br /> PLEASE LIST YOUR CURRENT COMMUNITY ACTIVITIES/ORGANIZATIONAL MEMBERSHIPS: <br /> am a member of Triangle Velo a non-profit 501c Organization for racing cyclists to <br /> promote cycling to youth and reduce child ob;sity, <br /> I am a member of Chapel of the Cross Episcopal Church <br />