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26 <br /> VOLUNTEER APPLICATION <br /> ORANGE COUNTY BICYCLE TASK FORCE <br /> This .,ppih-; tion is a pus Vic ,tent <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, 2(04 to the <br /> address/email below: <br /> Orange United Transportation Board <br /> (OUTBoard) <br /> c/o 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: B uddy Hartley <br /> HOME ADDRESS:3010 Little River Church Road <br /> Hurdle Mills 27541 <br /> Zip Code: <br /> 9197327201 9193572081 <br /> PHONE: (Day) (Evening/late) (Cell) <br /> EMAIL: buddy.hartley@orange.k12.nc.us <br /> OCS Driver Education Coordinator <br /> PLACE OF EMPLOYMENT: JOB TITLE: <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 /> [I Law enforcement agency El Orange County business 111 Hillsborough/Orange <br /> El School representative El Bicycle advocacy group Chamber of Commerce <br /> Orange County Visitors Bureau Ej Orange County Planning Chapel Hill/Carrboro <br /> El NCDOT Department staff "' Chamber of Commerce <br /> Group working with drivers education U Regional planning staff <br /> "classes and/or traffic offenders <br /> PLEASE LIST YOUR CURRENT COMMUNITY ACTIVITIES/ORGANIZATIONAL MEMBERSHIPS: <br />