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30 <br /> VOLUNTEER APPLICATION <br /> ORANGE COUNTY BICYCLE TASK FORCE <br /> This ap, licati is a 101 lic docucient <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 /> c/o Abigail° Pittman, Planning Department <br /> P.O.Box 8181 <br /> Hillsborough, NC 27278 <br /> Phone(919) 245-2567 <br /> Email: at2pittman@orangecountync.gov <br /> Your application will be considered by the Commissioners when reviewing and making appointments, <br /> Clifford Leath <br /> NAME: <br /> HOME ADDRESS: 6600 Maynard Farm Road <br /> CITY: <br /> Chapel Hill Zip Code: 27516 <br /> 919-357-8181 919-968-0708 919-357-8181 <br /> PHONE: (Day) (Evening/late) (Cell) <br /> EMAIL: cliffleath©earthlink.net <br /> Retired <br /> PLACE OF EMPLOYMENT: JOB TITLE: <br /> ARE YOU AT LEAST 18 YEARS OF AGE? <br /> Yes C) No <br /> ARE YOU A MEMBER OF ANY OF THE FOLLOWING GROUPS? (Check all that apply) <br /> I Law enforcement agency Orange County business [1 Hillsborough/Orange <br /> School representative D Bicycle advocacy group Chamber of Commerce <br /> EjOrange County Visitors Bureau ri Orange County Planning Chapel Hill/Carrboro <br /> NoDur Department staff Chamber of Commerce <br /> —Group working with drivers education —I Regional planning staff <br /> —classes and/or traffic offenders <br /> PLEASE LIST YOUR CURRENT COMMUNITY ACTIVITIES/ORGANIZATIONAL MEMBERSHIPS: <br /> Past Board Member of Eno River Association and Current Finance Committee Member <br /> Current Board Member and upcoming President of NC State Vet Foundation Board <br /> Avid Recreational Rural bicycle cyclist riding 3 days a week and taking European 12 day <br /> bicycle tours in Spain, Germany, France, Denmark, etc. every year <br /> Avid walker in our rural environs <br />