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32 <br /> VOLUNTEER APPLICATION <br /> ORANGE COUNTY BICYCLE TASK FORCE <br /> This - lic tku s a public (loco nient <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 malt/email it by March 31,201 6 to the <br /> address/email below: <br /> Orange United Transportation Board <br /> (OUTBoard) <br /> c/o Abigaile Pittman, Planning Department <br /> P.O. Box 8181 <br /> Hillsborough,NC 27278 <br /> Phone(919)245-2567 <br /> Email:abpittrnanr Oran lecountync.gov <br /> Your application will be considered by the Commissioners when reviewing and making appointments. <br /> NAME: peter h, klopfer <br /> HOME ADDRESS:4801 friends school rd. <br /> CITY: <br /> durham (orange county)• Zip Code: 27705 <br /> 919 393 3237 ibid <br /> PHONE: (Day) (Evening/late) ,(Cell) <br /> EMAIL: phk@duke,edu <br /> duke universtiy professor em. <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 /> Law enforcement agency El Orange County business Ej Hillsborough/Orange <br /> School representative El Bicycle advocacy group Chamber of Commerce <br /> Ej Orange County Visitors Bureau El Orange County Planning Chapel Hill/Carrbero <br /> NCDOT Department staff Chamber of Commerce <br /> El Group working with drivers education E] Regional planning staff <br /> L-J classes and/or traffic offenders <br /> PLEASE LIST YOUR CURRENT COMMUNITY ACTIVITIES/ORGANIZATIONAL MEMBERSHIPS: <br /> trustee, carolina friends school <br /> delegate, american friends service committ$$ <br /> state representative, friends committee on national legislation <br />