Orange County NC Website
Browse       Search
33 <br /> PLEASE EXPLAIN HOW YOUR BACKGROUND EXPERIENCES ARE RELEVANT TO THIS TASK FORCE: <br /> lifelong cyclist <br /> °S1N3INHOVILY STAU1S3N 911S ION 00 <br /> PLEASE EXPLAIN YOUR REASONS FOR WANTING TO SERVE ON THIS TASK FORCE: <br /> interest in and concern for bicycle safe <br /> DO YOU HAVE ANY PERSONAL OR BUSINESS INTEREST(S)THAT COULD CREATE A CONFLICT OF <br /> INTEREST(EITHER REAL OR PER('EIVED) IF YOU ARE APPOINTED TO THIS TASK FORCE? <br /> Yes 0 No 0 If yes,then please explain: <br /> ARE YOU SERVING OR HAVE YOU EVER SERVED ON ANY ORANGE COUNTY TASK FORCE OR <br /> ADVISORY BOARD? <br /> Yes 0 No 0 If yes,please indicate which one(s): <br /> DO N• 1 SUBMIT RESUMES OR ATTAG1 r‘S <br /> SIGNATURE AND DATE <br /> /1 ,7 <br /> 4 ,/ 3/25/16 ( <br /> "/ /6 <br /> Signature f / Date <br />