Orange County NC Website
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4 <br /> VOLUNTEER APPLICATION <br /> ORANGE COUNTY BICYCLE TASK FORCE <br /> This application is a public document <br /> If you are at least 18 years o|d, 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 /> do Abigaile Pittman, Planning Department <br /> P.O.Box 8181 <br /> Hillsborough,NC 27278 <br /> Phone(919)245-2567 <br /> Email: <br /> Your application wil be considered by the Commissioners when reviewing and making appointments. <br /> Brian VV�'���U�� <br /> NAME: —' Whitehurst <br /> ''-- ' '-' <br /> HOME ADDRESS: 106 E. Margaret Ln. <br /> Hillsborough N.C. Zip Code: 27278 <br /> CITY: <br /> PHONE: (Day) 919-201-8765 (Evening/late) 919-201-8765 (Cell) <br /> 919-201-8765 <br /> `/ '' <br /> bwhitehurst@orangecountync.gov <br /> EMAIL: <br /> --''--' '-'n�' � -�.. .� <br /> Orange County Sheriff's Office Deputy Sheriff <br /> PLACE C]FE08PLOYMENT:' �{>BT|TLE� ~- ' ^� ^~'` ' ' <br /> ARE YOU AT LEAST 18 YEARS OF AGE? <br /> Yes y�� No �l <br /> �� �� <br /> ARE YOU A MEMBER OF ANY OF THE FOLLOWING GROUPS? (Check all that apply) <br /> gi Law enforcement agency l Orange County business LJ Hillsborough/Orange <br /> |Suhoo| rop/eoentativa -- Bicycle advocacy group Chamber of Commerce <br /> Orange County --- OrengoCountyP|anning F—1 Chapel H|U/Cardboro <br /> �� | | / | <br /> NCDOT Department staff Chamber of Commerce <br /> u/'GvuupmmrNngvvkhdriwen*duoaM | |education Reg|ona| p|nnningote� <br /> ` 'classes and/or traffic offenders <br /> PLEASE LIST YOUR CURRENT COMMUNITY ACTIVITIES/ORGANIZATIONAL MEMBERSHIPS: <br /> | <br /> am currently employed as a Deputy Sheriff with the Orange County Sheriffs Office. I <br /> am currently a Law Enforcement Liaison to the Governor's Highway Safety Program <br /> where I serve seven counties in the Capitol Region. I am involved with the Youth <br /> Program at First Baptist Church in Hillsborough. <br />