Orange County NC Website
6 <br /> VOLUNTEER APPLICATION <br /> ORANGE COUNTY BICYCLE TASK FORCE <br /> This application is a public document <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/emall 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:abpittman@orangesountync.gov <br /> Your application will be considered by the Commissioners when reviewing and making appointments. <br /> NAME: Sara Pitts <br /> HOME ADDRESS:327 Slate Dr <br /> CITY Gibsonville Zip Code: 27249 <br /> : <br /> PHONE (Day) 9197328126 (Evening/late) 9194514775 (Cell) 9194514775 <br /> : <br /> EMAIL: sara.pitts@orange.lclanc.us <br /> PLACE OF EMPLOYMENT Orange County Schools JOB TITLE:Director of Envirorf,Health&Safety <br /> : <br /> — <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 /> 0 Law enforcement agency El Orange County business 0 Hillsborough/Orange <br /> 151 School representative El Bicycle advocacy group Chamber of Commerce <br /> ri Orange County Visitors Bureau 0 Orange County Planning J Chapel 1-1111/Carrboro <br /> El NCDOT Department staff Chamber of Commerce <br /> F—IGroup working with drivers education J Regional planning staff <br /> I—I classes and/or traffic offenders <br /> PLEASE LIST YOUR CURRENT COMMUNITY ACTIVITIES/ORGANIZATIONAL IIVIEMBERSHIPS: <br /> Orange County Local Emergency Planning Committee-Hazardous Waste <br /> Orange County Student Health Advisory Council <br />