Orange County NC Website
Browse       Search
8 <br /> VOLUNTEER APPLICATION <br /> ORANGE COUNTY BICYCLE TASK FORCE <br /> This ay. lication is a ubhc doc rnent <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 3128,16 to the <br /> address/email below: <br /> Orange United Transportation BoardI <br /> (OUTBoard) <br /> cio Abigalle Pittman, Planning Department <br /> P.O.Box 8181 <br /> Hillsborough, NC 27278 <br /> Phone(919)245-2567 <br /> Email: abpittmanPorangecourotync.gov <br /> Your application will be considered by the Commissioners when reviewing and making appointments. <br /> NAME: ("11-11,1rIt (..1111'YA-t <br /> HOME ADDRESS: 5-1). NfetAkirril - <br /> CITY: 1\460Arvir Zip Code: ( 7).3a..i. <br /> PHONE: (Day) lq-/ 95:C3 (Evening/late) '2115(1 a (Cell) lig- <br /> EMAIL: aCcatk./(_2,) CAN1 <br /> PLACE OF EMPLOYMENT: TIN, 3 'M& JOB TITLE: exciAefeAA, 140-Ina9 ti <br /> ARE YOU AT LEAST 18 YEARS OF AGE? <br /> Yes No 0 <br /> ARE YOU A MEMBER OF ANY OF THE FOLLOWING GROUPS? (Check all that apply) <br /> LII Law enforcement agency n Orange County business [1 Hillsborough/Orange <br /> n School representative 0 Bicycle advocacy group Chamber of Commerce <br /> Orange County Visitors Bureau • Orange County Nanning Chapel Hill/Carrboro <br /> NCDOT Department staff Chamber of Commerce <br /> Group working with drivers education — Regional planning staff <br /> 1-1classes and/or traffic offenders <br /> PLEASE LIST YOUR CURRENT COMMUNITY ACTIVITIES/ORGANIZATIONAL MEMBERSHIPS: <br /> T fC14d -1-um ej ONA Py-mn ML biyArols) 01-4vv. Cj vid-aft c <br /> emAa i eta-1v 0,,tumik tr, 0:1/1/1 1-ti, 17/s('4Vie# /14V-A. Yole1 letAold /13,51A-Ais-tv, <br /> ,Apiin4N *A IA 51 r NS;JAA <br /> 1 <br />