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12 <br /> VOLUNTEER APPLICATION <br /> ORANGE COUNTY BICYCLE TASK FORCE <br /> This application is a public docui ent <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 31,2016 to the <br /> address/email below: <br /> Orange United Transportation Board <br /> (OUT;oard) <br /> c/o Abigaile Pittman, Planning Department <br /> P.Q. Box 8181 <br /> Hillsborough,NC 27278 <br /> Phone(919)245-2567 <br /> Email: alVittman@ararigecaurit3Mc.90v <br /> Your application will be considered by the Commissioners when reviewing and making appointments <br /> NAME: Matthew Day <br /> HOME ADDRESS: 12108 Warwickshire Park <br /> CITY: Raleigh <br /> Zip Code: 27613 <br /> 919-558-9397 <br /> PHONE: (Day) (Evening/late) ,(Cell) <br /> EMAIL: mday©tjcog.org <br /> PLACE OF EMPLOYMENT: <br /> Triangle J COG JOB TITLE:Principal Planner <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 11 °rang; County business Hillsborough/Orange <br /> El School representative — Bicycle advocacy group Chamber of Commerce <br /> ElOrange County Visitors Bureau Orango County Planning 11 Chapel Hill/Carrboro <br /> NCDOT — Department staff Chamber of Commerce <br /> ri Group working with drivers education Regional planning staff <br /> 1--"J classes and/or traffic offenders <br /> PLEASE LIST YOUR CURRENT COMMUNITY ACTIVITIES/ORGANIZATIONAL MEMBERSHIPS: <br /> No community activities in Orange County. I would be representing the Triangle Area <br /> Rural Planning Organization/Triangle J Council of Governments on the committee if <br /> selected. <br />