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18 <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/email It by March 31, 2016 to the <br /> address/email below: <br /> Orange United Transportation Board <br /> (OUTBoard) <br /> do Ablgalle Pittman,Planning Department <br /> P.O.Box 8181 <br /> Hillsborough,NC 27278 <br /> Phone(919)245-2567 <br /> Email:abpIttman@orangecountync.gov <br /> Your application will be considered by the Commissioners when reviewing and making appointments. <br /> NAME: Kim Tesoro <br /> HOME ADDRESS:6030 Dawn Drive <br /> CITY Hurdle Mills (Orange Co Zip Code: <br /> Co ) 27541 <br /> : <br /> 919-732-8156 919-971-5788 <br /> PHONE: (Day) (Evening/late) (Cell) <br /> EMAIL: kim@hilisboroughchamber.corn <br /> 1#1115borough1Oranue Co Chamber of Commerce Program Development Director <br /> PLACE OF EMPLOYMENT: JOB TITLE: <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 /> Law enforcement agency El Orange County business Hillsborough/Orange <br /> School representative IT Bicycle advocacy group Chamber of Commerce <br /> Orange County Visitors Bureau E Orange County Planning Chapel Hill/Carrboro <br /> NCDOT Department staff Chamber of Commerce <br /> ElGroup working with drivers education Regional planning staff <br /> L—I classes and/or traffic offenders <br /> PLEASE LIST YOUR CURRENT COMMUNITY ACTIVITIES/ORGANIZATIONAL MEMBERSHIPS: <br /> Town of Hillsborough Tourism Board <br /> Orange Community Players BOD <br />