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31 <br /> PLEASE EXPLAIN HOW YOUR BACKGROUND EXPERIENCES ARE RELEVANT TO THIS TASK FORCE: <br /> I am concerned about bicycle safety on our County rural roads and have experience in <br /> riding in European Countries and Communities where bicycle riding and safety is <br /> paramount in their cultures. I would like to be a part of finding an acceptable solution that <br /> protects and educates both bicyclists arid motorists in Orange County. <br /> PLEASE EXPLAIN YOUR REASONS FOR WANTING TO SERVE ON THIS TASK FORCE; <br /> DO YOU HAVE ANY PERSONAL OR BUSINESS INTEREST(S)THAT COULD CREATE A CONFLICT OF <br /> INTEREST(EITHER REAL OR PERCEIVED)IF YOU ARE APPOINTED TO THIS TASK FORCE? <br /> Yes 0 No ( If yes,then please explain <br /> ARE YOU SERVING OR HAVE YOU EVER SERVED ON ANY ORANGE COUNTY TASK FORCE OR <br /> ADVISORY BOARD? <br /> Yes Q No 0 If yes,please Indicate which one(s): <br /> DO N )1 ::', 111111i N1;-",t)N1 t D OR AT I AI NM N <br /> SIGNATURE AND DATE <br /> ,1,-/_± <br /> Signature Date <br /> L„-Cizfr"t( <br />