Orange County NC Website
33 <br /> PLEASE EXPLAIN HOW YOUR BACKGROUND EXPERIENCES ARE RELEVANT TO THIS TASK FORCE: <br /> lifelong cyclist <br /> "SINAAHOVIlli HO STAIrlSal 111/4811S ION 00 <br /> PLEASE EXPLAIN YOUR REASONS FOR WANTING TO SERVE ON THIS TASK FORCE: <br /> interest in and concern for bicycle safe <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 10 No 0 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 0 No 0 If yes,please indicate which one(s): <br /> D NOT SUBMIT REs ) S OR. ViTACHl.. F <br /> SIGNATURE AND DATE 7" , <br /> 3/25/16 <br /> 0." <br /> Signature <br /> / <br /> Date <br />