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34 <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 /> c/o Abigaile Pittman, Planning Department <br /> P.O. Box 8181 <br /> Hillsborough,NC 27278 <br /> Phone(919)245-2567 <br /> Email: abpittman�a orangecountync.gov <br /> Your application will be considered by the Commissioners when reviewing and making appointments. <br /> NAME: Bonnie Hauser <br /> HOME ADDRESS:4301 Sugar Ridge Road <br /> CITY: Hillsborough Zip Code: 27278 <br /> PHONE: (Day) 919 732-9316 (Evening/late) same (Cell) <br /> 919 619-4354 <br /> EMAIL: bahauser @aol.com <br /> PLACE OF EMPLOYMENT: retired JOB TITLE: <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 ❑ Orange County business [1 Hillsborough/Orange <br /> ❑School representative ❑ Bicycle advocacy group Chamber of Commerce <br /> II Orange County Visitors Bureau ❑ Orange County Planning n Chapel Hill/Carrboro <br /> ❑NCDOT Department staff Chamber of Commerce <br /> Group working with drivers education n Regional planning staff <br /> classes and/or traffic offenders <br /> PLEASE LIST YOUR CURRENT COMMUNITY ACTIVITIES/ORGANIZATIONAL MEMBERSHIPS: <br /> Orange County Voice <br /> Rural Road Safety Coalition <br /> Schley Grange <br /> Project Engage Advisory Board <br /> Northern Orange NAACP <br /> Orange County Schools Community Engagement <br /> Big Brothers Big Sisters of the Triangle <br /> Maple View Ag Educaiton Center <br />