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4 <br /> VOLUNTEER APPLICATION <br /> ORANGE COUNTY BICYCLE TASK FORCE <br /> This application i5 apublic 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 /> addvesm/emwi|ha]ovv: <br /> Orange United Transportation Board <br /> (OUTBoard) <br /> do Abigaile Pittman, Planning Department <br /> P.O.Box 8181 <br /> Hillsborough,NC 27278 <br /> Phone(919)245-2567 <br /> Emw||: mhpidmmnawrmngecountyIc,ggv <br /> Your application will be considered by the Commissioners when reviewing and making appointments. <br /> Brian VV�'f8�U�Gf <br /> NAME: <br /> — ' Whitehurst <br /> ' ' ' <br /> HOME ADDRESS: 106 E. Margaret Ln. <br /> Hillsborough N.C. Zip Code: 27278 <br /> CITY: <br /> PHONE: (Day) 919-201-8765 (Evening/late) 919-201-8765 (Cell) <br /> 919-201-8765 <br /> ~ '/ <br /> bwhitehurst@orangecountync.gov <br /> O�V <br /> EMAIL: <br /> ~ ' ^~'' '~^:�� ^ `�'' '� <br /> Orange County Sheriff's Office Deputy Sheriff <br /> PLACE QFEN1PLOYMENT: �{>BT|TLE�~- ' ~^� ^~'' ' ' <br /> ARE YOU AT LEAST 18 YEARS OF AGE? <br /> Yes /�\ No �� <br /> �� �� <br /> ARE YOU A MEMBER OF ANY OF THE FOLLOWING GROUPS? (Check all that apply) <br /> �� <br /> =� LowenforcemeniaQanoy —1| Orange County business ��L� Hillsborough/Orange <br /> School representative F— Bicycle advocacy group Chamber of Commerce <br /> --0range County Visitors Bureau ) | Orange County Planning --1 Chapel Hi||/Ca/rboro <br /> NCDOT ' / Depa�montata� ' ChmmberofCommemo <br /> --- <br /> L— G voupwmr ki ngviih drivers education Regional planning staff <br /> classes and/or traffic offenders <br /> PLEASE LIST YOUR CURRENT COMMUNITY ACTIVIT1ES/ORGANIZATIONAL MEMBERSHIPS: <br /> I am currently employed as a Deputy Sheriff with the Orange County Sheriffs Office. I <br /> am currently a Law Enforcement Liaison to the Governor's Highway Safety Program <br /> where | serve seven counties in the Capitol Region. I am involved with the Youth <br /> Program at First Baptist Church in Hillsborough. <br />