Orange County NC Website
6 <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 /> clo Abigaile Pittman, Planning Department <br /> P.O.Box 8181 <br /> Hillsborough,NC 27278 <br /> Phone(919)245-2567 <br /> Email:abpIttmart@orangecountync.gov <br /> Your application will be considered by the Commissioners when reviewing and making appointinents <br /> NAME: Sara Pitts <br /> , <br /> HOME ADDRESS:327 Slate Dr <br /> CITY Gibsonville Zip Cede: 27249 <br /> : <br /> 9197328126 9194514775 9194514775 <br /> PHONE: (Day) (Evening/late) (Cell) <br /> EMAIL: sara.pitts@orange.k1anc.us <br /> PLACE OF EMPLOYMENT Orange County Schools JOB TITLE Director of EnvIron,Health&Safety <br /> : : <br /> ARE YOU AT LEAST 18 YEARS OF AGE? <br /> Yes C) No 0 <br /> ARE YOU A MEMBER OF ANY OF THE FOLLOWING GROUPS? (Check all that apply) <br /> Lii Law enforcement agency E Orange County business Hillsborough/Orange <br /> 15I School representative Bicycle advocacy group Chamber of Commerce <br /> LOrango County Visitors Bureau El Orange County Planning ID Chapel Hill/Carrboro <br /> NCDOT Department staff Chamber of Commerce <br /> ri Group working with drivers education LII Regional planning staff <br /> I—I classes and/or traffic offenders <br /> PLEASE LIST YOUR CURRENT COMMUNITY ACTIVITIES/ORGANIZATIONAL MEMBERSHIPS: <br /> Orange County Local Emergency Planning Committee-Hazardous Waste <br /> Orange County Student Health Advisory Council <br />