Orange County NC Website
Browse       Search
8 <br /> VOLUNTEER APPLICATION <br /> ORANGE COUNTY BICYCLE TASK FORCE <br /> This licti 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@orangecountync.gov <br /> ecountync.gov <br /> Your application will be considered by the Commissioners when reviewing and making appointments. <br /> NAME: 14 61 t 2L irtki <br /> HOME ADDRESS: I ISd lvi <br /> CITY: IMOOMIZ., Zip Code: 2 3o. <br /> PHONE: (Day) Qict"11 `95, 7 (Evening/late) "1n- 11`5°111 (Cell) \11? a)2'S517 <br /> EMAIL: CACare- �S►ev .Vnote.l. <br /> PLACE OF EMPLOYMENT: The. 3;e4( )bkJ JOB TITLE: eletAeul Mavia9-f- <br /> ARE YOU AT LEAST 18 YEARS OF AGE? <br /> Yes No <br /> ARE YOU A MEMBER OF ANY OF THE FOLLOWING GROUPS? (Check all that apply) <br /> ❑Law enforcement agency 1-1 Orange County business Hillsborough/Orange <br /> ❑School representative n Bicycle advocacy group Chamber of Commerce <br /> Orange County Visitors Bureau n Orange County Planning Chapel Hill/Carrboro <br /> C NCDOT Department staff Chamber of Commerce <br /> ❑ <br /> Group working with drivers education Regional planning staff <br /> classes and/or traffic offenders <br /> PLEASE LIST YOUR CURRENT COMMUNITY ACTIVITIES/ORGANIZATIONAL MEMBERSHIPS: <br /> T >;ec4e.v,9 -1-e m ej 0 PrAnr■ vAki v& b Js) Or .vy, Cak:ti V;s i <br /> 6,14 ( avia,1104 010,14r► . I Awl Dn f-k -in'411yk Amt. 1-/0161le 0ok1 .4LS *t <br />