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9 <br /> Page 1 of 3 David Blankfard <br /> Volunteer Application <br /> Orange County Advisory Boards and Commissions <br /> Name: David Blankfard <br /> Name Called: <br /> Home Address: 1805 Cates Creek Parkway <br /> Hillsborough NC 27278 <br /> Phone (Day): 919-828-1876 <br /> Phone (Evening): 919-241-4009 <br /> Phone (Cell): <br /> Email: blankfard @hotmail.corn <br /> Place of Employment: Clark Nexsen <br /> Job Title: Senior Structural Engineer <br /> Year of OC Residence: <br /> Township of Residence: Hillsborough <br /> Zone of Residence: Hillsborough Town Limits <br /> Sex: Male <br /> Ethnic Background: Caucasian <br /> Community Activities/Organizational Memberships: <br /> -North Carolina Structural Engineering Association <br /> -NC Structural Engineers Emergency Response (NC SEER) <br /> -National Council of Examiners For Engineers <br /> Past Service on Orange County Advisory Boards: <br /> Orange County Board of Adjustment <br /> Boards/Commissions applied for: <br /> Orange County Board of Adjustment(REQUIRES DISCLOSURE STATEMENT) <br /> Background, education and experience relevant to this board: <br /> I have served on this board in the past. I am a professional engineer and understand many of <br /> the construction issues that come before the board. <br /> Reasons for wanting to serve on this board: <br /> I would like to serve the county in some capacity. <br /> Conflict of Interest: <br /> Hillsborough Board of Adjustment <br /> Background, education and experience relevant to this board: <br /> I served on the Orange county board of adjustment. Serving on this board would be similar. <br /> Reasons for wanting to serve on this board: <br /> I would like to serve the county in some capacity. <br /> Conflict of Interest: <br /> Supplemental Questions: <br />