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6 <br /> Page 1 of 2 Keith Bagby <br /> Volunteer Application <br /> Orange County Advisory Boards and Commissions <br /> Name: Keith Bagby <br /> Name Called: <br /> Home Address: 902 Savannah Court <br /> Hillsborough NC 27278 <br /> Phone (Day): (919)245-3814 <br /> Phone (Evening): (919)618-4797 <br /> Phone (Cell): (919)618-4797 <br /> Email: keith.bagby @bcbsnc.com <br /> Place of Employment: Blue Cross Blue Shield of North Carolina <br /> Job Title: Senior Underwriting Consultant <br /> Year of OC Residence: 2000 <br /> Township of Residence: Hillsborough <br /> Zone of Residence: <br /> Sex: Male <br /> Ethnic Background: African American <br /> Community Activities/Organizational Memberships: <br /> I was a member of the Orange County Parks and Recreation Council for 7 years from <br /> 2006 - 2013. When my time expired I was co-chair. <br /> Past Service on Orange County Advisory Boards: <br /> I served on the Orange County Parks and Recreation Council from 2006 - 2013. When <br /> my time expired I was a Co-Chair. <br /> Boards/Commissions applied for: <br /> Alcoholic Beverage Control Board <br /> Background,education and experience relevant to this board: <br /> I have a BS degree from Virginia State University. I am a business professional working as a <br /> Senior Underwriting Consultant for Blue Cross Blue Shield of North Carolina. I have worked in <br /> the Insurance industry for over 30 years. My experience previously serving on the Orange <br /> County Parks and Recreation Council and currently on the Intergovernmental Parks Work Group <br /> is an asset towards participating on this board. <br /> Reasons for wanting to serve on this board: <br /> I would like to be a part of a group that Mr. Keith Cook is participation becasue I admire him and <br /> look to him as a leader inour community.Also serving on the Orance County Parks and <br /> Recreation Commission has given me a taste of what it means to serve the people of Orange <br /> County North Carolina. <br /> Conflict of Interest: <br /> Supplemental Questions: <br />