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VOLUNTEER APPLICATION <br />ORANGE COUNTY BICYCLE TASK FORCE <br />This application is a public document <br /> <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 /> <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 /> <br />Your application will be considered by the Commissioners when reviewing and making appointments. <br /> <br /> <br />NAME: <br /> <br />HOME ADDRESS: <br /> <br />CITY: Zip Code: <br /> <br />PHONE: (Day) (Evening/late) (Cell) <br /> <br />EMAIL: <br /> <br />PLACE OF EMPLOYMENT: JOB TITLE: <br /> <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 /> <br /> <br /> <br /> <br /> <br /> <br /> <br />PLEASE LIST YOUR CURRENT COMMUNITY ACTIVITIES/ORGANIZATIONAL MEMBERSHIPS: <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />Law enforcement agency <br />School representative <br />Orange County Visitors Bureau <br />NCDOT <br />Orange County business <br />Bicycle advocacy group <br />Orange County Planning <br />Department staff <br />Hillsborough/Orange <br />Chamber of Commerce <br />Group working with drivers education <br />classes and/or traffic offenders <br />Chapel Hill/Carrboro <br />Chamber of Commerce <br />Regional planning staff <br />44 <br />BonnieHauser <br />4301SugarRidgeRoad <br />Hillsborough 27278 <br />919732-9316 same 919619-4354 <br />bahauser@aol.com <br />retired <br />OrangeCountyVoice <br />RuralRoadSafetyCoalition <br />SchleyGrange <br />ProjectEngageAdvisoryBoard <br />NorthernOrangeNAACP <br />OrangeCountySchoolsCommunityEngagement <br />BigBrothersBigSistersoftheTriangle <br />MapleViewAgEducaitonCenter