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PLEASE EXPLAIN HOW YOUR BACKGROUND EXPERIENCES ARE RELEVANT TO THIS TASK FORCE: <br /> <br /> <br /> <br /> <br /> <br /> <br />PLEASE EXPLAIN YOUR REASONS FOR WANTING TO SERVE ON THIS TASK FORCE: <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />DO YOU HAVE ANY PERSONAL OR BUSINESS INTEREST(S) THAT COULD CREATE A CONFLICT OF <br />INTEREST (EITHER REAL OR PERCEIVED) IF YOU ARE APPOINTED TO THIS TASK FORCE? <br />Yes No If yes, then please explain: <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />ARE YOU SERVING OR HAVE YOU EVER SERVED ON ANY ORANGE COUNTY TASK FORCE OR <br />ADVISORY BOARD? <br />Yes No If yes, please indicate which one(s): <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />DO NOT SUBMIT RESUMES OR ATTACHMENTS. <br /> <br />SIGNATURE AND DATE <br /> <br /> <br /> <br /> <br />Signature Date <br />45 <br />Activelyforseveralyearswithexploringeducational,legalandinfrastructureoptionsto <br />improvehowmotoristsandcyclistscansharetheroadsafely. <br />Torepresentruralcommunitieswherecyclingispopular <br />ProjectEngageAdvisoryBoard <br />OCSCommunityEngagementTaskForce <br />EmergencyServicesWorkGroup(affiliate/non-votingmember) <br />May2,2016