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Agenda 11-07-19 Item 6-c - Application Modifications for Volunteer Advisory Boards and Commissions
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Agenda 11-07-19 Item 6-c - Application Modifications for Volunteer Advisory Boards and Commissions
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10/31/2019 4:35:12 PM
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BOCC
Date
11/7/2019
Meeting Type
Regular Meeting
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Agenda
Agenda Item
6-c
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Agenda 11-07-2019 Regular Board Meeting
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Attachment 2 6 <br /> VOULUNTEER APPLICATION <br /> ORANGE COUNTY ADVISORY BOARDS AND COMMISSIONS <br /> This application is a public document <br /> If you are an Orange County resident, at least 18 years old, and willing to volunteer your time and expertise to <br /> your community, you may apply to serve on an advisory board by completing this form online or download it <br /> and mail it to the address below: <br /> Orange County Board of Commissioners <br /> P.O. Box 8181 <br /> Hillsborough, NC 27278 <br /> Phone (919) 245-2125 <br /> Email: tfreeman(aDorangecountync.gov <br /> If an applicant is not selected, their application will remain on file in the Clerk to the Boards'office for two years, <br /> and will be considered by the Board of County Commissioners when reviewing and making appointments. <br /> Name: <br /> Home Address: <br /> City: Zip Code: <br /> Phone: Email: <br /> Year you became an Orange County resident: <br /> Are you serving or have you ever served on any Orange County Advisory Board? —Yes —No <br /> If"Yes" please list which one(s): <br /> Please list your current community activities/organizational memberships: <br /> I owe no outstanding Orange County taxes (real/personal) at the time of application. _Yes _ No <br /> We ask your help in assuring diversity of membership by answering the following questions: <br /> Gender identity: Age Range: _18-34 _35-59 _60+ <br /> Ethnic background: _ Black/African American _White _Latinx/Hispanic —Indian/Native American _Asian <br /> American Other <br />
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