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VOLUNTEER APPLICATION p} <br />ORANGE COUNTY BOARDS AND COMMISSIONS 11 <br />Orange County Commissioners' Office <br />P, O. Box 6181, Hillsborough, NC 27278 <br />Phone (919) 245-2125; FX (919) 644-0246 -Email nralnvernro.oranaa.nc.us <br />NAME: Haan ~r~~..~ra~ <br />HOME ADDRESS: 2311 atim r Gtreet <br />CITY: Hillsborough State: N.C Zip Code: 2Z~~8 <br />TELEPHONE: (H) 919.245-3287 (W) 919- 7n-9 0 (Fax) <br />EMAIL: ~ a~aen~ hoo om <br />PLACE OF EMPLOYMENT: <br />TITLE: <br />IN ORDER TO ASSURE COUNTYWIDE REPRESENTATION PLEASE INDICATE YOUR TOWNSHIP <br />OF RESIDENCE: Bingham Cheeks Hillsborough_~ Eno <br />Chapel Hill Little River Cedar Grove <br />IN ADDITION, PLEASE INDICATE IF YOU LIVE IN ONE OF THE FOLLOWING AREAS*: N!A <br />JPA (Joint Planning Area) EA (Extraterritorial Area) ~ TA (Transition Area) _ <br />WE ASK YOUR HELP IN ASSURING DIVERSITY OF MEMBERSHIP BY AGE, GENDER AND RACE, BY ANSWERING THE <br />FOLLOWING QUESTIONS: Male _X~ Female _ <br />ETHNIC BACKGROUND: African American _ Hispanic _ Caucasian _X_ Native American _ Asian _ Other _ <br />DATE OF BIRTH: <br />PLEASE LIST (IN ORDER OF PREFERENCE) THE BOARDS/COMMISSIONS ON WHICH YOU WOULD BE WILLING TO <br />SERVE. 1. Animal Rhelt r Qnaratione Tack Force <br />2. <br />3. <br />Please list work, volunteer and educational experience, <br />How did you become aware of orange county volunteer opportunities? <br />(Please specify):Newspaper ~ Current Orange County Volunteer _ Radio _ <br />T.V. Other <br />If appointed, I agree to attend athree-hour orientation which will give an overview of how Orange County <br />Government operates and what ifs relationship is to other governmental units. <br />_Qpan R. Edwards 1112RI03 <br />(signature) (date) <br />Created by OCG:Q\DOCUments and Settings\Admi ni stramr\Loca1 6eTti ngs\Temp\ednards_d County Application doq Lasi printed 12/1/20D3 12:56 PM <br />