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l? <br />5/16/02 <br />This space for office use only <br />Page I of 1 <br />Tom Sievert <br />VOLUNTEER APPLICATION <br />ORANGE COUNTY BOARDS AND COMMISSIONS <br />If you are an Orange County resident, at least 18 years old, and willing to volunteer your time and <br />expertise to your community, please complete this application and return to: <br />Orange County Commissioners' Office <br />P.O. Box 8181 <br />Hillsborough, NC 27278 <br />Phone (919) 245-2125; 688-7331; 227-3031 FX (919) 644-0246 <br />NAME: --------------------------------- Tom Sievert <br />HOME ADDRESS: ------------------ 4410 New Hope Springs Drive <br />CITY: ----------------------------------- Hillsborough <br />STATE: -------------------------------- NC <br />ZIP CODE: ---------------------------- 27278 <br />TELEPHONE: (Home) -------------- 919-643-1391 <br />TELEPHONE: (Work) --------------- 919-678-0035 <br />TELEPHONE: (FAX) ---------------- 919-678-0206 <br />EMAIL: -------------------------------- Sievert@mindspring.com <br />PLACE OF EMPLOYMENT: ------ Chas. H. Sells, Inc. <br />JOB TITLE: --------------------------- Senior Design Technician <br />TOWNSHIP OF RESIDENCE: ---- Chapel Hill Township <br />ZONE OF RESIDENCE: ------------ N/A <br />SEX: ------------------------------------ Male <br />ETHNIC BACKGROUND: --------- Caucasian <br />DATE OF BIRTH: -------------------- 12-18-55 <br />LIST, IN PREFERENCE, THE BOARDS/COMMISSIONS ON WHICH YOU WOULD BE WILLING TO <br />SERVE: <br />1: ----------------------Recreation and Parks Advisory Council <br />2. ---------------------- Planning Board <br />Please list work, volunteer and educational experience. <br />WORK EXPERIENCE: I have 15 years experience in site design that would be valuable in assessing <br />technical issues. <br />VOLUNTEER EXPERIENCE: I am currently on the advisory board for Architectural Technologies at <br />Durham Tech. <br />EDUCATIONAL EXPERIENCE: I have a High School diploma, Several years of college, and many <br />years of real world experience. <br />OTHER COMMENTS: As I stated earlier, my experience in Site design will be useful. It can be used to <br />shine a pragmatic light on issues at hand.Even though I moved back to Orange County 2 years ago from <br />Chatham County my ties here are strong. My wife has been an Orange County teacher for 28 years. Our <br />children attend Orange County schools. <br />How did you become aware of Orange County volunteer opportunities? List all that apply: County Web <br />Site. If other, how? By submitting electronic application, applicant agrees to Ethics Guidelines and <br />agrees to attend three-hour orientation.This form was submitted online, on Thu May 16 10:06:28 2002. <br />Addrs.ver.mpgst+County maps.4410 New Hope Springs Dr. is northern C.H. Twnsp. near Hillsb.Twnsp. <br />ncp.