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7 <br />This space for office use only <br />Page 1 of 2 Michael Beattie <br />1/2/01 Renewed 7/9/2001 <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) 732-8181; 688-7331; 968-4501; 227-2031 <br />Ext. 2125, 2129 or 2130 - Fax: (919 644-0246) <br />NAME: --------------------------------- Michael Beattie <br />HOME ADDRESS: ------------------ 102 Bonaparte Drive <br />CITY: ----------------------------------- Hillsborough <br />STATE: -------------------------------- NC <br />ZIP CODE: ---------------------------- 27278 <br />TELEPHONE: (Home) -------------- 732-6124 <br />TELEPHONE: (Work) --------------- 549-1813 <br />TELEPHONE: (FAX) ---------------- 547-6416 <br />EMAIL: -------------------------------- - beattiem@visionet.org <br />PLACE OF EMPLOYMENT: ------ Underwriters Labs <br />JOB TITLE: --------------------------- Engineering Associate <br />i <br />TOWNSHIP OF RESIDENCE: ---- Hillsborough ' OK per OCPD/1/8/01 <br />ZONE OF RESIDENCE: ------------ Does not apply <br />SEX: ------------------------------------ Male <br />ETHNIC BACKGROUND: -------- - Caucasian <br />DATE OF BIRTH: -------------------- 3/14/51 <br />(note : Bonaparte Drive is in the Hillsborough Town Limits per Margaret Hauth, Hillsborough Planning <br />Department) <br />LIST, IN PREFERENCE, THE BOARDS/COMMISSIONS ON WHICH YOU WOULD BE WILLING <br />TO SERVE: <br />1: ---------------------- Hillsborough Planning Board <br />2. ---------------------- Recreation and Parks Advisory Council <br />3. <br />Please list work, volunteer and educational experience. <br />WORK EXPERIENCE: 5 years performance testing alternative engery products.8 years designing <br />and building product safety test equipment.3 years in quality control (i.e. equipment calibration and <br />accreditation standards)