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• ~ c~~ ~.~~ ~ ~ <br />-n a! d N~-n °-n <br />~ ,~~ ca~~•~ ~ ~ ~a~ <br />~~~.~ ~•~ ~ c~u~~~ ~~~~~ <br />'' ~r 19 ~earn• oZd, and erillia& tv <br />r ypu are an Orange CcuniY •reSide'~t ~ a~ ax~, <br />anei exs,~rrt7.~~: to pour commuai.tp, Plaa~~ comrlete and <br />o7.LlriGeax Your time <br />~cturn ta: <br />iaME: <br />3UME ADDIiE9S <br />x~L~~xox~: <br />Counti~' ro~aa,9.xstoner~' OPf iet~ <br />p, p. Bax $1$1'NC 27278 <br />Ii~l].sborouRh <br />16U lirNGs'~oN WAIVE ' <br />-~-z`•'p,~~t`-~'~- yip C~d.~.,.__3_Z~.14---- <br />~~~ g67-1971 <br />{w~ g67-8700 !w <br />pz.ACE OF S!•tPLOYMEN'~ <br />'r •rLE <br />AISEF <br />,~QA i _ ' ~~• ~~Rf~I LP MORr.,AN & as_ soCiates <br />N g E. LIST JOB, VOLU~fTE~:R. AND EDUCATxONAL ~LpEA~ENC~ AND/dR S$ILLS <br />ov oULn KE FOR US 2a CONSIDER. , <br />*" ORDER TC ASSURE COtII~FT~WIDE gEpRgS~TATIOM PLP'A5F YNDZCA'~E YOUR 'I'C)WNSITYP OF <br />gx],lsborouSh L~,ttle Rivrr <br />Chapel Hfll xxx <br />Cedar Gro•+a ,r,..r.__--- <br />WE A5K YOtJR'BELP xN aSgURING DIVERgxTY 0~ liEMgERSIiIP aY AtiE, GENDER AND RAC~~ <br />BY gr!'gWERxNG THE FOLL0~IING 4t~5'TION3. <br />Kale xxx <br />Female _,.,.,~ <br />~, <br />DA?E OF SI8T8: <br />3/7/16 <br />~~cxrrxe Bae~aROUxD : _ <br />African p~erioan ....,,..r.~ <br />•Caucasian X-~ --- . <br />Nati.vo American _...---• <br />Fiispe~,ic .~...~- <br />Other <br />.. <br />PLEASE LIST (IH ORDER• OF gRgFERENCE) THE HOARDS/COMMISSIONS ON WHICH YCU <br />t+10VLn SE S~TILLYNa TO s~RVE. <br />1. <br />r ' •-.~rrr.wrr- <br />4. <br />Pvst-It` Fsx Note 7871 °M0 ~ p~ } <br />ro Q ~ Frorn <br />T© 3Jdd ~"dl 0~ 3]Nbw~ ~'~di~"`T'ov t ~ ~"F' o°• <br />