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<br />03/10/1999 22:04 9197324524 AYR MOUNT
<br />Mar~ll 98 09i13a Buck Tredwea 19381 6~~-0~~8
<br />VOLUNtEER APPLICATION
<br />ORANGE COUNTY BOARDS AND COMMISSIONS
<br />li you ere an Oranas :ounty resident, at lelat 18 yeses oid, and wtllino to votu+rt+er raur timr and
<br />sxperttse to your comml,nily, plepse compfeb and return ta: (~f
<br />Orange COUMy Comenlssionwrs' OTRcfa ~ ~ ~ ~ V `~'~{ j ' :~;
<br />P. O. Box stet Q f'- ~ ~ ! ~
<br />Hlllaborouah, NC z727a ~ I ! ~ ~ _(i
<br />NAME: ,,.,~~~CRo(~U H E P ~ LJl
<br />Mom AovRfss: 3~ .1 St ~ IMt ytRyS R,D _ ~ _ , ~ ,
<br />_ KtLi,S QO~Zouq N zip cede. T~7 g_
<br />tE~.EPHONE: tâ) '13~-~S37T tWl ~3~x. 6.8$(0. ~~sx} 73
<br />EMAIL.
<br />PLACE OF i:NlPLOYMENT: Aye Ihl0U1JT
<br />.ter __».._..
<br />JOB TITLIi; 5 ctE Ihl t~ ~ .
<br />tQ Ubt JOQ, vOLVNTEER. AND EpVCAriONAt E7iPER1lrNCL~ ANDlOR SKILLS YOU
<br />~~S TO CONSIDER.
<br />IN ORDER TO ASSURE COUNTYWIDE RI:PRl;SENtAT10N PLEASE INDICATE YOUR TOWNSHIP O!~
<br />RE510ENCE: Bingham _~___,,,,_ Cheeks
<br />HiIlsbOrouph ~.~ Gnv ,,,,,~,_,_,~
<br />Chapsl HIII ~~ Little Riwr ~,,,,,,_,_â
<br />Cedar Grove _,_____
<br />IN AbDITtON. PLEASE INDICATE IF YOU LJKE IN ONE OF THE FOLLOWING ARI:.A9:
<br />JPA (Joint Planning Area)
<br />EA (Extratarritvrial Arse) ~
<br />TA (Transition Area} ~_,,,.
<br />WE ASK YOVR HELP IN ASSURING DIVERSITY OF MEMBERSHIP 8Y AGE. GENDER AND RACE. 8Y
<br />ANSWERING THE FOLLOWINti QUESTIONS:
<br />Male ~X ,_.
<br />remsle w______
<br />DATE OF BIRtH~
<br />-,,,,, 1,753
<br />ETHNIC BACKGROUND:
<br />African American
<br />Caurarsian ~~
<br />Native American ,_~,
<br />Hispanic 1_
<br />OlNrrr _~
<br />P>_EwSE LtSY (IN ORtyER OF tsRiEFERt:IVGt~ THE BOARDalCvtNMIS310NS ON WHICH YOU WOULD
<br />BE WILLINt3 TO SERVE. -
<br />~. E~ R B R
<br />Z. G or~l~t~gc szf - ~~~e<1t,a~,da~e It-Gr-O1
<br />3. .f._.,..__~
<br />Renevr~ on Ii~~Ia
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