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<br />For Office Use Only <br />June 5, 2000 Page 1 of 2 Keith A. Norwood <br />VOLUN'T'EER APPLICATION <br />ORANGE COUNTY BOARDS AND COMMISSIONS <br />If you are an Orange County resident, at least is years old, and willing to volunteer <br />your time and expertise to your community, please complete this ati.pn_~d._..._. <br />return to: ~~' ("_• ~ " ~ ~ ~ '~ <br />Orange County Commissioners' Office `t•- <br />P.O. Box 8181 f`~ <br />Hillsborough, NC 27278 ~j~SjS <br />Phone (919) 732-8181; 688-7331; 968-4501; 227 ,'~C`, <br />Ext. 2125, 2129 or 2130 - Fax: (919 644-024 <br />NAME : ....................... Keith A. Norwood <br />HOME ADDRESS: ........ <br />CITX: ... ........... <br />STATE : ............... <br />ZIP CODE : ............ <br />TELEPHONE: (Home) .... <br />TELEPHONE: (Work) .... <br />TELEPHONE: (FAX) ..... <br />EMAIL : ............... <br />PLACE OF EMPLOYMENT: . <br />~70B TITLE: ........... <br />TOWNSHIP OF RESIDENCE: <br />JUN~5;.; . <br />... -.~f t <br />2102 Woodbury Drive <br />Hillsborough <br />NC <br />27278 <br />919-563-4223 <br />919-304-3846, ext. 3866 <br />919-304-6275 <br />kanorwoodc~armstrong.com <br />Armstrong World Industries <br />P.O. Box 839, 7600 Oakwood St. Ext., Mebane, NC 27302 <br />Cheeks <br />ZONE OF RESIDENCE: .......... - <br />SEX : ........................ Male <br />ETHNIC BACKGROUND: .......... Caucasian <br />DATE OF BIRTH : .............. <br />LIST, IN PREFERENCE, THE BOARDS/COMMISIONS ON WHICH YOU WOULD $E WILLING TO SERVE: <br />d.bY <br />1: Regional Partnership Workforce Development Board <br />2: <br />3: <br />