Orange County NC Website
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/O <br />~~~ VOLUNTEER APPLICATION <br />ORANGE COUNTY BOARDS AND COMMISSIONS <br />If you are an Orange County resident, at least 18 pears old, and willing to <br />volunteer your time and expert~.se to your community, please complete and <br />return to: <br />' County Commissioners' Office <br />P. 0. Box 8181 <br />Hillsborough, NC 27278 <br />NAME: Caleb II. Moore <br />HOME ADDRESS: 804•Faucette Mill Road <br />Hillsborough NC Zip Code 27278 <br />TELEPHONE: (W) (H) 732-24Q2 <br />.. , <br />PLACE OF EMPLOYMENT: Retired <br />JOB TITLE• Retired Educator (School Band) <br />ON REVERSE SIDE LIST JOB, VOLUNTEER, AND EDUCATIONAL EXPERIENCE AND/OR SKILLS <br />• J WOULD LIRE FOR US TO CONSIDER. <br />IN ORDER TO ASSURE COUNTYWIDE REPRESENTATION PLEASE INDICATE YOUR TOWNSHIP OF <br />RESIDENCE: <br />Bingham Cheeks <br />Hillsborough X Eno <br />Chapel Hall Little River <br />Cedar Grove <br />WE ASK YOUR KELP IN ASSURING DIVERSITY OF MEMBERSHIP BY AGE, GENDER AND RACE, <br />BY ANSWERING THE FOLLOWING QUESTIONS: <br />Male - X <br />Female <br />DATE OF BIRTH: <br />ETHNIC BACKGROUND: <br />African American <br />Caucasian <br />Native American <br />X Hispanic <br />Other <br />PLEASE LIST (IN ORDER OF PREFERENCE) THE BOARDS/COMMISSIONS ON' WHICH YOU <br />WOULD BE WILLING TO SERVE. <br />A•~.Oranae County Arts Commission <br />4. <br />..~.~o~ <br />