Orange County NC Website
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____.~o <br />~~; <br />,~ <br />VOLUNTEER APPLICATION <br />ORANGE COUNTX BOARDS AND COMMISSIONS <br />If you are an Orange County resident, at least 18 pears old, and willing to <br />volunteer your time and expertise 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) <br />(H) 732-2402 <br />PLACE OF EMPLOYMENT: Retired ~~ <br />JOB TITLE: Retired Educator (School Band) <br />ON REVERSE SIDE LIST JOB, VOLUNTEER, AND EDUCATIONAL EXPERIENCE AND/OR SILLS <br />I WOULD LIKE 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 HELP 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 />