Orange County NC Website
' I <br />This space for office use only <br />8/12/02 Pase 1 of 1 G. Seth Stephens <br />VOLUNTEER APPLICATION <br />ORANGE COUNTY BOARDS AND COMMISSIONS <br />If you are an Orange County resident, at least 18 years old, and willing to volunteer your time and <br />expertise to your community, please complete this application and return to: <br />Orange County Commissioners' Office <br />P.O. Box 8181 <br />Hillsborough, NC 27278 <br />Phone (919) 245 -2125; 688 -7331; 227 -3031 FX (919) 644 -0246 <br />NAME: ------------------------ - - - - -- G. Seth Stephens <br />HOME ADDRESS: -------- -------- 5807 Craig Road <br />CITY: --------------------------- - - - - -- Durham <br />STATE: --------------- ---------------- NC <br />ZIP CODE: --------------------- - - - - -- 27712 <br />TELEPHONE: (Home) -------- - - - - -- 630 -1886 <br />TELEPHONE: (Work) --------------- <br />TELEPHONE: (FAX) ---------- - - - - -- 382 -9878 <br />EMAIL: -------------------------- - - - - -- gss @duke.edu <br />PLACE OF EMPLOYMENT: - - - - -- Tinder Box <br />JOB TITLE: -------------------- - - - - -- Assistant Manager <br />TOWNSHIP OF RESIDENCE: - - -- Eno <br />ZONE OF RESIDENCE: ------ - - - - -- Does not apply <br />SEX: ----------------------------- - - - - -- Male <br />ETHNIC BACKGROUND: --- - - - - -- African American <br />DATE OF BIRTH: -------------- - - - - -- 07/08/78 <br />LIST, IN PREFERENCE, THE BOARDS /COMMISSIONS ON WHICH YOU WOULD BE WILLING <br />TO SERVE: 1: ---------------- - - - - -- Human Rights and Relations <br />2. ---------------- - - - - -- HSAC 3. ---------------- - - - --- Recreation and Parks <br />Please list any work, volunteer and/or educational experience you would like to have considered <br />in the review of your application. <br />WORK EXPERIENCE: Transportation Officer, Norfolk Southern; Assistant Manager Tinder <br />Box. <br />VOLUNTEER EXPERIENCE: American Legion, Tar Heels Boys' State 1997 -2002 <br />EDUCATIONAL EXPERIENCE: Bachelor of Arts - Philosophy <br />OTHER COMMENTS: Currently enrolled in an advanced degree evening program on Tuesday, <br />Wednesday and Thursday evenings. Free all Mondays. <br />How did you become aware of Orange County volunteer opportunities? :List all that apply: <br />County Web Site. If other, how? By submitting electronic application, applicant agrees to <br />Ethics Guidelines and agrees to attend three -hour orientation.This form was submitted online, on <br />Mon Aug 12 16:23:39 2002. <br />addr. ver . within Orange County per cd 8/12/02 Land Records <br />