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Application For Appointment To <br />Cabarrus County Advisory Boards and Commissions <br /> <br /> The Cabarrus County Board of Commissioners believes that all citizens should have the opportunity to participate in <br />governmental decisions. One way of participating is by serving as a citizen member of one of the County's advisory boards. <br />If you want to be considered for appointment to an advisory board, please complete the form below and mail it to the Board <br />of County Commissioners, Post Office Box 707, Concord, North Carolina 28026-0707. <br /> <br />Advisory Board / Commission Interested In: <br /> <br />1. HOME & COMMUNITY CARE BLOCK GRANT COMMITTEE <br /> <br />o <br /> <br />Name: MICHAEL L. MURPHY <br /> <br />Address:P.O. BOX 707 <br /> <br />City/State/ZiP: CONCORD, NC 28026 <br /> <br />Telephone: Home: (910) 476-3089 <br /> <br /> Work: (704) 788-9899 <br />N.C. Driver's License No.: 784303 <br />Occupation: DIRECTOR (DEPT. OF AGING) <br />Business Address: P.O. BOX 707 <br /> <br /> Resident of Cabarrus County <br /> <br /> Circle your township <br />Central Cabarrus (I1) Harrisburg (l) <br />Concord (12) Kannapolis (4) <br />Georgeville (9) Midland (10) <br />Gold Hill (7) <br /> <br />[] yes gl no <br /> <br /> New Gilead (5) <br /> Odell (3) <br /> Poplar Tent (2) <br />Mount Pleasant (8) Rimertown (6) <br /> <br />-- Age (optional): 41 <br /> Educational Back~ound: <br /> <br /> Number hours available per month for this position: AS NEEDED <br />BS DEGREE <br /> <br />Business and Civic Experience/Skills: The Dept. of Aging is <br /> <br />committee as the appointed Lead Aqency. <br />Other County Boards / Committees / Commissions presently serving on: <br /> Board, Committee, Commission: <br /> Term Expiration Date: <br /> <br />responsible for this <br /> <br />Haveyoueverbeenchargedwithand/orconvictedofacfiminalof~nse? YES <br /> TRAFFIC VIOLATIONS <br /> <br />If so, please explain <br /> <br /> References <br />List three persons who are not related to you and who have definite knowledge of your qualifications and fimess for the position <br />for which you are applying. <br /> <br />Name Business / Occupation Address ] Telephone <br />BLAIR BENNETT 2ABARRUS COUNTY <br />STEVE LITTLE ;ABARRUS COUNTY <br />SUE ARCHER ~.ENTRALINA COG <br /> <br />understand that this application will be kept on the active file for two years only and I hereby authorize Cabarrus County to <br />verify all information included in this application. <br /> <br /> 5/6/96 ~ ' t Sienatu re o f {he ~nd[icart{ <br /> <br /> <br />