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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 i: <br />goverm'nental 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 Boarc <br />of County Commissioners, Post Office Box '/07, Concord, North Carolina 28026-0707. <br /> <br />Advisory Board / Commission Interested In: <br /> <br />I. ~OME _~_,ZD Cn~LLNT_mY Ca-~-~_E 9L©C~r G~-~T Cn~TTT-EE <br />2. DEPARTMENT OF AGING ADVISORY BOARD <br /> <br />TRANSPORTATION ADVISORY BOARD <br /> <br />Name: TW. ET.~MA D. FREEZE <br />Address: 3650 ZION CHURCH ROAD <br /> <br /> City/State/ZIP: CONCORD, NC 28025 <br />'- Telephone: Home: 704-782-4798 <br /> ' ~;~.. 704-788-1215 <br />_N.C. Driver's License No.: <br /> <br /> Remident of Cabarrus County <br /> <br /> Circle your township <br />Central Cabarrus ~} Harrisburg (1) <br />Concord (12) Kannapolis (4) <br />Georgeville (9) Midland (10) <br />Gold Hill (7) <br /> <br />yes ~ no <br /> <br /> New Gilead (5 <br /> Odell (3) <br /> Poplar Tent (2, <br />Mount Pleasant (8) Rimenown (6 <br /> <br />Occupation: E×F~GUTIVE DIRECTOR.. L.I.F.E. CE'NTER, INC. <br />Business Address: 30 HNTON ~TR~..~T NO CONCORD: NC ?Rg25 <br />Age (optional): 63 Number hour~ available per month for this position: ,:l.x <br />Educationai Back~ound: ~ ~ mr~N g~nvxe.~.~: lrMc~.;Ml-lnr.~ t-;lT~al~l DFVk'n'.~PMk'~'T ANn T.I~ARNTN~: I['fNCC <br /> SPECIALTY AR. EA...GERONTOLOGY <br /> <br />Business and Civic Experience / Skills: PAST PRESIDENT, NORTH CAROLINA ADULT DAY CARE ASSOCIATION <br />MEMBER AND PAST PRESIDENT, BUSINESS AND PROFESSIONAL WOMENS CLUB <br /> <br />Other County Boards / Committees / Commissions presently serving on: <br /> Board, Committee, Commission: HCCBG COMMITTEE, TAB COMMITTEE <br /> Term Expiration Date: 1995 <br /> <br />Have you ever been charged with and / or convicted of a criminal offense?._~_~. 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 :'or the positic: <br />for which you am applying. <br /> <br />Marne <br /> <br />DONNA UDOVICH <br /> <br />MICHAEL MURPHY <br /> <br />RTT.T. ROgg <br /> <br />J Business / Occupation <br />JRETIRED <br /> <br /> DIR~6"'fO.R~ DOA <br /> <br /> ~TSTER O~ n~n~ <br /> <br /> Address <br /> <br />220 SCALEYBARK TRAIL,CONCORD <br /> <br />P.O. BOX 1005 CONCORD <br /> <br /> Telephone <br />786-8030 <br /> <br />788-9899 <br /> <br />understand that this application will be kept on the active file ['or two yea~s only and I hereby aulhodze Cab~s County <br />verify all information included in this application. <br /> <br /> <br />