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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 beard, 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 />_Address: <br /> <br /> City / State / Z~: {M,&, <br /> <br /> Telephone: Home: ~ <br /> <br /> Work: <br /> N.C. Driver's License No.: <br />_Occupation: ~.-k u3 <br /> <br /> / <br /> Resident of Cabarms County [}/yes [] no <br /> Circle your township <br />Central Cabarrus (1 l) Harrisburg (1) New Gilead (5) <br />Concord (12) Kannapolis (4) Odell (3) <br />Georgeville (9) Midland (10) ~ PoplarTent (2) <br />Gold Hill (7) ~Ple'asant (8.~_.___)~ Rimertown (6) <br /> <br /> Business Address: C,4M~,,,~ ~ ¢.~ ..3~,%.O~.e,l. <br /> Age (option~): ~ % Numar hours available ~r mon~ for ~is position: <br />'~ducation~Back~ound: ~5~ ~ <br /> <br />- Business and Civic Experience/Skills: <br /> <br /> Dther County Boards / ~mmittees / Commissions presen~y se~ing on: <br /> Board, Committee, Commission: <br /> Te~ Expiration Date: <br /> <br />Have you ever been charged with and / or convicted of a criminal offense? k,-~ ,~ If so, please explain <br /> <br /> References <br />~ist three persons who are not related to you and who have definite knowledge of your qualifications and fitness for me position <br />for which you are applying. <br /> <br />Name Business / Occupation Address ] Telephone <br /> <br />understand that this application will be kept on the active file for two years only and I hereby authorize Cabarms County to <br />erify all information included in this application. <br /> <br /> Signature of the Applicant <br /> <br /> <br />