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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 b~ards. <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 />Name: ..-~t4~SO.r~ ~/~/]bi.///g'~ Resident of Cabarrus County [~ yes [] no <br />City / State / Zm: Q~ 4 ' N ~ ~0 ~ <br />Telephone: Home: ~ ~/ <br /> <br />N.C. Driver's License No.: ~Z~ 7~ <br />Occupation: ~OC[~ ~~ <br /> <br />Age (option~): ~ Numar hours available per mon~ for ~is position: <br />Education~ Back~ound: ~ ~ ~ <br />Business and Civic Expefience / Skills: 5~g~ ~~ &~g ~d~ ~ <br /> <br />Other County Boards / Comm~ees / Com~ssions presently se~ing on: <br /> Board, Committee, Commission: <br /> Te~ Expiration Date: <br /> <br /> Circle your township <br /> Central Cabarrus (11) Harrisburg (1) New Gilead (5) <br />~C(~co~d (12)~ Kannapolis (4) Odell (3) <br />Georgeville (9) Midland (10) PoplarTent (2) <br /> Gold Hill (7) Mount Pleasant (8) Rimertown (6) <br /> <br />Have you ever been charged with and / or convicted of a criminal offense? P} O 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 i Telephone <br /> <br /> I understand that this application will be kept on the active file for two years only and I hereby authorize Cabarms County to <br /> verify all information included in this application. <br /> <br />-- J Signature of the Apl~cant <br /> <br /> <br />