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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 />2. <br /> <br /> Telephone: Home: <br /> Work: <br /> N.C. Driver's License No.: <br /> Occupation: <br /> <br />- Business Address: <br /> <br /> Resident of Cabarrus County <br /> <br /> Circle your township <br />Central Cabarrus (11) Harrisburg (1) <br />Concord (I2) Kannapolist~ <br />Georgeville (9) Midland (I0) <br />Gold Hill (7) <br /> <br />[] yes [] no <br /> <br /> New Gilead (5) <br /> Odell (3) <br /> Poplar Tent (2) <br />Mount Pleasant (8) Rimertown (6) <br /> <br />Age (optional): <br /> <br />Educational Backgound: <br /> <br />Number hours available per month for this position: <br /> <br />Business and Civic Expefience / Skills: -9)~:cavce: - <br /> <br />Other Cou~y Boards 1 Committees / Commissions p~sendy se~ng on: <br /> Board, Committee, Commission:. ~2 <br /> Te~ Expiration Date: ~ 5 <br /> <br />Have you ever been charged with and / or convicted of a criminal offense? X/d> 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 J Business / Occupation Address I Telephone <br /> <br />I understand that this application will be kept bJn the active file for two years only and I hereby authorize Cabarrus County to <br />verify all information included in this application. <br /> <br /> Date ~Signature of the Applicant <br /> <br /> <br />