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Application For Appointment To <br />Cabarrus County Advisory Boards and Commissions <br /> <br /> The Cabarms 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. BLOCK GRANT COMMITTEE <br /> <br />Name: PAUL C. GEBHARDT <br /> <br />Address: P.O. Box 872 <br /> <br />City/State/ZIP: CONCORD, N.C. 28026-0872 <br /> <br />Telephone: Home: (704) 788-4640 <br /> Work: N/A <br />N.C. Driver's License No.: _~ V~ q/5'0 ~ <br />Occupation: RETIRED / ENGINEER <br />Business Address: N/A <br /> <br /> Resident of Cabarrus County <br /> <br /> Circle your township <br /> Central Cabarrus (11) Harrisburg (1) <br />C~~ mannapolis (4) <br />Georgeville (9) Midland (10) <br />Gold Hill (7) Mount Pleasant (8) <br /> <br />[] yes [] no <br /> <br />New Gilead (5) <br />Odell (3) <br />Poplar Tent (2) <br />Rimertown (6) <br /> <br /> Age (optional): Number hours available per month for this position: <br />_Educational Back~ound: College <br /> <br />Business and Civic Experience/Skills: IBM / SHIIP CO-ORDINATOR FOR CABARRUS COUNTY <br /> <br />Other County Boards / Committees / Commissions presently serving on: <br /> Board, Committee. Commission: <br /> Term Expiration Date: <br /> <br />Have you ever been charged with and / or convicted of a criminal offense? No <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 fitness for the position <br />for which you are applying. <br /> <br /> Name I Business / Occupation Address [ Telephone <br />tIKE L. MURPHY,CLP DIRECTCR /DEPARTNENT OF ACING P.O. Box 1005,CONCORD,28026 788-9899 <br /> <br /> TAMMY COLLINS " " " " " <br /> MARY SNEAD BOGER RETIRED UNIT P, 84 LAKE CONCORD RD. 782-8218 <br /> <br />verify all information included in this application. <br /> Date <br /> <br />understand that this application will be kept on the active file for two years on~39Ix~PIDn~:ret~y ~:uSt~[~e Cabarrus Count>' to <br /> <br />Signature of the Applicant <br /> <br /> <br />