Laserfiche WebLink
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 beards. <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: <br /> <br />Address: ,5-?~ <br />City/State/ZIP: <br /> <br /> Resident of Cabarrus County [] yes [] no <br /> Circle your township <br />Central Cabarrus (11) Harrisburg (1) New Gilead (5) <br /> <br />_ Telephone: Home: <br /> Work: <br /> N.C. Driver's License No.: <br /> <br />- Occupation: ~.~ <br /> Business Address: ~. <br /> Age (option~): <br /> Education~ Backgound: <br /> <br />Georgeville (9) <br />Gold Hill (7) <br /> <br />Kannapolis (4) <br />Midland (10) <br />Mount Pleasant (8) <br /> <br />Number hours available per month for this position: <br /> <br />Odell (3) <br />Poplar Tent (2) <br />Rimertown (6) <br /> <br />Business and Civic Experience / Skills: <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? <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 Business / Occupation Address I Telephone <br /> <br /> I understand that this application will be kept on the active lie for two years only and I hereby authorize Cabarrus County to <br /> verify all information included in this application. <br /> <br />-- Date ~ Signature bf the Applicant <br /> <br /> <br />