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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 W pardcipait <br />governmental decisions. One way of participating is by serving as a cilizen member o~one of the County's advisory boar <br />If you want to be considered for appointment to an advisory board, plea.~ complete the form below and mail it to the Bo. <br />of County Commissioners, Post Office Box 707, Concord, North Carolina 28026-0707. <br /> <br />2. <br />3. <br /> <br />Telephone: Home: ~-7~----~--~ '~Y ~ffi ~ K~a.1is ~4) OdeH (3) <br /> WO~: ~ ~ Georgevi~e (9) MiE~d (10) Popl~Tem (. <br />N.C. D~ver's Lic~ <br />Occupation: <br /> <br />O~er County Bo~s / Committees / Co~i~ions p~nfly ~mi, ng on: ' Board, Commi <br /> <br />Have you ever ~en ch~ged ~ ~d / or convicted of a cfimin~ offense?. ~ If so, piece expl~n <br /> <br /> References <br />Li st three persons who are not related to you and who have definite knowledge of your qualifications and fi mess for the l~siti c <br />for which you are applying. <br /> <br />t .N,~ame ~ .~. B~ine~/.OccuPation. Address Telephone <br /> <br />under/and that this application will be kept on the active file for two yeN only and [ hereby authorize Cabarms County t, <br /> <br /> 1776 , _ ,_ <br /> / ' Date ~ [/ Signature of the Applicant <br /> <br /> <br />