Stokesdale, North Carolina
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Stokesdale, North Carolina
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TOWN OF STOKESDALE COMMITTEE APPLICATION
NAME: ________________________________________ PHONE: _______________ Email: _______________________ FAX: __________________
ADDRESS: _____________________________________________________________ TOWN: ________________________________________________ ZIP: ___________
HOW LONG HAVE YOU LIVED IN STOKESDALE? ________________________ ARE YOU OVER 18 YEARS OF AGE? Yes No OCCUPATION:________________________________________________________ EMPLOYER/ADDRESS: ________________________________________________ BUSINESS PHONE: _______________________
EDUCATION: High School _______________________ Graduate? Yes No College: ________________________________ Graduate? Yes No Year ______ Major: ________________________________________________________________
COMMITTEE APPLIED FOR: ___________________________________________ OTHER EXPERIENCE RELATIVE TO COMMITTEE APPLIED FOR: _______________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________
REASONS WHY YOU WOULD LIKE TO SERVE ON THE COMMITTEE: ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________
Signature: ___________________________________________Date:______________ ________________________________________________________________________ PLEASE COMPLETE AND RETURN TO ADDRESS ABOVE PHONE/FAX 336-643-4011
Town Committees
Budget & Finance Public Safety Economic Development, Roads & Transportation Education Long Range Financial Ordinance Review Land Use Plan Review Parade US 158 Bypass Watershed
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Last Updated: Friday August 29, 2008 E-mail the Webmaster with questions or comments about this Web site. Copyright©2008 Town of Stokesdale, North Carolina
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