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049 <br />SENIOR TARHEEL LEGISLATURE - DELEGATE <br />• COUNTY OF LEE <br />BOARDS/COMMISSION APPLICATION <br />The Lee County Board of Commissioners believes that all citizens should have the opportunity to participate <br />in governmental decisions. One way of participating is by serving as a citizen member of one of the county's <br />advisory boards, listed below. If you have an interest in being considered for appointment to one of the <br />boards, indicate by placing a check mark by your interest(s), complete the form below, and mail to the <br />address listed at the bottom of the application. For additional information about our committees or to complete <br />an on-line application, please visit our web site at www.leecountync.gov. <br />BOARDS AND COMMISSIONS <br />_ Sanford-Lee County Airport Authority _ <br />Jury Commission <br />-Agricultural Advisory Board _ <br />Library Board of Trustees <br />-Americans with Disabilities Act (ADA) _ <br />Mid-Carolina Workforce Development Board <br />_ Board of Adjustments (Lee County) _ <br />Parks & Recreation Commission <br />_ Board of Adjustments (Sanford) _ <br />Planning Board (Lee County) <br />_ Board of Equalization & Review _ <br />Planning Board (Sanford) <br />-Cemetery Board of Trustees _ <br />Rest Home-Nursing Home Advisory Board <br />_ CCCC Board of Trustees _ <br />Senior Services Advisory Board <br />_ Lee County Economic Development Corporation _ <br />Social Services Board <br />_ Lee County Fire Advisory Board _ <br />Transportation Advisory Board <br />_ Lee County Environmental Affairs Board _ <br />Juvenile Crime Prevention Council <br />_ Lee County Board of Health _ <br />Criminal Justice Partnership Advisory Board <br />Industrial Facilities & Pollution Control Financing Auth. <br />NAME: Mary T. Upchurch <br />• ADDRESS: 1013 Clearwater Drive, Sanford, NC 27330 <br />HOME PHONE: 919-776-2868 WORK PHONE: N/A <br />PLACE OF EMPLOYMENT. Retired from Southern National Bank (now BB&T) <br />OCCUPATION: Banking - worked in several areas and retired as Asst. Vice President <br />EMAIL: maryupchurch@charter.net FAX NO. <br />• <br />List any experience/qualifications you have relevant to the above board/commission you are interested in. <br />Serving on the Senior Services Advisory Board has provided an excellent base <br />to learn about the 'local' aeencies which provide henefirc for cpninra <br />On the regional level, being a member of Triangle J Area Agency on Aging has <br />expanded my knowledge and nndprctanding of financial „rcag and choir use. <br />See below. <br />I CERTIFY THAT ALL OF THE INFORMATION CONTAINED IN THIS APPLICATION IS TRUE TO THE <br />BEST OF MY KNOWLEDGE. <br />DATE: June 22, 2009 <br />NOTE: MUST BE A RESIDENT OF LEE COUNTY, AND CAN ONLY SERVE ON TWO (2) BOARDS AT A TIME. <br />Return completed application to: Ms. Gaynell Lee, Clerk to the Board of Commissioners, PO Box 1968, 106 <br />Hillcrest Drive, Sanford, North Carolina, 27331-1968, or fax to 774-8407 or e-mail to glee o)leecountvnc.goy. <br />SENIOR TARHEEL LEGISLATURE - For the past two years I have served as Alternate <br />to Dr. Cline as Delegate. Dr. Cline resigned at our June Meeting. I would be <br />pleased to represent Lee <br />Senior Services Advisory Board locally, the regional Triangle J Area Agency on <br />Aging, and the Senior TarHeel Legislature appear closely related and each <br />complements the other. Thank you for your consideration. <br />County on the STHL as Delegate. The three organizations: <br />