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NOMINATION FORM — TRIANGLE SOUTH WORKFORCE DEVELOPMENT BOARD <br />Workforce Development and Workforce Innovation and Opportunity Act Programs <br />Serving the North Carolina Counties of Chatham, Harnett, Lee and Sampson <br />Name: Meg Moss <br />Address: 364 Sheriff Watson Road, Sanford NC 27332 <br />County of Residence (Please Check One): ❑Chatham <br />Telephone: 919-721-0732 <br />❑Harnett WLee ❑Sampson <br />Email: mmoss@growsanfordnc.com <br />Present Occupation/Job Title: Chamber of Commerce Executive Director <br />Employer: Sanford Area Growth Alliance 1 <br />Years with current employer: � <br />Years of formal education: Bachelors <br />Workforce Development Board Composition Requirements: <br />Business/Private Sector (at least 51 % private sector members) <br />♦ Labor Representative, Community -Based Organization or apprenticeship (must equal 20%) <br />Adult Education and Literacy <br />Higher Education (secondary and post -secondary) <br />Vocational Rehabilitation Agency Representative <br />♦ Economic Development <br />♦ State Employment Service <br />Sector of Representation (Please list your iob title): <br />Business (Small or large — private sector including medical, manufacturing, construction, retail, etc) — <br />Private <br />Labor or Union Representative (Nominated by local labor federation or employees of federation — or where none exists, representative <br />of employees including organizations that serve veterans) — <br />Community Based Organization (Includes organizations that serve individuals with disabilities, veterans, youth, literacy and community <br />action agencies) — <br />Apprenticeship (Including joint -labor management registered apprenticeship programs) — <br />Adult Education and Literacy — <br />Higher Education — <br />Vocational Rehabilitation Agency — <br />Economic Development — <br />State Employment Service — <br />0?4 <br />SEP 2 8 2015 4 <br />