Laserfiche WebLink
00047 <br />COUNTY OF LEE <br />APPLICATION TO SERVE ON THE REVOLVING LOAN COMMITTEE <br />If you are a Lee County citizen interested in serving as a member of one of the Revolving Loan Committee, please <br />complete the form below and mail to Clerk to the Board, (408 Summit Drive), PO Box 1968, Sanford, NC, 27331- <br />1968 or fax to 919-718-4623. YOU MUST BE A RESIDENT OF LEE COUNTY TO APPLY. <br />Citizens applying for this Committee must be actively involved or have significant experience in one of the following <br />areas. Please check which area you will representing if appointed to the Committee: <br />Banking <br />Agriculture <br />Small Business <br />Note: Small Business is defined as any industry, manufacturing, commercial or retail business with less than 200 <br />employees and $20,000,000 annually in revenues. <br />NAME: <br />MAILIN( <br />HOME F <br />YEARS LIVING IN ' <br />LEE COUNTY: DISTRICT YOU LIVE IN:" <br />a4 <br />-ZFEMALE: —WHITE: BLACK: _ HISPANIC: _ NATIVE AMERICAN _ OTHER _ <br />(Information for the purpose of assuring a cross section of the community) <br />EMPLOYER: �� � ��% ,�.�� <br />OCCUPATION: t sh, .+ 9n " S - <br />OTHER MUNICIPAL OR COUN BOARDS/COMMITTEES ON WHICH YOU ARE SERVING: <br />(Generally! the Board of Commissioners desires to broaden participation on Boards/Commissions for as much citizen involvement <br />as possible; therefore per Board policy, appointees can serve on no more than two (2) Boards/Commissions at a time. <br />Are you related to anycyia currently serving on any County board/commission? If yes, please state name and board they serve on <br />n <br />PLEASE LIST THREE (3) LOCAL PERSONAL REFERENCES AND PHONE NUMBERS: <br />2. <br />3. /%/i <br />REASON(S) YOU <br />COMMITTEE: <br />9/g - 77tl) -- 6'3 <br />?19 -- 4/9 i- 3//& <br />. corn <br />�4 ypnom) J/ <br />SERVE ANT EXYRIEN�)=- IN THE AREA YOU WILL BE REPRESENTING ON THE <br />k- LQwI CUUIUVIial Kaye a more space is neeaeo) <br />SIGNATURE: DATE: ,Z— 7— <br />NOTE: ALL TAXES MUST BE PAI IN FULL BEFORE BEING CONSIDERED FOR APPOINTMENT <br />THIS APPLICATION IS CONSIDERED A PUBLIC RECORD <br />