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Departments / Park & Rec / Inside The Department / PRC Nomination Form

Mecklenburg County Park and Recreation Commission Nomination

The Mecklenburg County Park and Recreation Department appreciates the interest of all citizens willing to serve their Community through participation on the Park and Recreation Commission.

Background Information
Name:

Home Address: (Please do not use P.O. Box numbers.)

Zip Code:

Home Phone:

Work Phone:

E-Mail Address:

Occupation:

Business Address:

Race:

Sex:

Age:

Hours Per Month Available for Position:

Other County Boards/Committes/Commissions Currently Serving On:

Term(s) Expiration Date(s):

Education:

Business Civic Experience/Skills:

Areas of Expertise and Interests/Skills:

What area would you like to serve?
At large
Central I
Central II
Central III
East
North
Northeast
Northwest
Northern Towns
South
Southwest
Southern Towns
I understand that this application will be kept on the active file for two (2) years only. The Mecklenburg County Board of County Commissioners sincerely appreciates the interest of all citizens in County advisory committees and urges the public to nominate qualified persons for membership. Nominations must be sent to: Park and Recreation Department, 5841 Brookshire Blvd., Charlotte, NC 28216. Attention Patsy Houston. Also please fax to 704 336-5472 or patsy.houston@mecklenburgcountync.gov. For more information on the responsibilities of various advisory bodies, applicants may contact the above office at 704 336-3854

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Mecklenburg County, North Carolina

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