Content of this application is a matter of public record. N.C. Public Records Law requires that

any information you provide on this application for volunteer service be available for public inspection.

Leadership Team Volunteer Application

If you live or work in Orange County, are at least 18 years old and wish to volunteer

on this committee please complete this application and email, mail or fax to:

Jamie Rohe, Homeless Programs Coordinator / Orange County Partnership to End Homelessness

P.O. Box 8181, Hillsborough, NC 27278 / Phone: 919-245-2496 / Fax: 919-644-3056 / Email:

Name: / Date:
Home address, city, zip:
Phone: (Day) / (Evening) / Email:
Place of employment: / Job title:

Please describe why you are interested in becoming a member of the Partnership to End Homelessness Leadership Team:

Please explain how your background, education, work and experience are relevant to what you would bring to the Leadership Team: