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(866) WE-LISTEN (866) 935-4783
TEXT LINE: (919) 504-5211
Located in Orange County, North Carolina

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Board Application

Please fill out the following form to apply for a position on the Board of Directors at the Orange County Rape Crisis Center.
* Indicates a required field.

Preferred Name

Email*

Address*

Phone Number*

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Date of Birth*

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Race:

Black American Indian White LatinX Multiracial Asian Not listed

If your race is not listed please specify below:

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Please list your current OCRCC involvement if any*

Are you affiliated with or a member of any organizations, clubs, etc.?

Please list any languages in which you are fluent.

Please select all skills and areas of interest that will benefit the OCRCC

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If you selected other, please specify below:

Why are you interested in becoming a member of the OCRCC Board of Directors or serving on one or more of its committees?*

For Additional Information

Please contact us at info@ocrcc.org for more information.

Office Address:
1506 East Franklin St.
Suite 200
Chapel Hill, NC 27514

Mailing Address:
P. O. Box 4722
Chapel Hill, NC 27515

Office Phone:
(919) 968-4647

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