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A seven-member Board of Commissioners governs Cumberland County, North Carolina, under a commissioners and county manager form of government: two members elected from District One, three from District Two, and two at large, all serving four-year terms on a staggered schedule, with a chair elected annually. The board's charge, in its own words, is maintaining fiscal responsibility while providing the services mandated by the state's General Statutes. In practice that means departments from the Department of Social Services and the Public Health group to elections, finance, community development, and animal services, with a Human Resources department hiring for all of it.

Cumberland County's health hiring runs through its Public Health group and the Department of Social Services, the safety net side of a county government anchored by Fayetteville.

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