Orange County NC Website
15 <br /> Page 1 of 1 Blake Burklin <br /> Volunteer Application <br /> Orange County Advisory Boards and Commissions <br /> Name: Mr. Blake Burklin <br /> Name Called: <br /> Home Address: 117 Creel St. <br /> Chapel Hill NC 27516 <br /> Phone: (Day) 919-812-4394 <br /> Phone: (Evening) 919-812-4394 <br /> Fax: <br /> Email: burklin @email.unc.edu <br /> Place of Employment: Johnny T Shirt <br /> Job Title: <br /> Township of Residence: Chapel Hill <br /> Zone of Residence: Chapel Hill Twnsp <br /> Sex: Male <br /> Ethnic Background: Caucasian <br /> Date of Birth: 11/15/1983 <br /> Boards/Commissions applied for: <br /> Orange County Planning Board <br /> Nursing Home Community Advisory Committee <br /> Work Experience: <br /> Harris Teeter <br /> Triangle Sportsplex <br /> Johnny T Shirt <br /> Volunteer Experience: <br /> UNC Hospital <br /> Habitat for Humanity <br /> Education: <br /> B.A. in Sociology from the University of North Carolina at Chapel Hill <br /> Other Comments: <br /> As an undergraduate sociology major I was able to design and implement IRB approved <br /> social research on stigmatized populations confidentially. I believe as a life long resident <br /> of the Chapel Hill/ New Hope area, that I will have some insight the Board might find <br /> valuable. STAFF COMMENTS: Originally applied for Orange County Planning Board & <br /> Nursing Home Community Advisory Committee on 2/3/2008. ADDRESS <br /> VERIFICATION: 117 Creel St, Chapel Hill, is Chapel Hill township in CHPL jurisdiction. <br /> This application was current on: 2/3/2008 10:53:29 PM Date Printed: 11/11/2008 <br />