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12 <br />Page 1 of 1 <br />Tiffany Johnson <br />Volunteer Application <br />Orange County Advisory Boards and Commissions <br />Name: <br />Name Called: <br />Home Address: <br />phone: (Day) <br />Phone: (Evening) <br />Fax: <br />Email: <br />Place of Employment: <br />Job Title: <br />Ms. Tiffany Johnson <br />201 B Barksdale Rd, Southern Village <br />Chapel Hill NC 27516 <br />tiffanyJohnson@med.unc.edu <br />UNC-Ch Hospital <br />Neurological Surgery Resident <br />Year of OC Residence: <br />Township of Residence: Chapel Hill <br />Zone of Residence: C.H. City Limits <br />Sex: Female <br />Ethnic Background: Caucasian <br />Date of Birth: 10/26/1979 <br />Boards/Commissions applied for: <br />Arts Commission <br />Work Experience: <br />Neurological Servery Resident 2005-present, Nedical Student 2001-2005, Elon <br />University Registrar Office Assistant 1997-2000 <br />Volunteer Experience: <br />Hospital Clinic Volunteer Jan-Feb 2005, Alamance Regional Med Ctr. Volunteer 1997, <br />Twin Lakes Retirement Facility Volunteer 1997-1998, IFC Shelter Volunteer 2002-2004. <br />Education: <br />UNC Chapel Hill School of Medicine, MD Neurological Surgery, Elon University B.S. <br />Biology Summa Cum Laude <br />Other Comments: <br />STAFF COMMENTS: Originally applied for Arts Commission 1/31/2006. ADDRESS <br />VERIFICATION: 201 Barksdale Dr is in Orange County in the Chapel Hill township in the <br />city limits. <br />This application was current on: 1/31/2006 Date Printed: 4/14/2009 <br />