Agenda - 03-24-2003 - 9.a.1 - Laserfiche WebLink

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This space for office use only 09/12/01 Page 1 of 1 Jeffrey A. Kueffer VOLUNTEER APPLICATION ORANGE COUNTY BOARDS AND COMMISSIONS If you are an Orange County resident, at least 18 years old, and willing to volunteer your time and expertise to your community, please complete this application and return to: Orange County Commissioners' Office P.O. Box 8181 Hillsborough, NC 27278 . Phone (919) 245 -2125; 688 -7331; 227 -3031 FX (919) 644 -0246 NAME: Jeffrey A. Kueffer HOME ADDRESS: ----- ---- -- 122 Oldham Place CITY: Chapel Hill STATE: --- ---- ------- ----- NC ZIP CODE: - - - - - -- — 27516 TELEPHONE: (Home) - - - - -- 919- 960 -4800 TELEPHONE: (Work) - - - - -- 919- 998 -2336 TELEPHONE: (FAX) --- - - - - -- EMAIL; kueffer@nc.rr.com PLACE OF EMPLOYMENT: - - -- Quintiles, INC JOB TITLE: --------- - - ---- Senior Director TOWNSHIP OF RESIDENCE: - -- Chapel Hill ZONE OF RESIDENCE: -- --- - -- - SEX: -- - -- Male ETHNIC BACKGROUND: - -- Caucasian DATE OF BIRTH: - -- ---- 10/26/1955 LIST, IN PREFERENCE, THE BOARDS /COMMISSIONS ON WHICH YOU WOULD BE WILLING TO SERVE: 1: ------- ___ Emergency Medical Services Advisory Council 2. ___— _— �________ Recreation and Parks Advisory Council 3 Commission for the Environment Please list work, volunteer and educational experience. WORK EXPERIENCE: 20 years military service: operations, planning, & systems analysis. 3 years pharmaceutical industry: operations, sysiems analysis. VOLUNTEER EXPERIENCE: Adult leader, Girl Scouts; Habitat for Humanity; Red Cross (blood donations). EDUCATIONAL EXPERIENCE: BS, Public Administration, University of Arizona; MBA, University of New Mexico. OTHER COMMENTS: How did you become aware of Orange County volunteer opportunities? List all that apply: _Newspaper...._ If other, how? By- submitting electronic application, applicant agrees to Ethics Guidelines and agrees to attend three -hour orientation.This form was submitted online, on Wed_ Sep 12 07:55:40 2001.