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/111/ <br />This space for office use only <br />Page 1 of 1 Jerry Kruter <br />VOLUNTEER APPLICATION <br />ORANGE COUNTY ADVISORY BOARDS AND COMMISSIONS <br />If you are an Orange County resident, at least 18 years old, and willing to volunteer your <br />time and expertise to your community, please complete and submit this form. <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 />Township of Residence: <br />Zone of Residence: <br />Sex: <br />Ethnic Background: <br />Date of Birth: <br />Mr. Jerry Kruter <br />322 Sunset Creek Circle <br />Chapel Hill, NC 27516 <br />919- 967 -9513 <br />919= 967 -9513 <br />919- 968 -8922 <br />jlkruter@bellsouth.net <br />Retired <br />Patent Agent <br />Chapel Hill <br />Male <br />Caucasian <br />05/19/35 <br />Please list (in order of preference) the Boards /Commissions on which you would be willing <br />to serve. 1.Economic Development Commission 2. Equalization and Review Board <br />3.Advisory Board on Aging <br />Work Experience: <br />For 23 years I served as a senior registered patent agent at the U.S. Patent and Trademark <br />Office. For ten years, I was an independent sales agent for Dow Corning, Gen. Motors; and <br />Kohler Corporations. <br />Volunteer Experience: <br />Orange County Efficiency Committee - Finance and Development Subcommittee; Orange <br />County Literacy Council; teaching at the Duke Institute for Learning in Retirement (DILR); <br />Education: <br />BS - Engineering; Univ. of Wisconsin <br />Other Comments: <br />How did you become aware of Orange County volunteer opportunities? <br />Newspaper <br />If Other, how? <br />By submitting electronic application, applicant agrees to Ethics Guidelines and agrees to <br />attend three -hour orientation. This form was submitted online, on 3/10/03 3:04:10 PM. <br />