Agenda - 06-03-2003 - 9-e-1 - Laserfiche WebLink

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/5 This space for office use only Page 1 of 1 Patricia Schmidt VOLUNTEER APPLICATION ORANGE COUNTY ADVISORY 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 and submit this form. Name: Name Called: Home Address: Phone: (Day) Phone: (Evening) Fax: Email: Place of Employment: Job Title: Township of Residence: Zone of Residence: Sex: Ethnic Background: Date of Birth: Ms. Patricia Schmidt 1011 Lawrence Road Hillsborough, NC 27278 245 -3499 245 -3499 watsuwoman @mindspring.com self employed - The Healing Self Retreat Center, Inc. Director, TRS /CTRS Eno Female Other 06/27/53 Please list (in order of preference) the Boards /Commissions on which you would be willing to serve. 1. Recreation and Parks Advisory Council 2. Advisory Board on Aging 3. WORK EXPERIENCE: Own business - in Aquatic Therapy, since 1997 serving all people but specializing in People with Disabilities. Regional coordinator for the Association of Self Advocates- Providing empowerment through education, experience and mentoring to people with disabilities in the State of N.C. Member of OPC Consumer & Family Advisory Council to meet new state level requirements. VOLUNTEER EXPERIENCE: Mentoring and empowering People with Disabilities. OPC Consumer and Family Advisory Council - Area Program EDUCATIONAL EXPERIENCE: BS in Park and Recreation Management - emphasis in Therapeutic Recreation. (1996) 9 Credit hours towards Masters Degree in Park and Recreation Management (2000) OTHER COMMENTS: How did you become aware of Orange County volunteer opportunities? Other. If Other, how? Lori Taft By submitting electronic application, applicant agrees to Ethics Guidelines and agrees to attend three -hour orientation. This form was submitted online, on 3/17/03 6:28:01 p.m.