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<br />For Office Use Only <br />2/11/03 Ross Farrington Jr. <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. Ross Farrington Jr <br />301 Sylvan Way <br />Chapel Hill, NC 27516 <br />919 932-7811 <br />(919)932-1244 <br />(919)929-0609 <br />rfarrin543@aol.com <br />Personalized Patient Home Assistance <br />Manager, Business Development <br />Chapel Hill <br />Does not apply <br />Male <br />African American <br />04/29/59 <br />Please list (in order of preference) the Boazds/Commissions on which you would be willing to <br />serve. 1. Advisory Boazd on Aging 2. Adult Caze Home Community Advisory Committee <br />3. Affordable Housing Advisory Boazd <br />Work Experience: <br />1. Personalized Patient Home Assistance (In-Home Heath Agency) Manager, Business <br />Development (new sales). 2. Guazdsmazk Inc. (Private Security <br />Company)Manager(responsible for overall operations in Greensboro (2000-2002), National <br />Account Manager,(1998-2000) and Security Operations at Glaxo Smith-Kline (1986=1998) <br />Volunteer Experience: <br />North Carolina Food Bank (Assisting with delivering food) Glaxo Smith-Kline (Organizing a <br />committe the selection of a needy family and delivering food and gift for Christmas Holiday) <br />Education: <br />B.A. Liberial Studies, Thomas Edison State College <br />Other Comments: <br />How did you become aware of Orange County volunteer opportunities? <br />County Web Site. 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 2/7/03 12:48:09 PM <br />