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This space for office use only <br />4/7/03 Kenneth B. Touw <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. Kenneth B. Touw <br />2027 Markham Drive <br />Chapel Hill, NC 27514 <br />919-653-7044 <br />919-942-1115 <br />919-653-7099 <br />kentouw@yahoo.com <br />King Pharmaceuticals, Inc. <br />Senior Director <br />Chapel Hill <br />Does not apply <br />Male <br />Caucasian <br />11-07-47 <br />Please list (in order of preference) the Boards/Commissions on which you would be willing to serve. 1. <br />Human Services Advisory Commission 2. 3. <br />WORK EXPERIENCE: Over 30 years in research of new medicines; preparation of new drug applications; <br />responsible for communications with U.S. FDA; provided regulatory expertise; produced drug development <br />strategic plans; wrote expanded summaries and prescribing information; led diverse teams of scientists, <br />specialists and other staff. <br />VOLUNTEER EXPERIENCE: Eight years on Chapel Hill-Carrboro School Board, two years as Chair, <br />organized education campaign for successful passage of $52 million bonds and first new schools in 20 <br />years. Used conflict resolution skills to gain consensus for controversial multicultural education program, <br />member board of a A Mission In Excellence; Rep. to Triangle J, Public School Foundation, School Health <br />Advisory Committee, 8 years; Communities-in-Schools of Orange County - 10 years. <br />EDUCATIONAL EXPERIENCE: AB -Zoology, Duke University; PhD., Pharmacology, U.North Carolina - <br />Chapel Hill; Asst. Professor, Dept. Pharmacology, State U. N.Y. -Buffalo Sch. of Med., Post Doctoral <br />Fellow ,Univ. of Iowa <br />OTHER COMMENTS: Would like to provide Liaison for Communities-In-Schools and for children on the <br />Human Services Advisory Committee. <br />How did you become aware of Orange County volunteer opportunities? <br />Other. If Other, how? <br />By submitting electronic application, applicant agrees to Ethics Guidelines and agrees to attend three- <br />hourorientation. This form was submitted online, on 4/7/03 3:11:21 PM <br />