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7 <br />Page 1 of 1 <br />Amy Jeroloman <br />Volunteer Application <br />Orange County Advisory $oairds and Commissions <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 />Year of OC Residence: <br />Township of Residence: <br />Zone of Residence: <br />Miss Amy Jeroloman <br />305 Deer Ridge Drive <br />Chapel Hill NC 27516-5190 <br />919-966-6621 <br />919-960-6099. <br />ajeroooman@unc.edu <br />UNC Hospitals <br />Clinical Systems Analyst <br />1.987 <br />Sex: Female <br />Ethnic Background: Caucasian <br />Date of Birth: 4/13/1959 <br />Boards/Commissions applied for: <br />Carrboro Northern Transition Area Advisory Commi <br />Work Experience: <br />Twenty seven years at UNC Hospitals (9 yrs Clinical Systems Analyst-work with <br />pharmacists, Nursing, & other systems users to customize- applications for their clinical <br />needs; 19 yrs Clinical Nurse in an adult inpatient setting); 3 yrs RN at other areas <br />Hospitals. <br />Volunteer Experience: - <br />Attended & participated in Carrboro's 2011 NSA design workshop; 2007 member of <br />Carrboro's NSAPIRC (Northern Study Area Plan Implementation Review Committee); <br />various other volunteer and fund raising experiences. <br />Education: <br />1999 Master in Nursing UNC-CH; 1981 BS in Nursing West Virginia Wesleyan. <br />Other Comments: <br />Have lived in the Northern Study Area- regulated by Carrboro but not within any township <br />since 1989 & active issues which impact my neighborhood. STAFF COMMENTS: <br />Applied for Carrboro Northern Transition Area Advisory Committee 8/08/2011. <br />ADDRESS VERIFICATION: 305 Deer Ridge Drive is in CH Township, CA Jurisdiction <br />and is in the Northern Transition Area. <br />This application was current on: 8/8/2011 9:52:01 PM Date Printed: 8/9/2011 <br />