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18 <br />Page 1 of 1 <br />charles mcmullen <br />Volunteer Application <br />Orange County Advisory Boards 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 />mr charles mcmullen <br />108 jones ave <br />hillsborough NC 27278 <br />9197329083 <br />9192603879 <br />cmcmullen1 @nc.rr.com <br />retired <br />Year of OC Residence: 1993 <br />Township of Residence: Hillsborough <br />Zone of Residence: Does not apply <br />Sex: Male <br />Ethnic Background: Caucasian <br />Date of Birth: 8/22/1946 <br />Boards/Commissions applied for: <br />Nursing Home Community Advisory Committee <br />Board of Health <br />Work Experience: <br />almost 50 yrs in various fields of nsg. <br />Volunteer Experience: <br />Education: <br />Other Comments: <br />STAFF COMMENTS: Originally applied for Nursing Home Community Advisory <br />Committee, Adult Care Home Community Advisory Committee, and Board of Health <br />02/10/2011. ADDRESS VERIFICATION: 108 Jones Avenue is in Hillsborough <br />Jurisdiction, Hillsborough Township. <br />This application was current on: 2/10/2011 10:59:02 AM Date Printed: 11/16/2011 <br />