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25 <br />Page 1 of 1 <br />Rebecca Cicale <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 />Year of OC Residence: <br />Township of Residence: <br />Zone of Residence: <br />Sex: <br />Ethnic Background: <br />Date of Birth: <br />Mrs Rebecca Cicale <br />309 East Winmore Ave <br />Chapel Hill NC 27516 <br />919-928-6956 <br />919-928-6956 <br />bkcicale@yahoo.com <br />not currently working previous NP, UNC lung trans <br />RN, ARNP <br />2005 <br />Chapel Hill <br />JPA (Joint Planning Area) <br />Female <br />Caucasian <br />11 /20/1965 <br />Boards/Commissions applied for: <br />Orange County Emergency Services Work Group <br />Work Experience: <br />I have worked as an EMT, Emergency Dept Nurse, ICU Nurse in Florida and over the <br />past 9 years as a Lung Transplant Coordinator and Nurse Practitioner at UNC Lung <br />Transplant Progam. <br />Volunteer Experience: <br />I run a 501 C3 nonprofit organization called The Sweet Melissa Fund which provides <br />financial assistance to Lung Transplant recipients and their families as well as Children <br />with Cystic Fibrosis. <br />Education: <br />Master of Science in Nursing from The University of Florida <br />Bachelor of Science in Nursing from Florida State University <br />Other Comments: <br />STAFF COMMENTS: Originally applied for Orange County Emergency Services Work <br />Group 1/6/2012. ADDRESS VERIFICATION: East Winmore Ave. is Carrboro <br />Jurisdiction, Carrboro City Tax, Chapel Hill Township. <br />This application was current on: 1/6/2012 11:12:07 AM Date Printed: 1/6/2012 <br />