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97 <br />Page 1 of 1 <br />Philip Witt <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 />Dr Philip Witt <br />3617 Rabbit Hill Lane <br />Efland NC 27243 <br />919 602 4273 <br />919 304 4348 <br />pwittnc@gmail.com <br />Duke University Health Center <br />Physical Therapist <br />1979 <br />Cedar Grove <br />Does not apply <br />Male <br />Caucasian <br />5/4/1951 <br />Boards/Commissions applied for: <br />Orange County Emergency Services Work Group <br />Work Experience: <br />UNC faculty 1979-2009, Duke P.T. 2009 to present <br />Volunteer Experience: <br />orange county 4-H <br />Education: <br />PhD Movement Science, Certificate P.T. MS in Exercise Science, and BS in Psychology <br />Other Comments: <br />STAFF COMMENTS: Originally applied for Orange County Emergency Services <br />1/4/2012. ADDRESS VERIFICATION: Rabbit Hill Lane is Orange County Jurisdiction, <br />Cedar Grove Fire Tax, and Cedar Grove Township. <br />This application was current on: 1/4/2012 11:08:19 AM Date Printed: 1/13/2012 <br />