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8 <br /> Page 1 of 1 Michael Carstens <br /> Volunteer Application <br /> Orange County Advisory Boards and Commissions <br /> Name: Dr. Michael Carstens <br /> Name Called: <br /> Home Address: 108 Carriage Circle <br /> Chapel Hill NC 27514 <br /> Phone: (Day) 919-968-4774 <br /> Phone: (Evening) 857-498-1442 <br /> Fax: 919-942-5291 <br /> Email: carstensmike@hotmail.com <br /> Place of Employment: Chapel Hill Eyecare <br /> Job Title: Optometrist <br /> Year of OC Residence: 2005 <br /> Township of Residence: Chapel Hill �I <br /> Zone of Residence: . . . <br /> Sex: Male <br /> Ethnic Background: Caucasian <br /> Date of Birth: 8/8/1977 <br /> Boards/Commissions applied for: <br /> Work Experience: <br /> Practicing otpometrist for last 6 yrs. Chapel Hill Eyecare Optometrist since January 2005. <br /> Volunteer Experience: <br /> Bear Hug Foundation, medical mission to EI Salvador, October 2004 <br /> Volunteer Lecturer for Chronic Disease Collaborative symposium, chapel hill 2005-6 <br /> Education: <br /> University of Maine @ Orono, 1995-1999 <br /> New England College of Optometry 1999-2003 <br /> VAMC - Baltimore, Residency in Hospital Based Optometry and Ocular Disease 2003- <br /> 2004 <br /> Other Comments: <br /> STAFF COMMENTS: Originally applied for Board of Health 3/30/2009. ADDRESS <br /> VERIFICATION:_ 108 Carriage Circle, Chapel Hill is Chapel Hill township, CH jurisdiction. <br /> This application was current on: 3/30/2009 11:57:14 AM Date Printed: 4/11/2012 <br />