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Page 1 of 1 <br />Amy Jeroloman <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 />Phone (Cell): <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 />Miss Amy Jeroloman <br />305 Deer Ridge Drive <br />Chapel Hill NC 27516 -5190 <br />919- 966 -6621 <br />919- 960 -6099 <br />ajeroloman @nc.rr.com <br />UNC Hospitals <br />Clinical Systems Analyst <br />1987 <br />Chapel Hill <br />N. Transition Area <br />Female <br />Caucasian <br />Community Activities /Organizational Memberships: <br />Past Service on Orange County Advisory Boards: <br />Boards /Commissions applied for: <br />Supplemental Questions: <br />Work Experience: Twenty seven years at UNC Hospitals (9 yrs Clinical Systems Analyst - <br />work with pharmacists, Nursing, & other systems users to customize applications for their <br />clinical needs; 19 yrs Clinical Nurse in an adult inpatient setting); 3 yrs RN at other areas <br />Hospitals. <br />Volunteer Experience: Attended & participated in Carrboro's 2011 NSA design workshop; <br />2007 member of Carrboro's NSAPIRC (Northern Study Area Plan Implementation Review <br />Committee); various other volunteer and fund raising experiences. <br />Education: 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: Applied <br />for Carrboro Northern Transition Area Advisory Committee 8/08/2011. ADDRESS <br />VERIFICATION: 305 Deer Ridge Drive is in CH Township, CA Jurisdiction and is in the <br />Northern Transition Area. <br />This application was current on: 8/8/2011 9:52:01 PM Date Printed: 3/6/2014 <br />