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<br />Page 1 of 1 <br />Carol Hierman <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 />Township of Residence: <br />Zone of Residence: <br />Sex: <br />Ethnic Background: <br />Date of Birth: <br />Mrs. Carol Hierman <br />1028 Lakeview Dr. <br />Cedar Grove NC 27231 <br />919/644/8414 <br />same <br />same <br />doiihierman@aol.com <br />retired <br />Occupational Therapist/Certified Hand Therapist <br />Cedar Grove <br />At-Large <br />Female <br />Caucasian <br />1 /26/1939 <br />Boards/Commissions applied for: <br />Nursing Home Community Advisory Committee <br />Work Experience: , <br />35 years Occupational Therapist Most recesnt Contract OT Durham Regional Home <br />Health, Sun Health Contract Nursing Homes Durham, Orange, Alamance, Private <br />Practice Hand Therapist NC and NJ, Dkirector OT UNC Hand Rehabilitation Center, <br />Coordinator of OT Students Duke Medical Center <br />Volunteer. Experience: <br />Girl Scout Leader Chapel Hill, Cub Scout Leader, Sunday School Teacher, President Of <br />West Virginia Occupational Therapy Association,Committee of Affiliate Presidents <br />Occupational Therapy Association Many Other <br />Education: <br />Bs. Occupational Therapy Washington University St. Louis MO. 1964, Certification Hand <br />Therapist 1991 . <br />Other Comments: <br />STAFF COMMENTS: Originally applied for Nursing Home Community Advisory <br />Committee 9/18/2006 . <br />ADDRESS VERIFICATION: 1028 Lakeview Drive is in Orange County in the Cedar <br />Grove towship. <br />This application was current on: 9/17/2006 10:20:51 AM Date Printed: 10/5/2006 <br />