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20 <br />Page 1 of 2 <br />Jeremy Browner <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 />Mr. Jeremy Browner <br />211 Town Ridge Lane <br />Chapel Hill NC 27516 <br />917- 537 -8039 <br />919- 240 -5037 <br />jb @brownerlaw.com <br />Law Office of Jeremy Todd Browner, PLLC <br />Attorney <br />2010 <br />Chapel Hill <br />Carrboro City Limits <br />Male <br />Caucasian <br />Community Activities /Organizational Memberships: <br />Past Service on Orange County Advisory Boards: <br />Boards /Commissions applied for: <br />Economic Development Advisory Board (REQUIRES DISCLOSURE STATEMENT) <br />Background, education and experience relevant to this board: <br />Reasons for wanting to serve on this board: <br />Conflict of Interest: <br />Supplemental Questions: <br />Work Experience: Attorney since Sept. 2002, Sole Law Practice in Chapel Hill since 2009, <br />Adjunct Professor for Aviation Science for Elisabeth City State University, 2009 - 2011 <br />Guest Columnist for Chapel Hill Herald on Economic Development Issues for Orange <br />County <br />Volunteer Experience: Emergency Services Officer for Civil Air Patrol, Glen Ridge <br />Homeowner's Association Board Member, former New York Certified First Responder <br />(certification lapsed), Amateur Radio Operator, Board member for local non - profit, <br />member of Chapel Hill - Carrboro Chamber of Commerce's EDPP Committee, volunteer <br />legal lecturer at PFAP, Steering Committee Member of NC LEAP of the North Carolina <br />Bar Association, serve on GP /Solo Section Council, Bankruptcy Section Council - <br />Legislative Committee, Construction Law Section Council - Pro -Bono Chair Assistant <br />Wing Legal Officer, North Carolina Wing, 2009 - Present; Aerospace Education Officer, <br />Orange County Cadet Squadron; NC Bar Association (NCBA), North Carolina Lawyers for <br />