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Page 1 of 1 <br />Dennis Williams <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 />Dr. Dennis Williams <br />209 Lake Manor Road <br />Chapel Hill NC 27516 <br />919- 962 -7122 <br />919- 933 -5408 <br />dwilliams @unc.edu <br />University of North Carolina <br />Associate <br />Township of Residence: Chapel Hill <br />Zone of Residence: Carrboro City Limits <br />Sex: Male <br />Ethnic Background: Other <br />Community Activities /Organizational Memberships: <br />Past Service on Orange County Advisory Boards: <br />Boards /Commissions applied for: <br />Board of Health <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 />Other Comments: <br />STAFF COMMENTS: Applied 05/16/2012 for Board of Health. ADDRESS <br />VERIFICATION: 269 Lake Manor Road is Chapel Hill Township, Carrboro City Limits. <br />This application was current on: 5/16/2012 9:33:52 PM Date Printed: 12/30/2013 <br />