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15 <br />Page 1 of 2 <br />Jerry Ann Gregory <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 />Mrs. Jerry Ann Gregory <br />2224 Lebanon Rd <br />Efland NC 27243 <br />919- 644 -8172 <br />919- 644 -8172 <br />919- 810 -4397 <br />harleyphn @yahoo.com <br />Retired <br />Retired Public health Nurse <br />1973 <br />Cheeks <br />Female <br />Caucasian <br />Community Activities /Organizational Memberships: <br />Meals on Wheels Hillsborough <br />Fairfield Homemakers Club <br />Exc. Club of Greater Durham <br />Durham Harley Owners Group Board of Directors <br />Public Health Corp <br />Past Service on Orange County Advisory Boards: <br />Past Adult Care Home Community Advisory Committee. <br />Boards /Commissions applied for: <br />Advisory Board on Aging <br />Background, education and experience relevant to this board: <br />Worked as a Public Health Nurse for 33 years providing services to adults most of those years, <br />including senior centers. <br />Reasons for wanting to serve on this board: <br />Feel my experiences in past and presently would be of value. <br />Conflict of Interest: <br />No <br />