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7 <br />Page 1 of 1 <br />Geraldine Allison <br />Volunteer Application <br />Orange County Advisory Boards and Commissions <br />Name: <br />Name Called: <br />Horne Address: <br />Phone (Day): <br />Phone (Evening): <br />Phone (Cell): <br />Email: <br />Ms. Geraldine Allison <br />5303 Wagner Dairy Road <br />Rougemont NC 27572 <br />919- 732 -7296 <br />919- 690 -9762 <br />Place of Employment: Retired <br />,lob Title: <br />Year of OC Residence <br />Township of Residence: <br />Zone of Residence: <br />Sex: <br />Ethnic Background: <br />1950 <br />Little River <br />Agricultural Residential <br />Female <br />African American <br />Boards /Commissions applied for: <br />Board of Social Services <br />My extensive history of missionary work at my church, home, and <br />community coincide with services offered by Social Services. <br />Community Activities /Organizational Memberships: <br />Line Dancing at the Senior Center <br />Walking for exercise <br />Gardening, cooking /baking <br />Past Service on Orange County Advisory Boards: <br />Other Comments: <br />STAFF COMMENTS: Originally (09/2512013) applied for Board of Social Services. <br />ADDRESS VERIFICATION: 5303 Wagner Dairy Road is Little River Township, Orange <br />County Jurisdiction, and Agricultural Residential Zoning. <br />This application was current on: 9/25/2013 Date Printed: 9/2612013 <br />