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9 <br />Page 1 of 2 <br />Nicole Roth <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. Nicole Roth <br />707 Dairyland Rd <br />Chapel Hill NC 27516 <br />415- 615 -2016 <br />415- 615 -2016 <br />415- 615 -2016 <br />nicole.a.roth @gmail.com <br />Independent Lawyer <br />Lawyer <br />2012 <br />Chapel Hill <br />Female <br />Caucasian <br />Community Activities /Organizational Memberships: <br />I am on the Board of Directors for the Animal Legal Defense Fund and Humane Carolina. <br />I also advise a number of local nonprofits in nonprofit management and legal issues, <br />including a number of animal related nonprofits. I am also a member of the Women s <br />Forum of North Carolina. <br />Past Service on Orange County Advisory Boards: <br />None. <br />Boards /Commissions applied for: <br />Animal Services Advisory Board <br />Background, education and experience relevant to this board: <br />I am an attorney and I have been working on animal legal issues since 2004. 1 have worked with <br />about 15 large national and small local animal protection nonprofits advising them on legal and <br />nonprofit management issues. I have also worked with shelters, government agencies, and <br />government officials on animal issues. <br />Reasons for wanting to serve on this board: <br />I would like to get more involved in the local community and I believe my experience and <br />expertise would best be served on the Animal Services Advisory Board. <br />Conflict of Interest: <br />My paid clients are not local organizations and I am not aware of any interests they have in local <br />issues. <br />