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12 <br />Page 1 of 1 <br />Wayne Sherman <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 />Fax: <br />Email: <br />Place of Employment: <br />Job Title: <br />Township of Residence: <br />Zone of Residence: <br />Sex: <br />Ethnic Background: <br />Date of Birth: <br />Mr. Wayne Sherman <br />300 W. Tryon St <br />PO Box 8181 <br />Hillsborough NC 27278 <br />919-245-2402 <br />919-644-3312 <br />wsherman@co.orange.nc.us <br />Orange County Health Department <br />Personal Health Services Division Director <br />Male <br />Caucasian <br />Boards/Commissions applied for: <br />Transportation Services Board <br />Work Experience: <br />Volunteer Experience: <br />Education: <br />Other Comments: <br />This application was current on: 1/11/2007 Date Printed: 1/11/2008