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17 <br />Page 1 of 2 <br />Jennifer Brobst <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 />Ms. Jennifer Brobst <br />1000 Smith Level Rd., Apt. J -7 <br />Carrboro NC 27510 <br />919- 923 -6044 <br />919- 923 -6044 <br />919- 923 -6044 <br />jbrobst @nccu.edu <br />NC Central University School of Law <br />Legal Director, Center for Child and Family Health <br />2000 <br />Chapel Hill <br />C.H. City Limits <br />Female <br />Caucasian <br />Community Activities /Organizational Memberships: <br />American Bar Association <br />North Carolina Coalition Against Sexual Assault <br />Durham Orange Women Attorneys <br />Friend of the Chapel Hill Public Library <br />Past Service on Orange County Advisory Boards: <br />none <br />Boards /Commissions applied for: <br />Board of Health <br />Background, education and experience relevant to this board: <br />Currently Legal Director, Center for Child and Family Health (medico -legal focusing on at risk <br />youth), and law professor at NCCU; former prosecutor, child advocacy center attorney, Attorney <br />for NCCU Domestic Violence Legal Clinic; Trainer for NC Coalition Against Sexual Assault, <br />including first trainer of Orange County Sexual Assault Response Team <br />Reasons for wanting to serve on this board: <br />Am in between board positions - ended final term as Rules Chair of the NC Commission for <br />Mental Health, Developmental Disabilities and Substance Abuse last year; interested in serving <br />my own local community; professional interest in health law <br />Conflict of Interest: <br />Supplemental Questions: <br />Other Comments: <br />