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W <br />Page 1 of 1 <br />Steven Moore <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 />Steven Moore <br />913 Roosevelt Dr <br />Chapel Hill NC 27514 <br />9199298995 <br />9199298995 <br />9199298995 <br />moores @campbell.edu <br />Campbell Univ College of Pharmacy <br />Adjunct Asst Professor <br />1998 <br />Chapel Hill <br />Male <br />Caucasian <br />Community Activities /Organizational Memberships: <br />Chair, Chapel Hill Cemeteries Advisory Board <br />Fellow, American Society of Health System Pharmacists <br />Fellow, Royal Society for Public Health <br />Past Service on Orange County Advisory Boards: <br />N/A <br />Boards /Commissions applied for: <br />Board of Health <br />Background, education and experience relevant to this board: <br />Career with US Public Health Service (activity in health education, emergency preparedness and <br />response, aging, disease prevention and health promotion, personal staff for 4 Surgeons <br />General) <br />Board Certified in Public Health Pharmacy (RSPH) <br />Curriculum coursework (Campbell)lntroduction to Public Health <br />Reasons for wanting to serve on this board: <br />Knowledge and experience in public health pharmacy <br />Conflict of Interest: <br />Supplemental Questions: <br />Other Comments: <br />This application was current on: 11/16/2014 2:17:47 PM Date Printed: 11/17/2014 <br />