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63 <br />Page 1 of 2 <br />Joanne Wilson <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 />Dr Joanne Wilson <br />104 Stoneridge Drive <br />Chapel Hill NC 27514 <br />919- 810 -2774 <br />919- 932 -5391 <br />anteel@earthlink.net <br />Duke <br />Physician <br />1990 <br />Chapel Hill <br />Rural Area Resident <br />Female <br />African American <br />Community Activities /Organizational Memberships: <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 />Reasons for wanting to serve on this board: <br />Conflict of Interest: <br />Nursing Home Community Advisory Committee <br />Background, education and experience relevant to this board: <br />Reasons for wanting to serve on this board: <br />Conflict of Interest: <br />Supplemental Questions: <br />Other Comments: <br />STAFF COMMENTS: Applied 07/15/2013 for Adult Care Home Community Advisory <br />Committee, Advisory Board on Aging, and Board of Health. ADDRESS VERIFICATION: <br />104 Stoneridge Drive is Chapel Hill Township, Orange County Jurisdiction, and (RB) Rural <br />Buffer Zoning. <br />