Agenda - 03-03-2015-11c - Laserfiche WebLink

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14 Applicant Interest Listing by Board Name and by Applicant Name Nursing Home Community Advisory Committee Contact Person: Charlotte Terwilliger, MSW Contact Phone: 919 - 558 -9401 Ms. Susan Adams Day Phone: 919- 357 -5541 Sex: Female 211 Hogan Woods Circle Evening Phone: 919- 357 -5541 Race: Caucasian Chapel Hill NC 27516 Cell Phone: Township: Chapel Hill Caucasian E -mail: jaseradams@gmail.com Date Applied: 10/07/2013 Skills: Consultant Also Serves On: Township: Ms. Martha Bell 100 Macrae Court Chapel Hill NC 27516 Skills: Day Phone: Evening Phone: Cell Phone: E -mail: Also Serves On: 919- 968 -4674 as above N/A mbe11968@yahoo.com Sex: Race: Township: Date Applied: Female Caucasian Chapel Hill 01/09/2014 Dr. William Crittenden Day Phone: 9196362016 Sex: Male 4206 BRADFORD RIDGE RD Evening Phone: 9196362016 Race: Caucasian EFLAND NC 272439474 Cell Phone: 9196362016 Township: Bingham E -mail: bill.seniorcare@gmail.com Date Applied: 07/28/2014 Skills: Also Serves On: Nick Galvez Day Phone: 7274189921 Sex: Male 403 N Elliott Road Evening Phone: 7274189921 Race: Other Chapel Hill NC 27514 Cell Phone: 7274189921 Township: Chapel Hill E -mail: ngalvez1234@gmail.com Date Applied: 01/08/2014 Skills: Also Serves On: Board of Health Mrs. Maria Hardin 2026 Black Walnut Farm Road Hillsborough NC 27278 Skills: Day Phone: 9197326589 Evening Phone: 9197326589 Cell Phone: 9192595704 E -mail: mariaahardin@gmail.com Also Serves On: Sex: Female Race: Caucasian Township: Eno Date Applied: 11/05/2014 Thursday, February 05, 2015 Page 1 of 1