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10 <br />Page 1 of 4 <br />Susie Enoch <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 />Rev. Susie Enoch <br />4002 McGowan Creek Road <br />Efland NC 27243 <br />336- 260 -7694 <br />336- 260 -7694 <br />enochts @aol.com <br />Unemployed <br />2009 <br />Cheeks <br />Rural Area Resident <br />Female <br />African American <br />Community Activities /Organizational Memberships: <br />Contracted Qualified Professional @ Ethel's Footprints, - Burlington, NC (Feb 2014 - <br />Present)- provide counseling services in facility and at consumer's homes. Works <br />independently to provide clinical interventions based on best practice counseling models <br />and techniques to work effectively with children and families. Duties include but are not <br />limited to: conducting clinical assessments, developing treatment plans with client and <br />family participation, providing individual, family, and group therapeutic sessions, and <br />providing on -call crisis intervention services. <br />Contracted Authorization Professional @ Just In Time Youth Services, - Burlington, NC <br />Nov 2113- Present) - Provide documentation to MCO's for managed specialized care <br />inpatient, outpatient, ancillary services for consumers. Ensuring that all initial and <br />reauthorizations for services occur in a timely fashion. <br />Past Service on Orange County Advisory Boards: <br />Boards /Commissions applied for: <br />Durham Technical Community College Board of Directors <br />Background, education and experience relevant to this board: <br />Reasons for wanting to serve on this board: <br />Conflict of Interest: <br />