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Print Applicant for Orange County Boards and Commissions <br />Page 1 of 1 <br />a~ ~J <br />Volunteer Application <br />Orange County Advisory Boards and Commissions <br />Name: <br />Name Called: <br />Home Address: <br />Phone: (Day) <br />Phone: <br />(Evening) <br />Fax: <br />Email: <br />Place of <br />Employment: <br />Job Title: <br />Township of <br />Residence: <br />Zone of <br />Residence: <br />Sex: <br />Ethnic <br />Background: <br />Date of Birth: <br />Position <br />History <br />Trish Rafalow <br />4S 12 Powder Mill Rd. <br />Chapel Hill, NC 275 14 <br />919/942-5414 <br />919/3 82-2950 <br />919/968-1955 <br />Trish@Rafalow.com <br />self-employed <br />Psychotherapist <br />Chapel Hill <br />At-Large <br />Female <br />Caucasian <br />07/24/1950 <br />Board Name <br />New Hope Park at <br />Blackwood Farm <br />Boards Applied for: Arts Commission <br />Serving On: <br />Term Beginning Term Ending Number of <br />Date Date Terms <br />05/16/2006 09/07/2007 1 <br />Work Experience: Self-employed for last 20 years as a psychotherapist. I have also ownned <br />a Travel Agency. <br />Volunteer Experience: Friends of the Hillsborough Library OCDP Environmental <br />Committee PAC Chair Sierra Club chair for one year Carrboro Planning Board for 2 years <br />Durham Arts Council Volunteer for 1 year <br />Education: BA. MA, MSW <br />Remarks: I am a (mediocre) artist who has taken lots of classes in pastels, watercolor, <br />acrylics, fused glass, pottery, weaving and collage. STAFF COMMENTS: Reapplied for the <br />New Hope Park MP Taskforce 5-4-06.Originally applied for O.C. Arts Commission <br />1/13/2006. ADDRESS VERIFICATION: 4512 Powder Mill Rd is in Chapel Hill Township <br />outside the City Limits. <br />This application was current on: 04/27/2006 <br />http://serverl .co.orange.nc.us/boardslPrintlndiv.asp?AppID=2145644080 11/1/2007 <br />