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17 <br /> Page 1 of 1 Stephen Bank <br /> Volunteer Application <br /> Orange County Advisory Boards and Commissions <br /> Name: Mr Stephen Bank <br /> Name Called: <br /> Home Address: 7404 Dodsons Xrd <br /> Hillsborough NC 27278 <br /> Phone (Day): 9199296369 <br /> Phone (Evening): 9199296369 <br /> Phone (Cell): not used <br /> Email: stevebank @gmail.com <br /> Place of Employment: retired <br /> Job Title: na <br /> Year of OC Residence: 2004 <br /> Township of Residence: Bingham <br /> Zone of Residence: <br /> Sex: Male <br /> Ethnic Background: Caucasian <br /> Community Activities/Organizational Memberships: <br /> None. Graduated in 1966 with MA in psychology and completed all classes for PhD in <br /> psychology (did not complete dissertation). Have worked in mental health capacities from <br /> 1966 until retirement from Lutheran Family Services ACT Team in 2010. <br /> Past Service on Orange County Advisory Boards: <br /> none <br /> Boards/Commissions applied for: <br /> Adult Care Home Community Advisory Committee <br /> Background, education and experience relevant to this board: <br /> As previously stated - Psychology graduate degree and work experience in field since 1966. <br /> Reasons for wanting to serve on this board: <br /> I know a little something about the field and might have significant insight. <br /> Conflict of Interest: <br /> Supplemental Questions: <br /> Other Comments: <br /> This application was current on: 7/28/2014 3:39:35 PM Date Printed: 7/29/2014 <br />