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7 <br />Page 1 of 2 <br />Kristine Bergstrand <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 />Fax: <br />Email: <br />Place of Employment: <br />Job Title: <br />Dr. Kristine Bergstrand <br />106 Marin Drive <br />Chapel Hill NC 27516 <br />919 698 8330 <br />919 960 8735 <br />rsusick@nc.rr.com <br />Talecris Biotherapeutics <br />research scientist <br />Township of Residence: Chapel Hill <br />Zone of Residence: C.H. City Limits <br />Sex: Female <br />Ethnic Background: Caucasian <br />Date of Birth: 4/18/1956 <br />Boards/Commissions applied for: <br />Work Experience: <br />!0 years of private practice treating household pets, including 2 years of post-doctoral <br />training. <br />14 years in preclinical pharmaceutical research. <br />Volunteer Experience: <br />Board of directors for Chapel of the Cross Child Care Center-1991-1992 <br />Volunteer veterinarian at the Indianapolis zoo, 1998, 1999 <br />volunteer veterinarian at the APS clinic on Nick's Rd, and the APS Wildlife Rehab Center <br />on Nick's Rd-2001-2002. <br />Volunteer with the Piedmont Wildlife Center since it's inception in 2002. <br />Education: <br />BS Michigan State University, 1978. Doctor of Veterinary Medicine, Mich State Univ., <br />1980. Internship, Companion animal Medicine and Surgery, New Haven Central Hospital <br />for Veterinary Medicine, New Haven CT, 1981-82. Internal medicine Residency, Mich <br />State Univ.. 1985-6 <br />Other Comments: <br />I would like to represent the Piedmont Wildlife Center on the Animal Advisory Bd, Bobby <br />Schopler, the PWC director, asked me to do this! STAFF COMMENTS: Originally <br />applied for the Animal Services Adv. Bd 4/15!2005. ADDRESS VERIFICATION: 106 <br />Marin Drive is in the Chapel Hill City Limits in Orange County. <br />