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12 <br />Page 1 of 1 <br />Michelle Kempinski <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 />Township of Residence: <br />Zone of Residence: <br />Sex: <br />Ethnic Background: <br />Date of Birth: <br />Ms. Michelle Kempinski <br />4924 Parc Jardin Drive <br />Hillsborough NC 27278 <br />644-1495 <br />644-1495 <br />michellepk@mindspring.com <br />Kempinski Designs, LLC <br />member-manager <br />Cedar Grove <br />Cedar Grove Twnsp <br />Female <br />Caucasian <br />10/24/1966 <br />Boards/Commissions applied for: <br />Historic Preservation Commission <br />Work Experience: <br />Environmental Health and Safety-IBM (10 years) Landscape Design (2years) <br />Volunteer Experience: <br />Big Brothers/Big Sisters NC, Theraputic Riding Center Rails to Trails <br />Education: <br />BS-Chemistry (IUP) Health and Safety (IUP) MSPH-Public Health (UNC-CH) MS- <br />Landscape Architecture (NCSU) <br />Other Comments: <br />STAFF COMMENTS: Originally applied for Commission for the Environment, Historic <br />Preservation, and Q.G. Planning ADDRESS VERIFICATION: 4924 Parc Jardin Rd is in <br />Cedar Grove Township in Orange County. <br />This application was current on: 7/30/2004 Date Printed: 1/17/2006