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Page 1 of 1 <br />Trish Rafalow ~~ <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 />Ms. Trish Rafalow <br />4512 Powder Mill Rd. <br />Chapel Hill NC 27514 <br />919/942-5414 <br />919/382-2950 <br />919/968-1955 <br />Trish@Rafalow.com <br />self-employed <br />Psychotherapist <br />Township of Residence: Chapel Hill <br />Zone of Residence: <br />Sex: <br />Ethnic Background: <br />Date of Birth: <br />Boards/Commission <br />Arts Commission <br />At-Large <br />Female <br />Caucasian <br />7/24/1950 <br />s applied for: <br />Work Experience: <br />Self-employed for last 20 years as a psychotherapist. I have also ownned a Travel <br />Agency. <br />Volunteer Experience: <br />OCDP Environmental Committee PAC Chair <br />Sierra Club chair for one year <br />Carrboro Planning Board for 2 years <br />Durham Arts Council Volunteer for 1 year <br />Education: <br />BA. MA, MSW <br />Other Comments: <br />I am a (mediocre) artist who has taken lots of classes in pastels, watercolor, acrylics, <br />fused glass, pottery, weaving and collage, STAFF COMMENTS: Originally applied for <br />O.C, Arts Commission 1/13/2006. ADDRESS VERIFICATION: 4512 Powder Mill Rd is <br />in Chapel Hill Township outside the City Limits, <br />This application was current on: 12/29/2005 10:23:54 AM Date Printed: 2/7!2006 <br />