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Page 1 of 1 <br />Candace Kelly `~~ <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 />Dr Candace Kelly <br />1722 Allard <br />Chapel Hill NC 27514 <br />919-918-7720 <br />919-918-7720 <br />ckelly@unch,unc.edu <br />UNC Health Care <br />Clinical Pharmacist <br />Chapel Hill <br />C.H. City Limits <br />Female <br />Caucasian <br />6/18/1952 <br />Boards/Commissions applied for: <br />Board of Health <br />Work Experience: <br />Pharmacist <br />Volunteer Experience: <br />None listed on application. <br />Education: <br />BS in Pharmacy -University of Michigan; Doctor of Pharmacy- University of Florida <br />Other Comments: <br />STAFF NOTES: Original application received 6/18/04 for Orange County Board of <br />Health. ADDRESS VERIFICATION: 1722 Allard Rd., Chapel Hill, NC 27514 (current <br />6/18/2004) is located within Chapel Hill City Limits. MOAD/ncg. <br />This application was current on: 6/18/2004 Date Printed: 4!26/2006 <br />