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Page 1 of 1 <br />C~ <br />Matthew Vizithum <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 />Mr, Matthew Vizithum <br />67 Dogwood Acres Drive <br />Chapel Hill NC 27516 <br />919-968-1065 <br />919-968-1065 <br />919-929-6122 <br />mvizithum@yahoo,com <br />Township of Residence: Chapel Hill <br />Zone of Residence: ETJ -Chapel Hill <br />Sex: Male <br />Ethnic Background: Caucasian <br />Date of Birth: 6/2/1971 <br />BoardslCommissions applied for: <br />Work Experience: <br />Volunteer Experience: <br />Education: <br />Ather Comments: <br />Applied 2/28/03 for Board of Health, WORK EXPERIENCE: Veterans Hospital Durham, <br />NC Private practice optometry TLC-Staff referral laservision surgical center. <br />VOLUNTEER EXPERIENCE: Organized and participated in many vision/glaucoma <br />screenings. EDUCATIONAL EXPERIENCE: Doctor of Optometry 1998 BA <br />Biology/Biochemistry 1993, OTHER COMMENTS: Member American Public Health <br />Association and State Public Health Association , Address Verification: D,Squires, C,H. <br />Planning Dept., 67 Dogwood Acres is within C,H.'s planning jurisdiction, Nancy C. <br />Glover, Assistant to the Clerk <br />This application was current on: 2/26/2003 Date Printed: 4/26/2006 <br />