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8 <br /> Page 1 of 1 Jerry Schreiber <br /> Volunteer Application <br /> Orange County Advisory Boards and Commissions <br /> Name: Mr. Jerry Schreiber <br /> Name Called: <br /> Home Address: 1606 Pathway Dr <br /> Carrboro NC 27510 <br /> Phone (Day): 919 967 2962 <br /> Phone (Evening): 919 967 2962 <br /> Phone (Cell): 919 259 2359 <br /> Email: jrogerschreiber @gmail.com <br /> Place of Employment: retired <br /> Job Title: n/a <br /> Year of OC Residence: 2006 <br /> Township of Residence: Chapel Hill <br /> Zone of Residence: <br /> Sex: Male <br /> Ethnic Background: Caucasian <br /> Community Activities/Organizational Memberships: <br /> SCORE <br /> Past Service on Orange County Advisory Boards: <br /> None <br /> Boards/Commissions applied for: <br /> Nursing Home Community Advisory Committee <br /> Background, education and experience relevant to this board: <br /> My mother-in-law is a current resident in a nursing home and has been a resident in several <br /> others. <br /> Reasons for wanting to serve on this board: <br /> Having seen the shortcomings of care at a number of facilities both here and in Dallas, I believe <br /> I can lend a first hand view of what can and should be viewed. <br /> Conflict of Interest: <br /> Supplemental Questions: <br /> Other Comments: <br /> This application was current on: 5/19/2014 1:47:17 PM Date Printed: 5/27/2014 <br />