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3v <br />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 Mi8 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 far last 20 years as a psychotherapist. I have also ownned a Travel <br />Agency, , <br />Volunteer Experience: <br />Friends of the Hillsborough Library <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: Reapplied for the New <br />Hope Park MP Taskforce 5-4-08.. Originally applied for O,C. Arts Commission <br />1/13/2006. ADDRESS VERIFICATION: 4512 Powder Mill Rd is in Chapel Hill Township <br />outside the City Limits. <br />This application was current on: 4/27/2006 Date Printed: 9/7/2006 <br />