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!~ <br />Page 1 of 1 <br />Sharon E, Van Horn <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, Sharon E. Van Horn <br />110 Sandy Creek Trail <br />Chapel Hill 27514 <br />919-942-4173 <br />919-967-8953 <br />Chapel Hill Pediatrics and Adolescents <br />Pediatrician <br />Chapel Hill <br />Female <br />Caucasian <br />BoardslCommissions applied for: <br />Work Experience: <br />Volunteer Experience: <br />Education: <br />Other Comments: <br />STAFF NOTES: On 5/4/04, Dr, Van Horn said she would like her name taken off the <br />Interest List for the Board of Social Services for one year. She may be interested in <br />2005, she said, Originally applied 5/16/2001 for Board of Health and Board of Social <br />Services. <br />This application was current on: 5/4/2004 Date Printed: 5/6/2005 <br />