Orange County NC Website
Page 1 of 1 <br />Johanna Jensen <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 Johanna Jensen <br />2201 Baycourt Trail <br />Hillsborough NC 27278 <br />225-1925 <br />245-1637 <br />jjensenj@mindspring.com <br />Medical Technologist <br />Township of Residence: Hillsborough <br />Zone of Residence: - <br />Sex: Female <br />Ethnic Background: Caucasian <br />Date of Birth: 9/19/1963 <br />Boards/Commissions applied for: <br />Adult Care Home Community Advisory Committee <br />Work Experience: <br />Duke University Hospital, Medical Technologist, 5/1990- present <br />Volunteer Experience: <br />Education: <br />BS in Medical Technology, Medical College of Virginia <br />I~.( <br />Other Comments: <br />STAFF NOTES: 10!03 Original app!. For CFW; ACHCAC. ADDRESS VERIFICATION: <br />2201 Baycourt Trail, Hillsborough is in Beckett's Ridge Subd, in Hillsborough City Limits, <br />In Hillsborough Township, MOAD/ncg . <br />This application was current on: 11/9/2003 Date Printed: 5/23/2005 <br />