Agenda - 11-18-2003-9c1 - Laserfiche WebLink

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7 Applicant Interest Listing by Board Name and by Applicant Name Adult Care Home Community Advisory Committee Contact Person: Contact Phone: Ms. Laurin Easthom Day Phone: 919-942-0001 305 Rowe Road E'/ening Phone: 919-773-3002 Chapel Hill NC 27516 FAX: 919-773-8824 E-mail: Skills: Dentist also Serves On: Ms. Emily M. Gordon 800 Pritchard Ave. Ext. #C-10 Chapel Hill NC 27516 Skills: Clinical Social Worker Day Phone: 919-928-9751 E ~/ening Phone: 919-928-9751 F,AX: n/a E-mail: justk.dseg@earthlink.net also Serves On: Ms. Jerry Ann Gregory 917 Crestwood Lane Chapel Hill NC 27514 Skills: Public Health Skills: Registered Nurse Day Phone: 919-933-8481 E aening Phone: 919-933-8481 FAX: 919-968-2013 E-mail: Jkgregory@mindspring.com also Serves On: ~Iso Serves On: Pam Tillet 919-968-2084 Sex: Female Race: Township: Chapel Hill Date Applied: 10/29/2003 Sex: Female Race: Caucasian Township: Chapel Hill Date Applied: 07/03/2003 Sex: Female Race: Caucasian Township: Chapel Hill Date Applied: 10/03/2003 Ms. Frances Kovens Day Phone: 919-602-1301 Sex: Female • 1010 Pinehurst Drive E /ening Phone: 919-929-7434 Race: Caucasian Chapel Hill NC 27517 FAX: 919-929-7589 Township: E-mail: fkovens@nc.rr.com Date Applied: 11/05/2003 Skills: Registered Nurse also Serves On: Ms. Judith Mitchell Day Phone: (919)933-8381 Sex: Female 3620 Dairyland Road E /ening Phone: 919-933-1851 Race: Caucasian Hillsborough NC 27278 FAX: 919-933-6623 Township: Bingham E-mail: jmitche1158@earthlink.net Date Applied: 01/16/2001 Skills: Community Service Volunteer also Serves On: Skills: EMT also Serves On: Skills: Receptionist also Serves On: Monday, November 10, 2003 Page 1 of 1