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<br />Page 1 of 1 <br />Emily M. Gordon <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 />Ms. Emily M. Gordon <br />800 Pritchard Ave, Ext, #G10 <br />Chapel Hill NC 27516 <br />919-928-9751 <br />919-928-9751 <br />n/a <br />justk.dseg@earthlink.net <br />PrideNC <br />Mentor <br />Ghapel Hill <br />Ghapel Hill Township within C.H. city limits <br />Female <br />Caucasian <br />Boards/Commissions applied for: <br />Adult Care Home Community Advisory Committee <br />Work Experience: <br />Caring Community -NYC HA/ NYC DOH; Just Kinds Foundation: NASW: Pride, NC.; <br />UNC: Care as Needed: Consultant -See resume for details, not shown, Adult Homes <br />and N.H. Experience. <br />Volunteer Experience: <br />Orange House, CHSL; Community Church Project <br />Education: <br />MSW - Univerisity of Michigan <br />Other Comments: <br />Since arriving in the Orange County area I have worked privately as a Geriatrics <br />consultant and I am CNAT. Address verification: 800 Pritchard Ave Ext. is within Chapel <br />Hill City Limits, MOAD/ncg <br />This application was current on: 7/3/2003 Date Printed: 11/2D/2DD3 <br />