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io <br />Page 1 of 1 <br />Laurin Easthom <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. Laurin Easthom <br />305 Rowe Road <br />Chapel Hill NC 27516 <br />919-942-0001 <br />919-773-3002 <br />919-773-8824 <br />Medicaid Dental Center <br />Dentist <br />Chapel Hill <br />Female <br />Boards/Commissions applied for: <br />Adult Care Home Community Advisory Committee <br />Work Experience: <br />Currently I am a dentist (part-time) treating underprivileged children (medicaid) in <br />Raleigh. I have also been a general dentist treating adults/elderly. I also (before a <br />dentist) was a case manager in rehabilitation aiding injured workers find adequate <br />employment. <br />Volunteer Experience: <br />In college, I volunteered at nursing homes assisting /entertaining residents. I was <br />hospital volunteer in physical therapy for a year in my master's program at USG. <br />Education: <br />B.A. History (1986), Davidson College; M.Ed. (1988) (Master of Education) Counseling at <br />Univ. So. Carolina, D.D.S. & NC Chapel Hill in 1998. <br />Other Comments: <br />Original Application submitted on 10/29/03 for Adult Care Home Community Advisory <br />Committee. I have had friends/family in nursing homes (still do). I deeply care about this <br />population - they have given their long lives to society and have weathered many a storm <br />and have so much to tell - we owe them our greatest respect in the world. They deserve <br />the best and demand our greatest respect and empathy. I want to help them. Address <br />Verification: 305 Rowe Road is in CH ETJ current 10/30/03. <br />This application was current on: 10/29/2003 9:49:44 PM Date Printed: 1115/2004