Agenda - 02-03-2004-9f1 - Laserfiche WebLink

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7 Applicant Interest Listing by Board Name and by Applicant Name Contact Person: Pam Tillet Adult Care Home Community Advisory Committee Contact Phone: 919-968-2084 MS, Ann Chamberlin Day Phone: 919-383-8105 Sex: Female 2329 Falls Dr. Evening Phone: 919-383-8105 Race: Undesignated Chapel Hill NC 27514 FAX: Township: E-mail: acandcm@earthlink net Date Applied: 12/19/2003 Skills: B A. Psychology Also Serves On: Skills: Elementary School Reader' Volunteer Also Serves On: Skills: M P T UNC School of Medicine Also Serves On: Skills: Physical Therapist Also Serves On: Skills: Program Coordinator Also Serves On: Ms. Laurin Easthom Day Phone: 919-942-0001 Sex: Female 305 Rowe Road Evening Phone: 919-773-3002 Race: Chapel Hill NC 27516 FAX: 919-773-8824 Township: Chapel Hill E-mail: Date Applied: 10/29/2003 Skills: Dentist Also Serves On: Mrsjeny Ann Gregory Day Phone: 919-933-8481 Sex: Female 917 Crestwood Lane Evening Phone: 919-933-8481 Race: Caucasian Chapel Hill NC 27517 FAX: Township: Chapel Hill E-mail: jkgregory@mindspring com Date Applied: 11/02/2003 Skills: Also Serves On: Skills: Public Health Also Serves On: Skills: Registered Nurse Also Serves On: Ms Johanna Jensen Day Phone: 225-1925 Sex: Female 2201 Baycourt Trail Evening Phone: 245-1637 Race: Caucasian Hillsborough NC 27278 FAX: Township: Hillsborough E-mail: jjensenj@mindspring com Date Applied: 11/09/2003 Skills: Medical Technologist Also Serves On: Commission for Women MS. Frances KOVens Day Phone: 919-602-1301 Sex: Female 1010 Pinehurst Drive Evening 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: Thursday, January 15, 2004 Page 1 of 2