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a5 <br />Page 1 of 1 <br />Sam Lasris <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 />Mr. Sam Lasris <br />7020 Caviness Jordan Rd, <br />Cedar Grove NC 27231 <br />804-797-2357 <br />919-732-7362 <br />samlasris@hotmail.com <br />Cedar Grove <br />Male <br />Ethnic Background: Caucasian <br />Date of Birth: 12/11/1949 <br />Boards/Commissions applied for: <br />Economic Development Commission <br />Work Experience: <br />Volunteer Experience: <br />Education: <br />Other Comments: <br />STAFF NOTES: Data Management on 3!30/04, took his name of interest listing for Arts <br />Commission as his app!, was over 1 year, 11/21/02 Clerk's office and ERCD office <br />conducted poll of Interest List of CFE; he responded that he is not interested at this time. <br />Renewed app, for Orange County Planning Board on 3/8/02. Renewed app, 10/02/2001 <br />for CFE; EDC; Arts Commission, Applied 12/19/00 for the Orange County Planning <br />Board, WORK EXPERIENCE; Self employed dentist for 24 years. VOLUNTEER <br />EXPERIENCE; I have served on various committees throughout the past 35 years, <br />EDUCATION; BA Univ. of South Florida, MCV School of Dentistry, OTHER <br />COMMENTS; I am interested in the growth and development of northern Orange County. <br />Renewed app 10/2/01 for the Recreation and Parks Adv. Counc, Economic Dev. Comm., <br />and the Arts Comm, Aa <br />This application was current on: 3/30/2004 Date Printed: 8!3/2005 <br />