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i~ <br />Page 1 of 1 <br />Clare Brennan <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. Clare Brennan <br />4216 Hope Valley Drive <br />Hillsborough NC 27278 <br />919-483-9675 <br />919-302-1199 <br />919-315-0151 <br />clare.a.brennan@gsk.com <br />GlaxoSmithKline <br />Research Scientist <br />Chapel Hill <br />C,H.Twnsp.Northwest <br />Female <br />Caucasian <br />10/7/1960 <br />Boards/Commissions applied for: <br />Board of Health <br />Work Experience: <br />Licensed Physical Therapist in NC; Master of Science in Public Health; Glaxc: Research <br />of Anti-viral and infectious disease agents; Scientific writing, <br />Volunteer Experience: <br />American Red Cross; American Cancer Society; Glaxo- Women in Science Scholars <br />Program; Special Olympics; Jimmy V Golf Classic, <br />Education: <br />BS -Physical Therapy, 1982, Quinnipiac College, CT.; MSPH - UNG-CH, Public Health / <br />Epidemiology. <br />Other Comments: <br />I am looking tc get involved in the community and enjoyed my previous volunteer <br />experiences. I think I am a good fit far what you are looking for, awin/win! STAFF <br />NOTES: Orignial application 11/18/03 for Board of Health, 4216 Hope Valley Drive is off <br />Davis Rd„ Chapel Hill Township, NW, not in any city limits or ETJ. MOAD/ncg, <br />This application was current on: 11/18/2003 Date Printed: 5/4/2004 <br />