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This space for office use only / <br />1/22/02 Page 1 of 1 Leslie A. Johns ! <br />VOLUNTEER APPLICATION <br />ORANGE COUNTY BOARDS AND COMMISSIONS <br />If you are an Orange County resident, at least 18 years old, and willing to volunteer your time and <br />expertise to your community, please complete this application and return to: <br />Orange County Corrunissioners' Office <br />P.O. Box 8181 <br />Hillsborough, NC 27278 <br />Phone (919) 245-2125; 688-7331; 227-3031 FX (919) 644-0246 <br />NAME: --------------------------------- Leslie A. Johns <br />HOME ADDRESS: ------------------ 106 Blue Granite Court <br />CITY: ----------------------------------- Chapel Hill <br />STATE: -------------------------------- NC <br />ZIP CODE: ---------------------------- 27514 <br />TELEPHONE: (Home) ------------- 919-967-3037 <br />TELEPHONE: (Work) --------------- 919-942-8700 <br />TELEPHONE: (FAX) ---------------- <br />EMAIL: -------------------------------- lesjohns@msn.com <br />PLACE OF EMPLOYMENT: ------ Blackman & Sloop, CPAs, P.A. <br />JOB TITLE: --------------------------- CPA <br />TOWNSHIP OF RESIDENCE: ---- Chapel Hill <br />ZONE OF RESIDENCE: ------------ Does not apply <br />SEX: ----------------------------------- Male <br />ETHNIC BACKGROUND: --------- Caucasian <br />DATE OF BIRTH: ------------------- 11251946 <br />LIST, IN PREFERENCE, THE BOARDS/COMMISSIONS ON WHICH YOU WOULD BE WILLING <br />TO SERVE: 1. Economic Development Council...2. Board of Health...3.ABC ....4. OWASA <br />Please list work, volunteer and educational experience. <br />WORK EXPERIENCE: CPA <br />VOLUNTEER EXPERIENCE: Chair Finance Committee, Mercy High School, Burlingame, CA <br />7 years; Chair Building & Quality Committee, Mills-Peninsula Hospitals, Burlingame, CA, 10 <br />years; Chair, Burlingame Community Education Foundation, Burlingame,CA, 3 years. <br />EDUCATIONAL EXPERIENCE: B.S. Accounting, Long Island University, Brooklyn, NY 1969 <br />OTHER COMMENTS: <br />How did you become aware of Orange County volunteer opportunities? List all that apply: <br />County Web Site <br />If other, how? By submitting electronic application, applicant agrees to Ethics Guidelines and <br />agrees to attend three-hour orientation.This form was submitted online, on Tue Jan 22 11:19:50 <br />2002 <br />