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This space for office use only <br />1/20/02 Page 1 of 1 Vidya (Diya) Goli <br />TION <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 expertise <br />to your community, please complete this application and return to: <br />Orange County Commissioners' 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: --------------------------------- Vidya (Diya) Goli <br />HOME ADDRESS: ----------------- 213 Kenan, UNC <br />CITY: ----------------------------------- Chapel Hil] <br />STATE: -------------------------------- NC <br />ZIP CODE: ---------------------------- 27514 <br />TELEPHONE: (Home) -------------- 914-1246 <br />TELEPHONE: (Work) --------------- <br />TELEPHONE: (FAX) ---------------- <br />EMAIL: -------------------------------- golf@email.unc.edu <br />PLACE OF EMPLOYMENT: ------ UNC <br />JOB TITLE: -------------------------- student <br />TOWNSHIP OF RESIDENCE: ---- Chapel Hill <br />ZONE OF RESIDENCE: ------------ Does not apply <br />SEX: ------------------------------------ Female <br />ETHNIC BACKGROUND: --------- Asian <br />DATE OF BIRTH: -------------------- 01/14/1984 <br />LIST, IN PREFERENCE, THE BOARDS/COMMISSIONS ON WHICH YOU WOLJLD BE WILLING TO <br />SERVE: 1: ---------------------- Board of Health <br />2. ------ Human Relations Commission 3. ------- Commission for Women <br />Please list work, volunteer and educational experience. <br />WORK EXPERIENCE: 1. Intern, 6/00-8/00, Southern Testing and Research Labs (Wilson, NC), liaison between <br />lab technicians and instrument operators and secretaries and group leaders, recording and assessing data, keeping <br />track of new and used chemical reagnets, assisting with lab work, clerical work. <br />VOLUNTEER EXPERIENCE: 1. Member of Youth for Elderly Service, Campus Y (UNC), 8/O1-present; <br />retirement home companion to elderly people at Carolina House retirement home.2. Carolina Cancer Focus <br />Education and Fundraising Committees, 8/98-present3. AID-UNC (Association for India's Development) Co- <br />Founder and Treasurer, 1/01-present; organizing projects and upcoming SK race to raise awareness and <br />contribution to projects against poverty and illiteracy in the poorest parts of India.4. Peer Advisor at UNC, 8/O1- <br />present5. volunteer switchboard operator, NCSSM, 8/99-5/00 communication skills6. Chemistry stockroom/lab <br />assistant, 8/98-12/98; setting up labs and managing lab appazatus(volunteer service required of all students- <br />NCSSM residential school- Durham, NC); organizational and technical skills7. Tour guide, 6/98-8/98, <br />Imagination Station museum (Wilson, NC): clerical, communication skills <br />EDUCATIONAL EXPERIENCE: 1. High School Diploma, North Cazolina School of Science and Math (Durham, <br />NC), 6/5/002. pursuing BS degree in Biology or Biomedical Engineering, UNC-CH, 8/00- present, currently in <br />sophomore year <br />OTHER COMMENTS: I have done a lot of service that is non-health related and would really like to do something in the <br />Health field. <br />By submitting electronic application, applicant agrees to Ethics Guidelines and agrees to attend three-hour <br />orientation.This form was submitted online, on Sun Jan 20 17:43:53 2002 <br />