Orange County NC Website
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run urrlur= u~r: urvL.t raye i vi i i im uarey I / <br />VOLUNTEER APPLICATION <br />ORANGE COUNTY BOARDS AND COMMISSIONS <br />Orange County Commissioners' Office <br />P. O. Box 8181 <br />Hillsborough, NC 27278 ~ <br />Phone (919) 245-2125; FX (919) 644-0246 <br />NAME: Dr. Tim Carey - __ _ <br />HOME ADDRESS: 201 Westbury ` _ <br />CITY: Chapel Hill, NC Zip Code: 27516 <br />TELEPHONE: (H) 919-967-7198 (1N) 919-966-7100_ (Fax) 919-966-8918 <br />EMAIL: tmcareyfc~unc.edu <br />PLACE OF EMPLOYMENT: UNC-CH <br />JOB TITLE: Director, Sheps Center for Health Services Research <br />IN ORDER TO ASSURE COUNTYWIDE REPRESENTATION PLEASE INDICATE YOUR TOWNSHIP <br />OF RESIDENCE: Bingham Cheeks Hillsborough-- Eno_, Chapel Hill XLittle <br />River __ Cedar Grove <br />IN ADDITION, PLEASE INDICATE IF YOU LIVE IN ONE OF THE FOLLOWING AREAS*: NIA <br />JPA (Joint Planning Area) __ EA (Extraterritorial Area) _~ TA (Transition Area) _ <br />WE ASK YOUR HELP IN ASSURING DIVERSITY OF MEMBERSHIP BY AGE, GENDER AND RACE, BY ANSWERING THE <br />FOLLOWING QUESTIONS: Male __X Female _~___ <br />ETHNIC BACKGROUND: African American _~ Hispanic __A_ Caucasian _X_ Native <br />American __ Other <br />DATE OF BIRTH: 01/12/1951__ <br />PLEASE LIST (IN ORDER OF PREFERENCE) THE BOARDS/COMMISSIONS ON WHICH YOU WOULD BE <br />WILLING TO SERVE. 1. --Board of Health_^ 2. __ _ 3. __ <br />Please list work, volunteer and educational experience. <br />WORK EXPERIENCE: For almost 20 years I have been a faculty member in the School of Medicine and School <br />of Public Health at UNC-Chapel Hill. 1 served as Chief of the Division of General Medicine and Clinical <br />Epidemiology for almost 10 years. For the past three years I have been the Director of the Cecil G. Sheps Center <br />for Health Services Research. <br />VOLUNTEER EXPERIENCE: Volunteer physician at the IFC Homeless Shelter Clinic <br />EDUCATIONAL EXPERIENCE: 1972 BA Colby College, Waterville, Maine; 1976 MD University of Vermont <br />School of Medicine; 1985 MPH University of North Carolina <br />OTHER COMMENTS: <br />How did you become aware of orange county volunteer opportunities? (Please specify): <br />Current Orange County Volunteer __X Radio ~ T.V. <br />If appointed, I agree to attend athree-hour orientation which will give an overview of how Orange County <br />Government operates and what its relationship is to other governmental units. <br />Newspaper <br />Other <br />C: \CLERK'zDOCUMENTS-C Drive\A P P L I C A T Z O N S\carey_t. dot <br />