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13 <br />This space for office use only <br />3/21/2002 Page 1 of 2 Jeanette Holloman <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 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: -------------------------- - - - - -- Jeanette Holloman <br />HOME ADDRESS: ------------ - - - - -- 203 Culbreth Park Drive <br />CITY: --------------------------- - - - - -- Chapel HIll <br />STATE: --------------- ---------------- NC <br />ZIP CODE: --------------------- - - - - -- 27516 <br />TELEPHONE: (Home) ----- -------- 919 932 -5165 <br />TELEPHONE: (Work) --------- - - - - -- 919 765 -1158 <br />TELEPHONE: (FAX) -------- - - - - -- <br />EMAIL: -------------------------- - - - - -- J_net69 @yahoo.com <br />PLACE OF EMPLOYMENT: - - - - -- Blue Cross and Blue Shield of North Carolina <br />JOB TITLE: --------------------- - - - - -- Claim Specialist <br />TOWNSHIP OF RESIDENCE: - -- Chapel Hill <br />ZONE OF RESIDENCE: ----- - - - - -- Does not apply <br />SEX: ----------------------------- - - - - -- Female <br />ETHNIC BACKGROUND: --- - - - - -- African American <br />DATE OF BIRTH: -------------- - - - - -- 12/19/1969 <br />LIST, IN PREFERENCE, THE BOARDS /COMMISSIONS ON WHICH YOU WOULD BE WILLING <br />TO SERVE: <br />1: --------------- - - - - -- Board of Health <br />2. --------------- - - - - -- Human Relations Commission <br />3. ------------------- --- Commissions for Women <br />Please list work, volunteer and educational experience. <br />WORK EXPERIENCE: 3 years of Health Insurance Experience in Customer Service and Claims <br />. Educating customers and providers on claim process and insurance benefits. Problem solve <br />difficut claims issue and reviewing grievance issues. Fostering the "teambuilding" philosophy by <br />training new employees on company operations and focusing on customer satisfaction.3 years of <br />providing customer service as a Desk Clerk for Chapel Hill Parks and Recreation. Monitor gym <br />operations and provider information to the public on Chapel Hill Parks and Recreation activities. <br />VOLUNTEER EXPERIENCE: 2 years as an Usher for White Rock Holiness Church. 1 year of <br />volunteering for the BCBCNC Health Fair (proving health information to the community and other <br />employees); 2 years as a SCORE Reprsentative for my department ( BCBCNC); A new Member <br />of the Toastmaster Club/New Blue Toastmaster; Volunteering for Girl Scout Troop, (Cookie <br />Booth Sales) <br />