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<br />Page 1 of 2 <br />Tiffany Washington <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. Tiffany Washington <br />515 Hinton James Drive #138 (mail: PO Box 746) <br />Chapel Hill NC 27514 <br />(336)339-8144 <br />twashing@email.unc.edu <br />UNC Chapel Hill - DHRE <br />Community Manager <br />Chapel Hill <br />Does not apply <br />Female <br />African American <br />5/29/1978 <br />Boards/Commissions applied for: <br />Nursing Home Community Advisory Committee <br />Adult Care Home Community Advisory Committee <br />Advisory Board on Aging <br />Work Experience: <br />02-05 Medical Social Worker Northside Dialysis Center Winton Salem <br />03-05 Medical Social Worker Amedisys Home Health Winston Salem <br />05-07 Patient Services Coordinator, Southeastern Kidney Council Raleigh <br />05-07 Medical Social Worker, Gentiva Home Health, Raleigh, NC <br />Volunteer Experience: <br />National Kidney Foundation <br />UNC Kidney Center <br />March of Dimes <br />Buckle up America <br />American Red Cross <br />Education: <br />1996-2000 UNC Chapel Hill - BA <br />2000-2002 UNC Greensboro/NCA&TSU - Master of Social Work <br />2007-present UNC Chapel Hill -PhD in Social Work <br />Other Comments: <br />I have 2 years experience investigating complaints and grievances of dialysis and <br />transplant patients in North Carolina, South Carolina, and Georgia. My research area is <br />