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Subject: Response via eform 100009 - VSP Application
Date: Fri, 30 Sep 2016 08:26:39 -0400
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<APP>WORKFLOW
<TEMPLATEID>350</TEMPLATEID>
<PREFIX></PREFIX>
<FIRST>Emilee</FIRST>
<MIDDLE>H</MIDDLE>
<LAST>O'Brien</LAST>
<ADDR2></ADDR2>
<CITY>Greenville</CITY>
<STATE>SC</STATE>
<ZIP>29613</ZIP>
<EMAIL>obrien.emilee@gmail.com</EMAIL>
<PHONE_B>860-652-5783</PHONE_B>
<ADDR1>3300 Poinsett Highway</ADDR1>
<TITLE>Volunteer</TITLE>
<ORGANIZATION>The Julie Valentine Center</ORGANIZATION>
<WFUD_DateHire>10/03/2016</WFUD_DateHire>
<WFUD_County>Greenville</WFUD_County>
<WFUD_Muncipality>Greenville</WFUD_Muncipality>
<WFUD_JudCircuit>13th Cir</WFUD_JudCircuit>
<WFUD_Employment>Volunteer</WFUD_Employment>
<WFUD_Credentialing>Basic VSP</WFUD_Credentialing>
<ADDL_PEOPLE>
<PREFIX></PREFIX>
<FIRST>Kelly</FIRST>
<MIDDLE></MIDDLE>
<LAST>Premo</LAST>
<EMAIL>kpremo@julievalentinecenter.org</EMAIL>
<ORGANIZATION>The Julie Valentine Center</ORGANIZATION>
<PHONE_B>864-331-0564 x229</PHONE_B>
<TITLE>Volunteer Coordinator</TITLE>
</ADDL_PEOPLE>
<SUBJECT></SUBJECT>
<CUSTOM1>156.143.240.180</CUSTOM1>
<MSG>

</MSG>

</APP>