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HomeMy WebLinkAboutAgenda - 04-17-2012-11a 1 ORANGE COUNTY BOARD OF COMMISSIONERS ACTION AGENDA ITEM ABSTRACT Meeting Date: April 17, 2012 Action Agenda ��_ SUBJECT: Advisory Board on Aging—Appointment Item No. DEPARTMENT: Board of Commissioners PUBLIC HEARING: (Y/N) No ATTACHMENT(S): Under Separate Cover INFORMATION CONTACT: Membership Roster Clerk's Office, 245-2130 Letter of Recommendation Application(s)/Resume(s) of Person(s) Recommended Interest List Application(s)/Resume(s) of Person(s) on the Interest List PURPOSE: To consider making an appointment to the Advisory Board on Aging. BACKGROUND: The following appointment is for Board consideration: • Appointment to a first term for Mr. Keith Cook. If appointed Mr. Cook will be serving a first term ending 06/30/2014. Position Number Re resentation Expiration Date 12 Mr. Keith Cook At-Large 06/30/2014 FINANCIAL IMPACT: None. RECOMMENDATION(S): Consider making an appointment to the Advisory Board on Aging. Board and Commission Members And Vacant Positions Advisory Board on Aging Meeting Times:3:30 p.m.second Tuesday Terms: 2 Contact Person: Janice Tyler Meeting Place: Central Orange Senior Center&Seymour Center Positions: 12 Length:3 years Contact Phone: 919-245-2071 Description: These positions are filled by appointment of the Board of Commissioners with certain seats allocated to the Townships and Town of Chapel Hill,Hillsborough and Carrboro. This board suggests policy and makes recommendations to the Board of Commissioners and the Department on Aging while acting as the liaison between the older citizens of the County and the County government.It is chargedwith promoting needed services,programs and funding that impacts the older citizens. VACANT Day Phone: Sex: First Appointed: 1 Evening Phone: Race: Current Appointment: FAX: Township: Expiration: 06/30/2011 E-mail: Resid/Spec Req:At-Large Number of Terms: Special Repr: Mr. Leo Allison Day Phone:919-563-9110 Sex:Male First Appointed: 09/09/2008 2 Evening Phone: Race:African American Current Appointment: 09/20/2011 4125 Marvin Lane FAX: Township: heeks p: Expiration: 06/30/2014 Efland NC 27243 E-mail:lele2 @mebtel.net Resid/Spec Req:At-Large Number of Terms: 2 Special Repr: Dr. Janice Wells Day Phone:919-259-8693 Sex: Female First Appointed: 08/18/2009 3 Evening Phone:919-933-0162 Race:Caucasian Current Appointment: 10/19/2010 1212 Pinehurst Drive FAX:919-960-6112 Township: Chapel Hill p: P Expiration: 06/30/2013 Chapel Hill NC 27517 E-mail:janicewells128 @gmail.com Resid/Spec Req: Chapel Hill Number of Terms: 1 Special Repr: Mr. Haryo Marsosudiro Day Phone:919-644-0650 Sex:Male First Appointed: 01/27/2009 4 Evening Phone:919-644-0650 Race:Asian American Current Appointment: 05/19/2009 2613 Sweet Gum Dr. FAX: Township: Hillsborough Expiration: 06/30/2012 Hillsborough NC 27278 E-mail:haryo @marsosudiro.com Resid/Spec Req: Hillsborough Number of Terms: 1 Special Repr: Ms. Heather Altman Day Phone:919-918-2609 Sex:Female First Appointed: 01/27/2009 5 Chair Evening Phone:919-928-9822 Race:Caucasian Current Appointment: 05/19/2009 109 Sunset Ridge Lane FAX:919-969-2507 Township: Chapel Hill p� P Expiration: 06/30/2012 Chapel Hill NC 27516 E-mail:haltman @carolwoods.org Resid/Spec Req: Carrboro Number of Terms: 1 Special Repr: Monday,April 02,2012 Page I N Board and Commission Members And Vacant Positions Advisory Board on Aging Meeting Times: 3:30 p.m.second Tuesday Terms: 2 Contact Person: Janice Tyler Meeting Place: Central Orange Senior Center&Seymour Certer Positions: 12 Length:3 years Contact Phone: 919-245-2071 Description: These positions are filled by appointment of the Board of Commissioners with certain seats allocated to the Townships and Town ofChapel Hill,Hillsborough and Carrboro. This board suggests policy and makes recommendations to the Board of Commissioners and the Department on Aging while acting as the liaison between the older citizens of the County and the County government.It is chargedwith promoting needed services,programs and funding that impacts the older citizens. Mr Elijah(Ed) Flowers, III Day Phone:919-357-9256 Sex:Male First Appointed: 01/20/2011 6 Evening Phone:919-357-9256 Race:Caucasian Current Appointment: 01/20/2011 2813 Beckett's Ridge Drive FAX: Township: Hillsborough Expiration: 06/30/2013 Hillsborough NC 27278 E-mail:ed_flowers @yahoo.com Resid/Spec Req:At-Large Number of Terms: I Special Repr: Ms. Thelma Perkins Day Phone:919-918-3601 Sex:Female First Appointed: 09/09/2008 7 Evening Phone: Race:African American Current Appointment: 09/20/2011 750 Weaver Dairy Road #1315 FAX: Township: Chapel Hill Expiration: 06/30/2014 Chapel Hill NC 27514 E-mail: Resid/Spec Req: Chapel Hill Number of Terms: 2 Special Repr: Ms. Peggy Cohn Day Phone:919-489-6624 Sex:Female First Appointed: 10/17/2006 8 Evening Phone:same Race:Caucasian Current Appointment: 08/1812009 Carol Woods Retirement Community FAX: Township: Chapel Hill Expiration: 06/30/2012 750 Weaver Dairy Rd#1313 E-mail:peggycohnl @earthlink.net Resid/Spec Req:At-Large Number of Terms: 2 Chapel Hill NC 27514 Special Repr: Dr Michael Symons Day Phone:9199692561 Sex:Male First Appointed: 10/19/2010 9 Evening Phone:9192604981 Race:Caucasian Current Appointment: 10/19/2010 405 Robin Road FAX:none Township: Chapel Hill p' p Expiration: 06/30/2012 Chapel Hill NC 27516 E-mail:none Resid/Spec Req:At-Large Number of Terms: 1 Special Repr: Dr. Mary Fraser Day Phone:919-942-1657 Sex:Female First Appointed: 10/19/2010 10 Vice-Chair Evening Phone:919-942-1657 Race:Caucasian Current Appointment: 10/19/2010 1901 N.Hawick Ct. FAX: Township: Chapel Hill Expiration: 06/30/2013 Chapel Hill NC 27516 E-mail:mefraser @unc.edu Resid/Spec Req:At-Large Number of Terms: 1 Special Repr: Monday,April 02,2012 Page 2 W Board and Commission Members And Vacant Positions Advisory Board on Aging Meeting Times:3:30 p.m.second Tuesday Terms: 2 Contact Person: Janice Tyler Meeting Place: Central Orange Senior Center&Seymour Center Positions: 12 Length:3 years Contact Phone: 919-245-2071 Description: These positions are filled by appointment of the Board of Commissioners with certain seats allocated to the Townships and Town ofChapel Hill,Hillsborough and Carrboro. This board suggests policy and makes recommendations to the Board of Commissioners and the Department on Aging while acting as the liaison between the older citizens of the County and the County government.It is chargedwith promoting needed services,programs and funding that impacts the older citizens. CDR Alexander Castro Jr Day Phone:619-1510 Sex:Male First Appointed: 01/20/2011 11 Vice-Chair Evening Phone:929-6368 Race:Caucasian Current Appointment: 01/20/2011 5915 Morrow Mill Road FAX: Township: Bingham Expiration: 06/30/2013 Chapel Hill NC 27516 E-mail:alexcastrojr @hotmail.com Resid/Spec Req:At-Large Number of Terms: 1 Special Repr: VACANT Day Phone: Sex: First Appointed: 12 Evening Phone: Race: Current Appointment: FAX: Township: Expiration: 06/30/2011 E-mail: Resid/Spec Req:At-Large Number of Terms: Special Repr: Monday,April 02,2012 Page 3 5 Orange County Advisory Board on Aging 2551 Homestead Road Chapel Hill NC 27516 March 22, 2012 The Honorable Bernadette Pelissier Orange County Board of Commissioners P.O. Box 8181 Hillsborough,NC 27278 Dear Chair Pelissier: Subject: Board Appointment At its March 13,2012 meeting the Orange County Advisory Board on Aging voted to recommend Mr. Keith Cook be appointed to fill vacancy#12. Mr. Cook has served on numerous Orange County citizen committees in the past, including the Economic Development Commission and the Master Aging Plan 2005 Taskforce. He is a resident of Cedar Grove Township. Mr. Cook attended the February Advisory Board on Aging meeting and has expressed interest in becoming a member. Thank you for your consideration of this recommendation. Respectfully submitted, 7 ' e Tyler, Director Orange County Department on Aging Page 1 of 1 Keith Cook Volunteer Application Orange County Advisory Boards and Commissions Name: Mr. Keith Cook Name Called: Home Address: 419 Calvary Court Hillsborough NC 27278 Phone: (Day) 919-644-1886 Phone: (Evening) 919-644-1884 Fax: Email: kdc52 @aol.com Place of Employment: Retired Job Title: Year of OC Residence: Township of Residence: Cedar Grove Zone of Residence: At-Large Sex: Male Ethnic Background: African American Date of Birth: 4/26/1943 Boards/Commissions applied for: Advisory Board on Aging Work Experience: US. Army Retired 26 Years, Financial Consultant, 18 Years. Volunteer Experience: EDC and Recreation and Parks Council Education: Business and Finance, Fayetteville State University. Other Comments: STAFF NOTES: Reapplied for Economic Development Commission 7/7/08. Reapplied for the ABC Board 6-27-2007. Reapplied for District Election Education Committee 10/3/06. Reapplied for MAP 2005 10/06/2005. On 6/2312004, he renewed his app. For the Ag. Center Work Group as a rep. from the EDC. Renewed app. 7127/01 for Bond Education Committee. Appointed by O/C School Board to be representative to Capital Needs Advisory Task Force, 1/2001. Chair of Orange County Board of Education, 2000- 20004. He indicated he was not interested in O/C Planning Board on 12/01/00. Applied 6/1/98 for ABC Board and O/C Planning Board. Status changed to inactive for ABC Board, 6/26/00. Addr.Conf.11/29/00 ocpd. 09/12/11 updated application to include Advisory Board on Aging. This application was current on: 7/7/2008 Date Printed: 3/28/2012 7 Applicant Interest Listing by Board Name and by Applicant Name Contact Person: Janice Tyler Advisory Board on Aging Contact Phone: 919-245-2071 Ms. Amanda Borer Day Phone: 4193065608 Sex: Female 312 Parkridge Ave Evening Phone: 4193065608 Race: Caucasian Chapel Hill NC 27517 FAX: Township: Chapel Hill E-mail: borer @email.unc.edu Date Applied: 08/12/2009 Skills: Also Serves On: Mr. Keith Cook Day Phone: 919-644-1886 Sex: Male 419 Calvary Court Evening Phone: 919-644-1884 Race: African American Hillsborough NC 27278 FAX: Township: Cedar Grove E-mail: kdc52 @aol.com Date Applied: 07/07/2008 Skills: ABC Board-Orange County Also Serves On: Alcoholic Beverage Control Board Also Serves On: Efland-Mebane SAP Implementation Focus Group Skills: Former Library Serives Taskforce Mem Also Serves On: Alcoholic Beverage Control Board Also Serves On: Efland-Mebane SAP Implementation Focus Group Skills: Planner Also Serves On: Alcoholic Beverage Control Board Also Serves On: Efland-Mebane SAP Implementation Focus Group MS Susan Fletcher Day Phone: 919-475-6694 Sex: Female 108 Woods Walk Court Evening Phone: 919-303-2543 Race: Caucasian Carrboro NC 27510 FAX: Township: Chapel Hill E-mail: skfletch @email.unc.edu Date Applied: ,03/14/2009 Skills: Social Work Also Serves On: Ms Linsey Hazen Day Phone: 919-998-8141 Sex: Female 201 Conner Drive #7 Evening Phone: same Race: Caucasian Chapel Hill NC 27514 FAX: Township: Chapel Hill E-mail: linsey.hazen @gmail.com Date Applied: 10/22/2009 Skills: Sales Also Serves On: Ms Joyce Jefferies Day Phone: (919)425-3597 Sex: Female 4820 NC Hwy 54 West Evening Phone: (919)720-6115 Race: African American Chapel Hill NC 27516 FAX: (919)425-3529 Township: Chapel Hill E-mail: joyce_jefferies @dentistry.une.edu Date Applied: 11/03/2010 Skills: Administrative Assistant Also Serves On: Wednesday,March 28,2012 Page 1 of 3 8 Applicant Interest Listing by Board Name and by Applicant Name Contact Person: Janice Tyler Advisory Board on Aging Contact Phone: 919-245-2071 Mrs Janice Laube Day Phone: 919-219-4140 Sex: Female 6826 Carol Lane Evening Phone: Race: Caucasian Hillsborough NC 27278 FAX: Township: Little River E-mail: jrlaube @embargmad.com Date Applied: 02/14/2011 Skills: Farmer Also Serves On: Ms Sarah Lowman Day Phone: 919-259-0053 Sex: Female 316 Standish Drive Evening Phone: same Race: Caucasian Chapel Hill NC 27517 FAX: Township: Chapel Hill E-mail: sarah_lowman@med.une.edu Date Applied: 11/05/2009 Skills: Community Educator Also Serves On: Nursing Home Community Advisory Committee Skills: Crisis Line Advocate Skills: Hospital Counselor Ms. Leah Mason Day Phone: 859-536-2856 Sex: Female 601 Yorktown Drive Evening Phone: 919-240-5809 Race: Other Chapel Hill NC 27516 FAX: Township: Chapel Hill E-mail: leah.j.mason @gmail.com Date Applied: 03/12/2012 Skills: Branch Sales and Service Rep Also Serves On: Skills: Government Affairs Intern Also Serves On: Skills: Public Relations Also Serves On: Ms. Judy Miller Day Phone: 919-732-9969 Sex: Female 403 Jericho Rd. Evening Phone: 919-241-3001 Race: Caucasian Hillsborough NC 27278 FAX: Township: Cedar Grove E-mail: jmiller221 @hotmail.com Date Applied: 08/18/2011 Skills: Nurse Also Serves On: Animal Services Advisory Board Skills: Research Dr. Donna Prattler Day Phone: 919 929-3375 Sex: Female 107-A Spring Valley Road Evening Phone: 919 929-3375 Race: Caucasian Carrboro NC 27510 FAX: Township: Chapel Hill E-mail: dprather @bellsouth.net Date Applied: 03/14/2012 Skills: Medical Director Also Serves On: Skills: Psychiatrist Also Serves On: Wednesday,March 28,2012 Page 2 of 3 9 Applicant Interest Listing by Board Name and by Applicant Name Contact Person: Janice Tyler Advisory Board on Aging Contact Phone: 919-245-2071 Mrs Brona Kay Wilbourne Day Phone: 919-245-0910 Sex: Female 5801 Chambers Court Evening Phone: 919-245-0910 Race: Caucasian Cedar Grove NC 27231 FAX: none Township: Cedar Grove E-mail: wilboume68 @centurylink.net Date Applied: 02/14/2012 Skills: Also Serves On: Mr. Don Willhoit Day Phone: 919-942-2571 Sex: Male 203 Lexington Road Evening Phone: 919-942-2571 Race: Caucasian Chapel Hill NC 27816 FAX: Township: Chapel Hill E-mail: don-willhoit@bellsouth.net Date Applied: 06/09/2008 Skills: .C.H.SENIOR CNTR.PROGR.PART Also Serves On: Skills: .FRIENDS/C.H.SENIOR CENTER Also Serves On: Skills: Former BOCC member Also Serves On: Skills: Friends Bd.Member-CH Senior Center Also Serves On: Skills: Public Health and Safety Also Serves On: Dr. Tracey Yap Day Phone: 502.686.0016 Sex: Female 834 Providence Glen Drive Evening Phone: 919.240.4793 Race: Caucasian Chapel Hill NC 27514 FAX: Township: Chapel Hill E-mail: tracey.yap @duke.edu Date Applied: 09/20/2011 Skills: Director Also Serves On: Nursing Home Community Advisory Committee Skills: Nurse Wednesday,March 28,2012 Page 3 of 3 10 Page 1 of 2 Amanda Borer Volunteer Application Orange County Advisory Boards and Commissions Name: Ms. Amanda Borer Name Called: Home Address: 312 Parkridge Ave Chapel Hill NC 27517 Phone: (Day) 4193065608 Phone: (Evening) 4193065608 Fax: Email: borer @email.unc.edu Place of Employment: Charles House Job Title: Administrative Director Year of OC Residence: 2007 Township of Residence: Chapel Hill Zone of Residence: C.H. City Limits Sex: Female Ethnic Background: Caucasian Date of Birth: 8/911984 Boards/Commissions applied for: Advisory Board on Aging Work Experience: I have worked at Charles House which is an Adult Day Care Center,and at an Assisted Living Facility both in administration and in resident aide capacity. I am currently finishing up a Fellowship program for Senior Service America Inc. in which I have been working on trying to find employment and training opportunities for adults 55+ through the Senior Community Service Employment Program (SCSEP). Volunteer Experience: I have volunteered in Nursing Homes in Activities, as well as Senior Centers and various other places during my membership in the Geriatrics and Gerontology Club at The Ohio State University. Education: I recently earned my Masters of Health Administration from UNC Chapel Hill with a concentration in Long-Term Care. I also have my Bachelors from The Ohio State University in Health Sciences in Geriatrics and Gerontology. I have served as a member and an officer of the Geriatrics and Gerontology Club at OSU. Other Comments: I am passionate about the older adult population and would like to be both an advocate for them and involved in my community. I have lived here for over two years now and anticipate making this area my home. STAFF COMMENTS: Applied for advisory Board on Aging, Adult Care Home Community Advisory Committee, and Nursing Home 11 Page 2 of 2 Amanda Borer Community Advisory Board 8/12/09. Originally applied for Adult Care Home Community Advisory Committee, Advisory Board on Aging, and Master Aging Plan Taskforce 5/14/07. ADDRESS VERIFICATION: 312 Parkridge Avenue is in Chapel Hill in the Chapel Hill City Limits. This application was current on: 8/12/2009 12:40:44 PM Date Printed: 4/2/2012 Page 1 of 1 Susan Fletcher 12 Volunteer Application Orange County Advisory Boards and Commissions Name: Ms Susan Fletcher Name Called: Home Address: 108 Woods Walk Court Carrboro NC 27510 Phone: (Day) 919-475-6694 Phone: (Evening) 919-303-2543 Fax: Email: skfletch @email.unc.edu Place of Employment: UNC Job Title: Doctoral student, research associate Year of OC Residence: 2008 Township of Residence: Chapel Hill Zone of Residence: . . . Sex: Female Ethnic Background: Caucasian Date of Birth: 10/10/1955 Boards/Commissions applied for: Advisory Board on Aging Adult Care Home Community Advisory Committee Work Experience: Adjunct Faculty, UNC School of Social Work: teach Aging and Public Policy course Research associate for Dr. Sheryl Zimmerman, UNC School of Social Work Volunteer Experience: Founder, Director Meet Me There (meetmethere.org)a not-for-profit organization that designs, implements and evaluates intergenerational and inter-cultural programs. Adult Care Home Community Advisory Committee, New Hanover County Education: Doctoral candidate, UNC School of Social Work Hartford Doctoral Fellow MSW: UNC BA: Psychology and Sociology Baldwin Wallace College Other Comments: STAFF COMMENTS: Originally applied for Advisory Board on Aging &Adult Care Home community Advisory Committee 3/14/2009. ADDRESS VERIFICATION: 108 Woods Walk Court, Chapel Hill is Chapel Hill township, CA jurisdiction. This application was current on: 3/14/2009 10:18:19 PM Date Printed: 4/2/2012 Page 1 of 2 Linsey Hazen 13 Volunteer Application Orange County Advisory Boards and Commissions Name: Ms Linsey Hazen Name Called: Home Address: 201 Conner Drive #7 Chapel Hill NC 27514 Phone: (Day) 919-998-8141 Phone: (Evening) same Fax: Email: linsey.hazen @gmail.com Place of Employment: n/a Job Title: n/a Year of OC Residence: 2008 Township of Residence: Chapel Hill Zone of Residence: Sex: Female Ethnic Background: Caucasian Date of Birth: 8/19/1951 Boards/Commissions applied for: Advisory Board on Aging Work Experience: Over 20 years professional sales experience in both retail and hospitality, nationwide; as well as freelance writer and radio broadcaster. Also Activities Director for luxury senior retirement community in Boca Raton, Fl. Volunteer Experience: 1995-2009: American Cancer Society; Trident United Way of S.C.; Medical University of S. Carolina (M.U.S.C); Vanderbilt U. Medical Center; PBS radio/television affiliates nationwide for fundraising events; senior center staff support in St. Petersburg, Fl.; docent in fine arts museums of San Francisco and Nashville, Tn. Chapel Hill: Volunteer for the Interfaith Council of Social Services; UNC North Carolina Cancer Center; Cornacopia House; SECU Family Center. Also, Director/Council Coordinator for MoveOn.org; created and coordinates the Chapel Hill Council for the Triangle area. Education: Bachelor's degree in Broadcast Journalism/Public Relations Master's courses in counseling and nursing, concentrating on mental health and aging. Other Comments: Page 2 of 2 Linsey Hazen 14 Currently applying to graduate school in Social Work at UNC, to obtain my M.S.W., and work with a cross-section of races, cultures and ages to bring about harmonious interaction, reconcilliation and understanding between them, nationally and globally, to further my ultimate goal of seeking peace in a troubled world, as my legacy to this life; for future generations to enjoy. STAFF COMMENTS: Originally applied for Advisory Board on Aging, Human Relations Commission, Commission for Women 10/22/09. ADDRESS VERIFICATION: 201 Conner Drive #7, Chapel Hill is Chapel Hill township, CH - jurisdiction. This application was current on: 10/22/2009 2:30:22 PM Date Printed: 4/2/2012 Page 1 of 2 Joyce Jefferies 15 Volunteer Application Orange County Advisory Boards and Commissions Name: Ms Joyce Jefferies Name Called: Home Address: 4820 NC Hwy 54 West Chapel Hill NC 27516 Phone: (Day) (919)425-3597 Phone: (Evening) (919)720-6115 Fax: (919)425-3529 Email: joyceJefferies @dentistry.unc.edu Place of Employment: UNC School of Dentistry Job Title: Administrative Assistant Year of OC Residence: Township of Residence: Chapel Hill Zone of Residence: Does not apply Sex: Female Ethnic Background: African American Date of Birth: 7/23/1955 Boards/Commissions applied for: Work Experience: Employed by UNC Hospitals and UNC-Chapel Hill since 1973 first as a dietary assistant now an Administrative Assistant in Dentistry where I perform a variety of functions including accounting, billing, preparing check requests to pay bills, arranging travel, coordinating meetings, preparing meeting agendas, ordering supplies, budgeting, preparing reports, drafting letters, etc. I would like to serve on the Advisory Boards because I am experiencing first-hand, in regards to my elderly mother, in trying to find an affordable assisted-living facility in good standard that really uphold the care and the best interest of their residents. Also the assurance of knowing that these facilities are being governed by guidelines, rules and regulations that they have to adhere to and that there are committees to visit these faciliteis to ensure that these guidelines are being carry out. It is difficult enough to have to place our elderly family members in a facility but having the reassurance in knowing that they are being well taken care of makes this transition a lot more bearable. Volunteer Experience: I volunteer at my church, Hospitality- serving guests of the Pastor and greeting members as they enter the church, Sisters of Jubilee- visiting the Women prisons in Raleigh, organizing birthday parties, prayer and fellowship, visiting the sick and shut in. Education: I received my GED from Durham Technical Institute and enrolled in the Business Administration Associate Degree Program, also at Durham Tech. 16 Page 2 of 2 Joyce Jefferies Other Comments: I feel that I am at the place in my life mentally, physically and spiritually where I have a lot to offer in reaching out and assisting others through community involvement, etc. I look at volunteering as a personal committment just as rewarding to me as to the area that I am volunteering in. I get a joy in being able to be a contributor and not just to try and make a difference. I enjoy working with others in like causes and like minds, even though having different approaches but seeking to reach the same goal. STAFF COMMENTS: Originally applied 11-3-2010 for Adult Care Home Community Advisory Committee, Nursing Home Community Advisory Committee, Advisory Board on Aging. ADDRESS VERIFICATION: 4820 NC Highway 54 West is in Bingham Township and Orange County Jurisdiction. This application was current on: 11/3/2010 2:36:29 PM Date Printed: 4/2/2012 17 Page 1 of 1 Janice Laube Volunteer Application Orange County Advisory Boards and Commissions Name: Mrs Janice Laube Name Called: Home Address: 6826 Carol Lane Hillsborough NC 27278 Phone: (Day) 919-219-4140 Phone: (Evening) Fax: Email: jrlaube @embargmail.com Place of Employment: Home Job Title: Owner- Horse Farm Year of OC Residence: 2001 Township of Residence: Little River Zone of Residence: - Sex: Female Ethnic Background: Caucasian Date of Birth: 6/4/1952 Boards/Commissions applied for: Animal Services Advisory Board Advisory Board on Aging Work Experience: I own and work a horse farm including growing and cultivating hay for sale. Including my horses I also have 5 dogs. I would like to volunteer on a board to hopefully be a productive team member and to make a difference in this community that I love. Volunteer Experience: Education: B.A. Theatre Arts SUNY Binghamton, NY Other Comments: STAFF COMMENTS: Originally applied for Animal Services Advisory Board and Advisory Board on Aging 02/14/2011. ADDRESS VERIFICATION: 6826 Carol Lane,Hillsborough, NC is in Orange County Jurisdiction, Little RiverTownship. This application was current on: 2/14/2011 9:59:40 AM Date Printed: 4/2/2012 18 Page 1 of 2 Sarah Lowman Volunteer Application Orange County Advisory Boards and Commissions Name: Ms Sarah Lowman Name Called: Home Address: 316 Standish Drive Chapel Hill NC 27517 Phone: (Day) 919-259-0053 Phone: (Evening) same Fax: Email: sarah_lowman @med.unc.edu Place of Employment: UNC Chapel Hill, School of Medicine Job Title: Project Coordinator Year of OC Residence: 1994 Township of Residence: Chapel Hill Zone of Residence: . . . Sex: Female Ethnic Background: Caucasian Date of Birth: 4/18/1980 Boards/Commissions applied for: Advisory Board on Aging Adult Care Home Community Advisory Committee Work Experience: 2006- : Project Coordinator, UNC Center for Aging & Health 2003-2005: Editor, Kyiv Post newspaper, Kyiv, Ukraine Volunteer Experience: 2005-2006: Crisis Line Advocate, Hospital Counselor and Community Educator- Durham Crisis Response Center Education: MPH, UNC-CH, Dept of Health Behavior & Health Education, 2008 BA, Vassar College Other Comments: I have worked in aging research, education and program planning for nearly five years. Through that work, I have collaborated on projects focused on community-dwelling and institutionalized older adults. Now, I would be honored to utilize my skills and knowledge to serve nursing home residents, and their families, in my community. STAFF COMMENTS: Originally applied for Nursing Home Community Advisory Committee, Advisory Board on Aging &Adult Care Home Community Advisory Committee 11/5/09. ADDRESS VERIFICATION: 316 Standish Drive, Chapel Hill, NC is Chapel Hill township, 19 Page 2 of 2 Sarah Lowman CH jurisdiction. This application was current on: 11/5/2009 9:53:25 PM Date Printed: 4/2/2012 20 Page 1 of 2 Leah Mason Volunteer Application Orange County Advisory Boards and Commissions Name: Ms. Leah Mason Name Called: Home Address: 601 Yorktown Drive Chapel Hill NC 27516 Phone: (Day) 859-536-2856 Phone: (Evening) 919-240-5809 Fax: Email: leah.j.mason @gmail.com Place of Employment: Student Job Title: UNC Law Year of OC Residence: 2011 Township of Residence: Chapel Hill Zone of Residence: Does not apply Sex: Female Ethnic Background: Other Date of Birth: 12/25/1980 Boards/Commissions applied for: Affordable Housing Advisory Board Advisory Board on Aging Human Relations Commission Work Experience: Kentucky Community and Technical College Coal Academy Public Relations Intern; Kentucky Community and Technical College System (KCTCS) Government Affairs Intern; attended legislative committee meetings; obtained copies of bills, summarize and ' send to appropriate departments that are affected; KCTCS Interactive Digital Center Assistant: copyedit 3D modeling textbook; served on system-wide committees: engagement committee (diversity initiative), appreciate inquiry, wellness committee; hiring committees; chair of department's social committee; Univ of Kentucky - admissions officer National City Bank - Branch sales and service rep; vault teller. Volunteer Experience: Lexington, KY Public Library - resume/job search assistance; Guardian ad litem; Community tutor; Pro bono work through UNC Education: UNC Law Other Comments: I am applying for these boards because they match things I am passionate about. I have been a paying member of AARP since high school. I plan to complete a graduate Page 2 of 2 Leah Mason 21 certificate in gerontology, to help me become a better lobbyist for aging issues. Affordable housing is a challenge every city seeks to balance. The challenges come when housing is too high that the costs stifle growth. I think our area can do better about housing costs, even in a university environment. The human relations board is directly connected to the engagement committee I was a part of at KCTCS. We tried for a more inclusive environment, monthly activities that raise awareness and employee appreciate to help fight against bias. I worked for a company who was becoming ISO 9001 certified. My job was to log, track and resolve all complaints filed. This board seems to be a mix of various jobs I have held over the years. STAFF COMMENTS: Originally 03/14/2012 applied for Affordable Housing Advisory Board, Advisory Board on Aging, and Human Relations Commission. ADDRESS VERIFICATION: 601 Yorktown Drive is Orange County Jurisdiction, South Orange Fire Tax, and Chapel Hill Township. This application was current on: 3/12/2012 11:23:38 PM Date Printed: 4/2/2012 Page 1 of 2 Judy Miller 22 Volunteer Application Orange County Advisory Boards and Commissions Name: Ms. Judy Miller Name Called: Home Address: 403 Jericho Rd. Hillsborough NC 27278 Phone: (Day) 919-732-9969 Phone: (Evening) 919-241-3001 Fax: Email: jmiller221 @hotmail.com Place of Employment: Hillsborough Veterinary Clinic Job Title: receptionist Year of OC Residence: 2005 Township of Residence: Cedar Grove Zone of Residence: - Sex: Female Ethnic Background: Caucasian Date of Birth: 8/30/1952 Boards/Commissions applied for: Advisory Board on Aging Commission for the Environment Work Experience: I now have a job where I can give some back to the community as a board volunteer. I value deeply our older adults, animals and the environment. Which board to serve on is more a function of where I can best serve and meeting times. Receptionist Hillsborough Veterinary Hospital, since 2006 Educational research consultant, UNC School of Nursing, Gerontological Nursing Associate Dean, Duke University School of Nursing Associate Dean, University of Portland, School of Nursing Associate Professor, UNC School of Nursing Board of Governors Award for Teaching Excellence, State of North Carolina clinical nurse specialist, gerontological nursing Director of Nursing, Assistant Director of Nursing - rehabilitation hospital and nursing home Volunteer Experience: special event volunteer- hog day, hillsborough clean up Education: Page 2 of 2 Judy Miller 23 PhD - gerontology, nursing. Oregon Health Sciences University, Portland Or. MSN - nursing, post masters - education. Duke University BS - nursing. Adelphi University, Garden City NY Other Comments: thank you for all you do!. I am available to serve anytime on Mondays, otherwise evenings after 6:30pm. STAFF COMMENTS: Originally applied for Animal Services Advisory Board, Advisory Board on Aging, and Commission for the Environment on 08/18/2011. ADDRESS VERIFICATION: 403 Jericho Road is Orange County Jurisdiction, Cedar Grove Township. This application was current on: 8/18/2011 1:08:15 PM Date Printed: 4/2/2012 24 Page 1 of 1 Donna Prather Volunteer Application Orange County Advisory Boards and Commissions Name: Dr. Donna Prather Name Called: Home Address: 107-A Spring Valley Road Carrboro NC 27510 Phone: (Day) 919 929-3375 Phone: (Evening) 919 929-3375 Fax: Email: dprather @bellsouth.net Place of Employment: OPC Area Program Job Title: Medical Director Year of OC Residence: 1981 Township of Residence: Chapel Hill Zone of Residence: Carrboro City Limits Sex: Female Ethnic Background: Caucasian Date of Birth: 11/4/1946 Boards/Commissions applied for: Advisory Board on Aging Work Experience: Psychiatrist, treating adults in Orange County since 1985; staff psychiatrist at OPC/Person Counseling Center 1983 to 1992; Medical Director of OPC Area Program since 1992 Volunteer Experience: Cared for mother in my home from 2004 to 2008, then in an assisted living facility until her death in July 2011 at age 102. Education: BA from Queens College (now University) in Charlotte, NC; MD from UNC-CH; residency in Family Medicine at Charlotte Memorial Hospital (now Carolinas Medical Center); fellowship in Family Medicine at UNC-CH; residency in Psychiatry at UNC-CH Other Comments: I'm about to retire and am eager to learn more about the issues of senior citizens. I'm very interested in finding ways to participate to improve the lives of people in our community. STAFF COMMENTS: Originally (03/14/2012) applied for Advisory Board on Aging. ADDRESS JURISDICTION: 107-A is Carrboro Jurisdiction, Carrboro City Tax, Chapel Hill Township. This application was current on: 3/14/2012 1:09:58 PM Date Printed: 4/2/2012 Page 1 of 1 Brona Kay Wilbourne 25 Volunteer Application Orange County Advisory Boards and Commissions Name: Mrs Brona Kay Wilbourne Name Called: Home Address: 5801 Chambers Court Cedar Grove NC 27231 Phone: (Day) 919-245-0910 Phone: (Evening) 919-245-0910 Fax: none Email: wilbourne68 @centurylink.net Place of Employment: Retired Job Title: House Wife Year of OC Residence: 1976 Township of Residence: Cedar Grove Zone of Residence: Does not apply Sex: Female Ethnic Background: Caucasian Date of Birth: 2/28/1943 Boards/Commissions applied for: Orange County Planning Board Advisory Board on Aging Work Experience: Central Carolina Bank Operation Center, Reg.Reporting 8yrs. Reporting to the IRS. for over 200 branches in NC & SC. I have an interest in each of these boards and I think I would do a good job in these areas. I would like to feel needed again. Retirement is not all it is made up to be. Volunteer Experience: No Experience: Education: High School, some tech-Schooling, Beauty Lic. Other Comments: I would love to join in and try help. Please give me a chance to prove to you that I would make a good volunteer. STAFF COMMENTS: Originally applied for Affordable Housing Board, Orange County Planning Board, Advisory Board on Aging 04/7/2011. UPDATED APPLICATION FOR ORANGE COUNTY PLANNING BOARD 02/14/2012. ADDRESS VERIFICATION: 5801 Chambers Court is Cedar Grove Township, Orange County Jurisdiction. This application was current on: 2/14/2012 Date Printed: 4/2/2012 - 26 Page 1 of 1 Don Willhoit Volunteer Application Orange County Advisory Boards and Commissions Name: Mr. Don Willhoit Name Called: Home Address: 203 Lexington Road Chapel Hill NC 27816 Phone: (Day) 919-942-2571 Phone: (Evening) 919-942-2571 Fax: Email: don—willhoit@bellsouth.net Place of Employment: UNC-CH Envir.Sci. Dept Job Title: Retired Year of OC Residence: Township of Residence: Chapel Hill Zone of Residence: Carrboro ETJ Sex: Male Ethnic Background: Caucasian Date of Birth: 2/5/1934 Boards/Commissions applied for: Advisory Board on Aging Work Experience: Retired from UNC-CH Dept. of Environmental Sciences faculty. Director of Health and Safety, UNC-CH. Volunteer Experience: Most recently served on JOCCA board. I also served on the Master Aging Plan steering committee and am interested in the implementation of the M.A.P. I currently serve on the IFC board. Education: Doctorate in Occupational Health Other Comments: have been frustrated with JOCCA's management of the nutrition program, especially its lack of enthusiasm for the optional soup/salad meal at the Seymour Center. I would like to help the Dept on Aging prepare a business plan to operate the kitchen at the kitchen at the Seymour Center to be responsive to the customers. This facility may be able to serve all of the OC nutrition programs.STAFF NOTES: Applied for MAP 2005. Applied for Advisory Board on Aging 6/72008. ADDRESS VERIFICATION: 203 Lexington Rd is in Carrboro ETJ. He applied for the So.Orange Sr.Cntr (New) Design Committee on 1/15/04. 5/16/01 Clerk's staff updated file. Day phone changed. This application was current on: 6/9/2008 Date Printed: 4/2/2012 27 Page 1 of 1 Tracey Yap Volunteer Application Orange County Advisory Boards and Commissions Name: Dr. Tracey Yap Name Called: Home Address: 834 Providence Glen Drive Chapel Hill NC 27514 Phone: (Day) 502.686.0016 Phone: (Evening) 919.240.4793 Fax: Email: tracey.yap @duke.edu Place of Employment: Duke University School of Nursing Job Title: Assistant Professor Year of OC Residence: 2011 Township of Residence: Chapel Hill Zone of Residence: - Sex: Female Ethnic Background: Caucasian Date of Birth: 7/13/1968 Boards/Commissions applied for: Advisory Board on Aging Board of Health Work Experience: Deputy-Director of Nursing for NIOSH sponsored Education and Research Center, University of Cincinnati Funded research grants related to long-term care Volunteer Experience: Education: RN, PhD Other Comments: STAFF COMMENTS: 09/20/2011 applied for Nursing Home Community Advisory Committee, Advisory Board on Aging, and Board of Health. ADDRESS JURISDICTION: 834 Providence Glen Drive is CH Township. This application was current on: 9/20/2011 3:41:57 PM Date Printed: 4/2/2012