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HomeMy WebLinkAboutAgenda - 09-18-2012-11d 1 ORANGE COUNTY BOARD OF COMMISSIONERS ACTION AGENDA ITEM ABSTRACT Meeting Date: September 18, 2012 Action Agenda Item No. 11-d SUBJECT: Board of Health -Appointment DEPARTMENT: Board of Commissioners PUBLIC HEARING: (Y/N) No ATTACHMENT(S): Under Separate Cover INFORMATION CONTACT: Membership Roster Clerk's Office, 245-2130 Recommendation/Attendance Application(s)/Resume(s) of Person(s) for Consideration Applicant Interest List Application(s)/Resume(s) of Person(s) on Interest List PURPOSE: To consider making an appointment to the Board of Health. BACKGROUND: The following appointment is for Board consideration. • Appointment to a first term for Mr. Alexander White. If appointed Mr. White will be serving a first full term expiring 06/30/2015. Position Number Special Representation Expiration Date 6 - Mr. Alexander White Citizen/Commissioner Appointment 06/30/2015 FINANCIAL IMPACT: None. RECOMMENDATION(S): The Board will consider making an appointment to the Board of Health. 2 Board and Commission Members And Vacant Positions Board of Health Meeting Times: 7:00 p.m.fourth Wednesday of each month Terms: 2 Contact Person: Lisa Smith Meeting Place: locations in Chapel Hill and Hillsborough. Positions: 11 Length:3 years Contact Phone: 919-245-2411 Description: The Board of Commissioners appoints representatives of specific health-related professions and the general public to this board. It makes policy and is charged with protecting and promoting the public health in Orange County. To learn more about this Board,go to the following web address:http://www.co.orange.nc.us/health/index.asp Dr. Susan Elmore Day Phone: 919-541-3474 Sex: Female First Appointed: 09/21/2010 1 Evening Phone: 919-967-4172 Race: Caucasian Current Appointment: 06/07/2011 308 Glenwood Drive FAX: Township: Chapel Hill Expiration: 06/30/2014 Chapel Hill NC 27514 E-mail: elmore @niehs.nih.gov Resid/Spec Req: At-Large Number of Terms: 1 Special Repr: Veterinarian Mr. Matthew Kelm Day Phone: 919-668-5398 Sex: Male First Appointed: 06/15/2010 2 Vice-Chair Evening Phone: 919-357-4349 Race: Caucasian Current Appointment: 06/15/2010 103 Lorilane Dr. FAX: 919-681-8187 Township: Chapel Hill Expiration: 06/30/2013 Cairboro NC 27510 E-mail: matthew.kelm @duke.edu Resid/Spec Req: At-Large Number of Terms: 1 Special Repr: Pharmacist Mr. Michael Wood Day Phone: 919-732-1300 Sex: Male First Appointed: 10/28/2008 3 Evening Phone: 919-732-7299 Race: Caucasian Current Appointment: 06/07/2011 620 Lee Fox Ln FAX: 919-732-1303 Township: Eno Expiration: 06/30/2014 Hillsborough NC 27278 E-mail: mwood @thecatenagroup.com Resid/Spec Req: At-Large Number of Terms: 2 Special Repr: Citizen/Commissioner Appointment Ms Liska Lackey Day Phone: 919-968-1450 Sex: Female First Appointed: 06/07/2011 4 Evening Phone: Race: Caucasian Current Appointment: 06/07/2011 507 Oak Ave FAX: Township: Chapel Hill Expiration: 06/30/2014 Cairboro NC 27510 E-mail: liska.lackey @gmail.com Resid/Spec Req: At-Large Number of Terms: 1 Special Repr: Nurse Dr. Michael Carstens Day Phone: 919-968-4774 Sex: Male First Appointed: 08/19/2009 5 Evening Phone: 857-498-1442 Race: Caucasian Current Appointment: 05/15/2012 108 Carriage Circle FAX: 919-942-5291 Township: Chapel Hill Expiration: 06/30/2015 Chapel Hill NC 27514 E-mail: carstensmike @hotmail.com Resid/Spec Req: At-Large Number of Terms: 2 Special Repr: Optometrist Tuesday,August 28,2012 Page 1 3 Board and Commission Members And Vacant Positions Board of Health Meeting Times: 7:00 p.m.fourth Wednesday of each month Terms: 2 Contact Person: Lisa Smith Meeting Place: locations in Chapel Hill and Hillsborough. Positions: 11 Length:3 years Contact Phone: 919-245-2411 Description: The Board of Commissioners appoints representatives of specific health-related professions and the general public to this board. It makes policy and is charged with protecting and promoting the public health in Orange County. To learn more about this Board,go to the following web address:http://www.co.orange.nc.us/health/index.asp Mr. Corey Davis Day Phone: 919-968-6308 Sex: Male First Appointed: 12/13/2011 6 Evening Phone: Race: Caucasian Current Appointment: 05/15/2012 102 Barbee Court FAX: Township: Chapel Hill Expiration: 06/30/2015 Cairboro NC 27510 E-mail: coreyd @gmail.com Resid/Spec Req: At-Large Number of Terms: 1 Special Repr: Citizen/commissioner appointment Mr. Tony Whitaker Day Phone: 919490 1645 Sex: Male First Appointed: 08/19/2009 7 Chair Evening Phone: 919-321-2922 Race: Caucasian Current Appointment: 05/15/2012 3725 Quail Meadow Drive FAX: 919-403-0336 Township: Little River Expiration: 06/30/2015 Hillsborough NC 27278 E-mail: tony.whitaker @civil-consultants.co Resid/Spec Req: At-Large Number of Terms: 2 Special Repr: Professional Engineer Dr. Anissa Vines Day Phone: 919-843-1210 Sex: Female First Appointed: 05/16/2006 8 Evening Phone: 919-644-0924 Race:African American Current Appointment: 06/02/2009 610 Orchard Place FAX: Township: Hillsborough Expiration: 06/30/2012 Hillsborough NC 27278 E-mail: avines @email.unc.edu Resid/Spec Req: At-Large Number of Terms: 2 Special Repr: Citizen/Commissioner Appointment Dr. Carol Haggerty DDS, MPH Day Phone: 919-966-7575 Sex: Female First Appointed: 06/15/2010 9 Evening Phone: 352-283-6330 Race: Caucasian Current Appointment: 06/15/2010 313 Beiryhill Dr FAX: 919-966-0705 Township: Chapel Hill Expiration: 06/30/2013 Cairboro NC 27510 E-mail: carol_haggerty @dentistry.unc.edu Resid/Spec Req: At-Large Number of Terms: 1 Special Repr: Dentist Dr. Paul Chelminski Day Phone: 919-966-0471 Sex: Male First Appointed: 08/19/2009 10 Evening Phone: 919-932-1755 Race: Other Current Appointment: 06/15/2010 116 Waters Road FAX: 919-966-4507 Township: Chapel Hill Expiration: 06/30/2013 Cairboro NC 27510 E-mail: paul_chelminski @med.unc.edu Resid/Spec Req: At-Large Number of Terms: 1 Special Repr: Physician Tuesday,August 28,2012 Page 2 4 Board and Commission Members And Vacant Positions Board of Health Meeting Times: 7:00 p.m.fourth Wednesday of each month Terms: 2 Contact Person: Lisa Smith Meeting Place: locations in Chapel Hill and Hillsborough. Positions: 11 Length:3 years Contact Phone: 919-245-2411 Description: The Board of Commissioners appoints representatives of specific health-related professions and the general public to this board. It makes policy and is charged with protecting and promoting the public health in Orange County. To learn more about this Board,go to the following web address:http://www.co.orange.nc.us/health/index.asp Mr. Steve Yuhasz Day Phone: 732-6262 Sex: Male First Appointed: 02/10/2009 11 Evening Phone: 593-4887 Race: Caucasian Current Appointment: 02/07/2012 226 S.Churton Street FAX: 644-1177 Township: Eno Expiration: 01/30/2013 Hillsborough NC 27278 E-mail: syuhasz @co.orange.nc.us Resid/Spec Req: At-Large Number of Terms: Special Repr: B.O.C.C. Tuesday,August 28,2012 Page 3 5 Orange County Health Department � � f prr�I.5 t Colleen Bridger,MPH,PhD : Prevent • Promote • Protect Health Director z j;,, Partnering for the:Public's Health. agr9 cacti` a Date: August 24, 2012 To: Orange County Board of Commissioners From: Colleen Bridger, Secretary to the Board of Health RE: Recommendation for Appointment to Vacant Position At the Board of Health August 22, 2012 meeting, the Board of Health considered all current applicants for the current At-Large position that was vacated by Anissa Vines who full filled her term on June 30, 2012 and is forwarding the following recommendation for your consideration. The Board is recommending Alex White for your consideration. Mr. White has a MPH, he is currently employed with the NC Division of Public Health as a Health Policy Specialist, and Mr. White has worked in the Office of Minority Health and Health Disparities as a Public Health Consultant. Thank you for your consideration. Richard E.Whitted Human Services Center 300 W.Tryon Street • Hillsborough,NC 27278 Phone:(919)245-2400 I General Fax:(919)644-3007 I Confidential Fax: (919)919-644-3328 www.orangecountync.gov/health 6 Page 1 of 1 Alexander White Volunteer Application Orange County Advisory Boards and Commissions Name: Mr. Alexander White Name Called: Home Address: 509 Highgrove Dr. Chapel Hill NC 27516 Phone: (Day) 919-619-0331 Phone: (Evening) Fax: Email: whiteforsophe @gmail.com Place of Employment: NC DHHS Job Title: Policy Specialist Year of OC Residence: 1993 Township of Residence: Chapel Hill Zone of Residence: C.H. City Limits Sex: Male Ethnic Background: African American Boards/Commissions applied for: Board of Health Work Experience: NC Division of Public Health; NC Office of Minority Health nd Health Disparities; UNC School of Medicine Volunteer Experience: -Interfaith Council's Community House -National Forum for Heart Disease and Stroke Prevention. -NC DHHS Eliminating Health Disparities Committee, Chair. Education: -UNC-Chapel Hill School of Law -Boston University School of Public Health -City University of New York; Liberal Arts Other Comments: I wish to serve on the BOH because I have public health experience and expertise to offer my county of residence. This is a welcome opportunity to provide service to my extended community. STAFF COMMENTS: Applied for Board of Health 06/25/2012. ADDRESS VERIFICATION: 509 Highgrove Drive is Chapel Hill Township, Chapel Hill Town Limits. This application was current on: 6/25/2012 9:40:24 PM Date Printed: 8/28/2012 7 Applicant Interest Listing by Board Name and by Applicant Name Contact Person: Lisa Smith Board of Health Contact Phone: 919-245-2411 Dr. Dawn Brezina Day Phone: 252-315-4650 Sex: Female 2601 Red Hill Lane Evening Phone: 919-732-9030 Race: Caucasian Hillsborough NC 27278 Cell Phone: Township: Eno E-mail: dawnbrezina @gmail.com Date Applied: 02/13/2012 Skills: Physician Also Serves On: Orange County Board of Adjustment Also Serves On: Orange County Planning Board Ms. Wendy Calvin Day Phone: 919-630-1350 Sex: Female 623 William Hooper Circle Evening Phone: Race: Caucasian Hillsborough NC 27278 Cell Phone: Township: Hillsborough E-mail: wcalvin @co.orange.nc.us Date Applied: 09/06/2011 Skills: Orange County Employee Also Serves On: Ms. Barbara Chavious Day Phone: 919-732-3469 Sex: Female 401 N Nash St Evening Phone: 919-732-3469 Race: Caucasian Hillsborough NC 27278 Cell Phone: Township: Hillsborough E-mail: Barbara_Chavious @unc.edu Date Applied: 06/16/2011 Skills: Public Health Also Serves On: Ms Tamara Dempsey-Tanner Day Phone: 919-560-5600 Sex: Female 9900 Leslie Dirve Evening Phone: 919-918-4086 Race: Caucasian Chapel Hill NC 27516 Cell Phone: Township: Bingham E-mail: tamaradt @yahoo.com Date Applied: 01/04/2012 Skills: Healthcare Consultant Also Serves On: Mr. Charles McMullen Day Phone: 9197329083 Sex: Male 108 Jones Avenue Evening Phone: 9192603879 Race: Caucasian Hillsborough NC 27278 Cell Phone: Township: Hillsborough E-mail: cmcmullenl @nc.rr.com Date Applied: 02/10/2011 Skills: Nursing Profession Also Serves On: Mr Ken Morgan Day Phone: 919-218-8596 Sex: Male 2720 Buckboard Drive Evening Phone: 919-218-8596 Race: Caucasian Hillsborough NC 27278 Cell Phone: Township: Eno E-mail: morgangk @juno.com Date Applied: 01/02/2012 Skills: American Heart Association Also Serves On: Skills: United Way Board of Directors Also Serves On: Tuesday,August 28,2012 Page 1 of 3 8 Applicant Interest Listing by Board Name and by Applicant Name Contact Person: Lisa Smith Board of Health Contact Phone: 919-245-2411 Mr Marshall Morris Day Phone: 919-824-0893 Sex: Male 4620 Timberwood Trail,Timberwood Farms Evening Phone: Race: Caucasian PO Box 165 Cell Phone: Township: Cheeks Etland NC 27243 E-mail: poems @mebtel.net Date Applied: 04/30/2012 Skills: Cheeks Township Also Serves On: Miss Danielle Mosley Day Phone: 919-309-5685 Sex: Female 476 Melanie Court Evening Phone: Race: Caucasian Chapel Hill NC 27514 Cell Phone: Township: Chapel Hill E-mail: Dlynnm26 @gmail.com Date Applied: 06/26/2012 Skills: Club Nova Also Serves On: Mr. Vince Stevens Day Phone: 919-923-2561 Sex: Male 101 Camille Ct Evening Phone: 919-933-3058 Race: Caucasian Chapel Hill NC 27516 Cell Phone: Township: Chapel Hill E-mail: vstevens @nc.rr.com Date Applied: 05/01/2012 Skills: Also Serves On: Ms. Jaimee Watts Day Phone: 828-381-6246 Sex: Female 108C West Can Street Evening Phone: Race: Caucasian Carrboro NC 27510 Cell Phone: Township: Chapel Hill E-mail: jaimee.watts @gmail.com Date Applied: 05/16/2012 Skills: Nursing Profession Also Serves On: Mr. Alexander White Day Phone: 919-619-0331 Sex: Male 509 Highgrove Dr. Evening Phone: 919-619-0331 Race: African American Chapel Hill NC 27516 Cell Phone: Township: Chapel Hill E-mail: whiteforsophe @gmail.com Date Applied: 06/25/2012 Skills: Public Health Also Serves On: Dr. Dennis Williams Day Phone: 919-962-7122 Sex: Male 209 Lake Manor Road Evening Phone: 919-933-5408 Race: Other Chapel Hill NC 27516 Cell Phone: Township: Chapel Hill E-mail: dwilliams @unc.edu Date Applied: 05/16/2012 Skills: Also Serves On: Tuesday,August 28,2012 Page 2 of 3 9 Applicant Interest Listing by Board Name and by Applicant Name Contact Person: Lisa Smith Board of Health Contact Phone: 919-245-2411 Mrs. Megan Williams Day Phone: 919-240-4455 Sex: Female 205 Westside Drive Evening Phone: Race: Caucasian Chapel Hill NC 27516 Cell Phone: Township: Chapel Hill E-mail: mpwilliams @unc.edu Date Applied: 05/04/2012 Skills: Nursing Professor Also Serves On: Dr. Lisa Woolman Day Phone: 919 559-7117 Sex: Female 716 Bayberry Drive Evening Phone: 919 559-7117 Race: Caucasian Chapel Hill NC 27517 Cell Phone: Township: Chapel Hill E-mail: lisawoolman @gmail.com Date Applied: 08/20/2010 Skills: Veterinarian 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 Cell Phone: 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 Tuesday,August 28,2012 Page 3 of 3 10 Page 1 of 2 Dawn Brezina Volunteer Application Orange County Advisory Boards and Commissions Name: Dr. Dawn Brezina Name Called: Home Address: 2601 Red Hill Lane Hillsborough NC 27278 Phone: (Day) 252-315-4650 Phone: (Evening) Fax: Email: dawnbrezina @gmail.com Place of Employment: Durham Regional Hospital Job Title: Hospitalist Year of OC Residence: Township of Residence: Eno Zone of Residence: At-Large Sex: Female Ethnic Background: Caucasian Boards/Commissions applied for: Board of Health Work Experience: My employment has been as a physician in Internal Medicine. I have worked at academic/teaching institutions in North Carolina and in private practice. Presently I work as a hospital medicine physician for duke Health system at DRH. Volunteer Experience: I have participated on a variety of hospital committees and medicalmission trips. Over the years I have been president of the age-group swimming association and have sponsored foreigh exchange students. I also write a weekly health-education/advice column for the Wilson Daily Times (past 3-4 years). Education: Undergraduate, medical school, residency training in internal medicine (ABIM certification) Other Comments: My husband and I have lived in NC for 25 years and have been very busy during that time, working and raising four children (3 of the 4 now graduated from UNC-Chapel). feel that I now have the opportunity (time) to make some contributions to community. STAFF COMMENTS: Reapplied 6/14/2006 for Arts Commission, Commission for Environment, Commission for Women. Originally applied for Orange County Planning Board, Board of Health, and Hillsborough Planning Board. UPDATED APPLICATION 10/28/2010 FOR OC PLANNING BOARD. UPDATED APPLICATION 02/13/2012 FOR 11 Page 2 of 2 Dawn Brezina PLANNING BOARD.. ADDRESS VERIFICATION: 2601 Red Hil Lane is Orange County Jurisdiction, Eno Township. This application was current on: 2/13/2012 Date Printed: 8/28/2012 12 Page 1 of 1 Wendy Calvin Volunteer Application Orange County Advisory Boards and Commissions Name: Ms. Wendy Calvin Name Called: Home Address: 623 William Hooper Circle Hillsborough NC 27278 Phone: (Day) 919-630-1350 Phone: (Evening) Fax: Email: wcalvin@co.orange.nc.us Place of Employment: Orange County Animal Services Job Title: Office Assistant II Year of OC Residence: 2011 Township of Residence: Hillsborough Zone of Residence: Does not apply Sex: Female Ethnic Background: Caucasian Boards/Commissions applied for: Arts Commission Board of Health Work Experience: Public Service - library and health department. Private Sector - Bookstores, retail managment. Volunteer Experience: Program Coordinator assistant at Nursing Homes. Enviorn mental Awareness club President. Various Visual Arts programs. Education: Associates Degree Bachelors Degree completion in 2012 Other Comments: STAFF COMMENTS: 09/06 applied for Arts Commission, Animal Services Advisory Board, and Board of Health. ADDRESS VERIFICATION: 623 William Hooper Circle is Hillsborough Township ETJ. This application was current on: 9/6/2011 4:43:01 PM Date Printed: 8/28/2012 13 Page 1 of 2 Barbara Chavious Volunteer Application Orange County Advisory Boards and Commissions Name: Ms. Barbara Chavious Name Called: Home Address: 401 N Nash St Hillsborough NC 27278 Phone: (Day) 919-732-3469 Phone: (Evening) Fax: Email: Barbara_Chavious @unc.edu Place of Employment: Retired Job Title: Year of OC Residence: 1980 Township of Residence: Hillsborough Zone of Residence: Sex: Female Ethnic Background: Caucasian Boards/Commissions applied for: Board of Health Work Experience: 34 years in public health in NC; 12 as a regional consultant for the State Health Department, working in 8 local health departments; 22 at The UNC School of Public Health as Associate Director of an off-campus MPH, program in Health Administration as the School's alumni Director; as a continuing education specialst; and with the development of the NC Local Health Department Accreditation Program. Volunteer Experience: Former member-at-large on the Orange County Board of Health (1992-2000); Orange County Human Relations Commission member; OCIM volunteer; NC Public Health Assoc (member for 30 plus years; various leadership positions; American Public Health Association - member 30 years and representative from NCPHA on APHA's Governing Council for 9 years. Education: 1968 - BA - Psychology, Miami University, Oxford, Ohio; 1985 - MPH - Health Administration - UNC School of Public Health. Other Comments: I currently serve as a site visitor, representing Boards of Health for the NC Local Health Department Accreditation Program and during the past six years have served on over 15 site visit teams to other NC county Health Departments. STAFF COMMENTS: Updated application 06/16/2011 . Applied for Board of Health. ADDRESS JURISDICTION: 401 14 Page 2 of 2 Barbara Chavious Nash Street is HI Township. This application was current on: 6/16/2011 Date Printed: 8/28/2012 15 Page 1 of 2 Tamara Dempsey-Tanner Volunteer Application Orange County Advisory Boards and Commissions Name: Ms Tamara Dempsey-Tanner Name Called: Home Address: 9900 Leslie Dirve Chapel Hill NC 27516 Phone: (Day) 919-560-5600 Phone: (Evening) Fax: 919-560-5958 Email: tamaradt @yahoo.com Place of Employment: Children's Developmental Services Agency Job Title: Quality Assurance Coordinator Year of OC Residence: 1994 Township of Residence: Bingham Zone of Residence: Does not apply Sex: Female Ethnic Background: Caucasian Boards/Commissions applied for: Orange County Emergency Services Work Group Board of Health Board of Social Services Work Experience: Children's Developmental Services Agency 2004 to present Orange Co. Partnership for Young Children, 1999-2004 Injury Prevention Branch, NCDHHS, 1997-1999 UNC-Dept of Community Pediatrics, 1995-1997 Catawba County Health Department, 1986-1993 additional applicable experiences: Conducted over 200 presentations related to public health, injury prevention, early childhood education, program development/evaluation Adjunct instructor & content specialist with FEMA/National Fire Protection Agency, 1992- 1999 Public Information Officer (on-call) Emergency Management Department, Catawba County, 1988-1993 provided consultation on numerous early childhood education, injury prevention and public health related research efforts PT instructor UNCG Dept of Health & Human Performance; Catawba Valley Community College (Health & Safety) Volunteer Experience: 16 Page 2 of 2 Tamara Dempsey- Orange County Toys for Tots, 2000-present Orange Co. Partnership for Young Children, Allocations Committee, 2005 to present Orange County Preschool Interagency Committee, 2010-present NC Continuous Quality Improvement Committee (early intervention) NC Partnership for Children Evaluation Committee Triangle United Way Orange County (children and youth) Orange County Healthy Carolinians Orange County Safe Communities NFPA 1035 Public Fire Educator Professional Qualifications Committee Board Member: NC Public Health Association 1991-97 Education: M.Ed.: Public Health Education, UNC-G BS: Public Health Education, James Madison Univ. certification: Infant Toddler Family Specialist Other Comments: The spirit of community service is an imbedded characteristic since I was raised in a home where my father modeled community service for >40 years with the county fire and rescue service. As one who has worked my entire career in health and human services, I am automatically drawn and driven to contribute to these efforts. As an Orange County resident, I am committed to supporting efforts that enhance the effectiveness and efficiency of health and human service resources within our county. I would appreciate and value to serve our community in this capacity. STAFF COMMENTS: Originally applied for Orange County Emergency Services Work Group, Board of Health, Board of Social Services 1/4/2012. ADDRESS VERIFICATION: Leslie Drive is OC Jurisdiction, Orange Grove Fire Tax, Bingham Township. This application was current on: 1/4/2012 10:12:49 AM Date Printed: 8/28/2012 17 Page 1 of 1 Charles McMullen Volunteer Application Orange County Advisory Boards and Commissions Name: Mr. Charles McMullen Name Called: Home Address: 108 Jones Avenue Hillsborough NC 27278 Phone: (Day) 9197329083 Phone: (Evening) Fax: Email: cmcmullenl @nc.rr.com Place of Employment: retired Job Title: Year of OC Residence: 1993 Township of Residence: Hillsborough Zone of Residence: Does not apply Sex: Male Ethnic Background: Caucasian Boards/Commissions applied for: Nursing Home Community Advisory Committee Board of Health Work Experience: Almost 50 yrs in various fields of nsg. Volunteer Experience: Education: Other Comments: STAFF COMMENTS: Originally applied for Nursing Home Community Advisory Committee, Adult Care Home Community Advisory Committee, and Board of Health 02/10/2011 . ADDRESS VERIFICATION: 108 Jones Avenue is in Hillsborough Jurisdiction, Hillsborough Township. This application was current on: 2/10/2011 10:59:02 AM Date Printed: 8/28/2012 18 Page 1 of 1 Ken Morgan Volunteer Application Orange County Advisory Boards and Commissions Name: Mr Ken Morgan Name Called: Home Address: 2720 Buckboard Drive Hillsborough NC 27278 Phone: (Day) 919-218-8596 Phone: (Evening) Fax: Email: morgangk @juno.com Place of Employment: NAIFA North Carolina Job Title: Executive Director Year of OC Residence: 1982 Township of Residence: Eno Zone of Residence: - Sex: Male Ethnic Background: Caucasian Boards/Commissions applied for: Orange County Emergency Services Work Group Board of Health Work Experience: NAIFA North Carolina, 1995-present American Heart Association, NC, 1982-1993 Volunteer Experience: Past President, Virginia Association of Volunteer Rescue Squads; Member Hall of Fame and Life Member; Chairman, Orange County United Way; Board of Directors, Rotary International; Personnel Advisory Committee, Orange County Education: M.Ed., Virginia Commonwealth University Other Comments: STAFF COMMENTS: Originally applied for Human Services Advisory Commission 7/20/2006. Applied for Board of Health 8/13/08. Updated application for Board of Health 05/05/2011 . Applied for Orange County Emergency Services Work Group 01/02/2012. ADDRESS VERIFICATION: 2720 Buckboard Drive Hillsborough, NC 27278 is Eno Township, OCPL jurisdiction. This application was current on: 1/2/2012 12:00:33 PM Date Printed: 8/28/2012 19 Page 1 of 2 Marshall Morris Volunteer Application Orange County Advisory Boards and Commissions Name: Mr Marshall Morris Name Called: Home Address: 4620 Timberwood Trail, Timberwood Farms PO Box 165 Efland NC 27243 Phone: (Day) 919-824-0893 Phone: (Evening) Fax: Email: poems @mebtel.net Place of Employment: Retired-US Navy Administrative Officer & Carolina Job Title: Building Facilities Maintenance Year of OC Residence: Township of Residence: Cheeks Zone of Residence: At-Large Sex: Male Ethnic Background: Caucasian Boards/Commissions applied for: Board of Health Animal Services Advisory Board Work Experience: I am a retired thirty year Navy Medical Admin. Officer and Vietnam Veteran. I formerly was employed at the Sportsplex for two years and now work partime at the Carolina Fitness Center in Carrboro. Volunteer Experience: I am a Member of the Orange County Advisory Group for the County Sportsplex in Hillsborough. Chiarman Barry Jacobs asked me to apply for this fine position on the Planning Board for Orange County. Education: Middletown, NY High School - "63 AA, Business Administration, Trenton, NJ '65 BA, Business Administration, Kent State, Kent, Ohio '73 Other Comments: I was on the forefront in quietly assisting the County with the vast purchase of the Sportsplex by offering up heads up information to assure a smooth and reliable take over Ethan Vance (the Sellor) by the County for the population for our Orange County residents. I have some ideas that could increase the revenues cycle and we need to make our county resident aware of the facility with perhaps a county wide campaign. Thanks for considering my request to be on this most important County Board and I feel 20 Page 2 of 2 Marshall Morris that I would be of assistance to the other Board members and citizens of our Orange County. STAFF COMMENTS: Originally applied for Sportsplex Community Advisory Committee 7/20/2006. Originally applied fo Orange County Planning Board and Board of Health 2/1/2008, UPDATED INTEREST FOR PLANNING BOARD 04/14/2011 . UPDATED INTEREST FOR PLANNING BOARD 04/30/2012. ADDRESS VERIFICATION: 4620 Timberwood Trail in Orange County in Cheeks Township, Agricultural Residential This application was current on: 4/30/2012 Date Printed: 8/28/2012 21 Page 1 of 1 Danielle Mosley Volunteer Application Orange County Advisory Boards and Commissions Name: Miss Danielle Mosley Name Called: Home Address: 476 Melanie Court Chapel Hill NC 27514 Phone: (Day) 919-309-5685 Phone: (Evening) Fax: Email: Dlynnm26 @gmail.com Place of Employment: Job Title: Year of OC Residence: 2011 Township of Residence: Chapel Hill Zone of Residence: C.H. City Limits Sex: Female Ethnic Background: Caucasian Boards/Commissions applied for: Adult Care Home Community Advisory Committee Board of Health Agricultural Preservation Board Work Experience: Club Nova Volunteer Experience: Club Nova Education: Attending school for ged Other Comments: STAFF COMMENTS: Applied for Adult Care Home Community Advisory Committee, Board of Health, and Agricultural preservation Board on 06/26/2012. ADDRESS VERIFICATION: Melanie Court is Chapel Hill Township, Chapel Hill Town Limits. This application was current on: 6/26/2012 11:06:45 AM Date Printed: 8/28/2012 22 Page 1 of 2 Vince Stevens Volunteer Application Orange County Advisory Boards and Commissions Name: Mr. Vince Stevens Name Called: Home Address: 101 Camille Ct Chapel Hill NC 27516 Phone: (Day) 919-923-2561 Phone: (Evening) Fax: Email: vstevens @nc.rr.com Place of Employment: NC Office of Rural Health Job Title: Business Officer - Retired Year of OC Residence: 1989 Township of Residence: Chapel Hill Zone of Residence: Sex: Male Ethnic Background: Caucasian Boards/Commissions applied for: Board of Health Work Experience: Business Officer North Carolina Office of Rural Health and Community Care 2006 - 2010. Responsibilities include development, implementation and assessment of strategies for improving prescription drug access for North Carolina residents. Advisor on all pharmaceutical issues to assure financial and programmatic compliance with programs. Clinical Pharmacist, Team Lead for Point of Sale & Drug Rebate North Carolina Office of Medicaid Management Information Systems 2005 -2006. Responsibilities include Affiliated Computer Services RFP deliverable requirements, Design, Construction, System and Integration Testing, User Acceptance Testing, Readiness Testing, Implementation and Post Implementation. Strategic National Stockpile Coordinator North Carolina Public Health Preparedness and Response 2004 - 2005. Statewide responsibility for implementation of the Department of Homeland Security and the Centers for Disease Control and Prevention Strategic National Stockpile Program. Community Consultant NC Office of Rural Health, 2003 -2004. Administrative support for North Carolina Senior Care Program and Prescription Assistance Programs in partnership with County Health Departments and Senior Centers Clinical Manager Advance PCS, Chapel Hill, NC 1997 -2003. Clinical and administrative support for Pharmacy Benefit Management clients. Successfully expanded sales to existing clients through relationship-building and demonstrating a thorough knowledge of products that gave credibility to product recommendations. Client base consisting of Managed Care, Employer groups, Government including Medicaid, and Blue Cross Blue Shield programs. Pharmacy Account Manager First Health Services Corporation - 23 Page 2 of 2 Vince Stevens Chapel Hill, NC 1995 - 1997. Administrative responsibility for North Carolina State Health Plan, North Carolina and Tennessee TennCare Medicaid Programs and Blue Cross of Northeastern Pennsylvania. District Manager - Revco Drug Stores Oklahoma, Michigan, North Carolina 1973 -1994. Responsibility for retail store operations including profit & loss responsibility, training sales staff in merchandising and sales strategies, advertising and inventory control, gross margin management, human resources and personnel issues. Supervised 240 employees and 68 pharmacist Middle Management Experience Pharmacy positions at Wal-Mart, and SuperX Volunteer Experience: Chapel Hill Crime Task Force (several years ago) Education: Bachelor of Science Pharmacy, The Ohio State University Licensed Registered Pharmacist in: OH, NC Other Comments: Orig.app.11/17/99 for Board of Health, Pharmacist Position STAFF COMMENTS: Applied 5/7/2010 for Advisory Board on Aging, Adult Care Home Community Advisory Committee, Board of Health. ADDRESS VERIFICATION: 101 Camille Ct, Chapel Hill is in Chapel Hill Township, Chapel Hill Town Limits. UPDATED APPLICATION 05/02/2012 FOR BOARD OF HEALTH. This application was current on: 5/1/2012 Date Printed: 8/28/2012 24 Page 1 of 1 Jaimee Watts Volunteer Application Orange County Advisory Boards and Commissions Name: Ms. Jaimee Watts Name Called: Home Address: 108C West Carr Street Carrboro NC 27510 Phone: (Day) 828-381-6246 Phone: (Evening) Fax: Email: jaimee.watts @gmail.com Place of Employment: UNC Medical Center Job Title: RN, BSN, ICU Nurse Year of OC Residence: 2009 Township of Residence: Chapel Hill Zone of Residence: Carrboro City Limits Sex: Female Ethnic Background: Caucasian Boards/Commissions applied for: Board of Health Chapel Hill Parks and Recreation Commission Carrboro Recreation and Parks Commission Work Experience: 3 Years as a Nurse at UNC, tow in trauma and one in critical care (SICU) Volunteer Experience: Orange County Public Health Reserve Corps; CERT (Community Emergency Response Team) training; Carrboro Rec and Parks Committee, Healthy Carolinians Education: BSN in nursing with plans for a Masters in either Public Health Nursing or Nutrition Other Comments: STAFF COMMENTS: Applied 4/29/2010 for Board of Health, Chapel Hill Parks & Recreation Commission and Carrboro Recreation and Parks Commission. ADDRESS VERIFICATION: 108 C W Carr Street is Chapel Hill Township, Carrboro City Limits. UPDATED APPLICATION 04/30/2012 TO INCLUDE THE BOARD OF HEALTH. UPDATED APPLICATION 05/16/2012 TO INCLUDE BOARD OF HEALTH AND CHANGE OF ADDRESS. This application was current on: 5/16/2012 Date Printed: 8/28/2012 25 Page 1 of 1 Dennis Williams Volunteer Application Orange County Advisory Boards and Commissions Name: Dr. Dennis Williams Name Called: Home Address: 209 Lake Manor Road Chapel Hill NC 27516 Phone: (Day) 919-962-7122 Phone: (Evening) Fax: 919-962-0644 Email: dwilliams @unc.edu Place of Employment: University of North Carolina Job Title: Associate Year of OC Residence: Township of Residence: Chapel Hill Zone of Residence: Carrboro City Limits Sex: Male Ethnic Background: Other Boards/Commissions applied for: Board of Health Work Experience: Volunteer Experience: Education: Other Comments: STAFF COMMENTS: Applied 05/16/2012 for Board of Health. ADDRESS VERIFICATION: 269 Lake Manor Road is Chapel Hill Township, Carrboro City Limits. This application was current on: 5/16/2012 9:33:52 PM Date Printed: 8/28/2012 26 Page 1 of 1 Megan Williams Volunteer Application Orange County Advisory Boards and Commissions Name: Mrs. Megan Williams Name Called: Home Address: 205 Westside Drive Chapel Hill NC 27516 Phone: (Day) 919-240-4455 Phone: (Evening) Fax: Email: mpwilliams @unc.edu Place of Employment: unc-ch school of nursing Job Title: clinical assistant professor Year of OC Residence: 2009 Township of Residence: Chapel Hill Zone of Residence: Does not apply Sex: Female Ethnic Background: Caucasian Boards/Commissions applied for: Board of Health Work Experience: Clinical Assistant Professor UNC-Chapel Hill 2003-current Nurse Practitioner MinuteClinic 2008-current Nurse Practitioner DUMC 2002-2006 Volunteer Experience: Association of Nursing Students faculty Advisor North Carolina Nurses Association member 1998-current North Carolina Nurses Association Triangle Region President Education: AS Peace College Raleigh, NC 1995 BSN UNCW Wilmington, NC 1998 MSN Duke University 2002 Other Comments: STAFF COMMENTS: Originally appled for Board of Health 06/06/2010. ADDRESS VERIFICATION: 205 Westside Drive is in Chapel Hill Township, Chapel Hill Town Limits.. UPDATED APPLICATION 05/04/2012 For Board of Health. This application was current on: 5/4/2012 Date Printed: 8/28/2012 27 Page 1 of 1 Lisa Woolman Volunteer Application Orange County Advisory Boards and Commissions Name: Dr. Lisa Woolman Name Called: Home Address: 716 Bayberry Drive Chapel Hill NC 27517 Phone: (Day) 919 559-7117 Phone: (Evening) Fax: Email: lisawoolman @gmail.com Place of Employment: Self - Lighthouse Veterinary Imaging Job Title: Veterinary Radiologist Year of OC Residence: 2008 Township of Residence: Chapel Hill Zone of Residence: - Sex: Female Ethnic Background: Caucasian Boards/Commissions applied for: Board of Health Work Experience: I am a small business owner of a mobile veterinary imaging company based in Chapel Hill. Prior to this position, I was a veterinary radiology resident at North Carolina State University. Volunteer Experience: I am currently a volunteer with Independent Animal Rescue, a group that provides foster care for adoptable dogs and cats. The group is also working on feral cat control measures. Education: I have a DVM degree from The University of Tennessee College of Veterinary Medicine. I completed a 1 year internship at the University of Pennsylvania. I also completed a 4 year residency at NCSU. I have a veterinary license in North Carolina and am a Other Comments: I am especially interested in continuing the Board's work to provide solutions to the regions pet overpopulation challenges. STAFF COMMENTS: Originally applied for Boad of Health and Animal Services Advisory Board 8/20/2010. ADDRESS VERIFICATION: 716 Bayberry Drive is in Chapel Hill Township and Chapel Hill ETJ. This application was current on: 8/20/2010 12:11:43 AM Date Printed: 8/28/2012 28 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) 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 Boards/Commissions applied for: 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: 8/28/2012