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Home My WebLink AboutAgenda - 10-07-2014-11aORANGE COUNTY BOARD OF COMMISSIONERS ACTION AGENDA ITEM ABSTRACT Meeting Date: October 7, 2014 SUBJECT: Advisory Board on Aging — Appointments DEPARTMENT: Board of Commissioners ATTACHMENT(S): Under Separate Cover Membership Roster Recommendations Applications for Persons Recommended Applicant Interest List Applications for Persons on the Interest List Action Agenda Item No. 11 -a PUBLIC HEARING: (Y /N) No INFORMATION CONTACT: Clerk's Office, 245 -2130 PURPOSE: To consider making appointments to the Advisory Board on Aging. BACKGROUND: The following information is for Board consideration: • Appointment to a second full term (Position #1) At -Large for Dr. Donna Prather expiring 06/30/2017. • Appointment to a first full term (Position #2) At -Large for Dr. Anthony John Vogt expiring 06/60/2017 • Appointment to a second full term (Position #12) At -Large for Mr. Keith Cook expiring 06/30/2017. POSITION NO. NAME SPECIAL REPRESENTATIVE EXPIRATION DATE 1 Dr. Donna Prather At-Large 06/30/2017 2 Dr. Anthony John Vogt At-Large 06/30/2017 12 Mr. Keith Cook At -Large 06/30/2017 NOTE - If the individuals listed above are appointed, the following vacancies remain: • Position #7 - -- "At- Large" position - - - -- expiring 06/30/2017. FINANCIAL IMPACT: None. RECOMMENDATION(S): The Board will consider making appointments to the Advisory Board on Aging. Advisory Board on Aging L 2 Board and Commission Members And Vacant Positions Meeting Times: 1:00 PM second Tuesday Terms: 2 Contact Person: Janice Tyler Meeting Place: Cntrl Orange Senior Cntr &Seymour Cntr Positions: 12 Length: 3 years Contact Phone: 919- 245 -4255 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 charged with promoting needed services, programs and funding that impacts the older citizens. Dr. Donna Prather 107 -A Spring Valley Road Carrboro NC 27510 Mr. Leo Allison 4125 Marvin Lane Efland NC 27243 Day Phone: 919 929 -3375 Evening Phone: 919 929 -3375 FAX: E -mail: dprather @bellsouth.net Day Phone: 919- 563 -9110 Evening Phone: FAX: E -mail: lele2(a�mebtel.net Sex: Female Race: Caucasian Township: Chapel Hill Resid/Spec Req: At -Large Special Repr: Sex: Male Race: African American Township: Cheeks Resid/Spec Req: At -Large Special Repr: First Appointed: 05/15/2012 Current Appointment: 05/15/2012 Expiration: 06/30/2014 Number of Terms: 1 First Appointed: 09/09/2008 Current Appointment: 09/20/2011 Expiration: 06/30/2014 Number of Terms: 2 Ms. Virginia M. Brown Day Phone: 919 -945 -1492 Sex: Female First Appointed: 01/24/2013 Evening Phone: Race: Native American Current Appointment: 01/24/2013 3 103 Driskel Court FAX: Township: Chapel Hill Expiration: 06/30/2015 Chapel Hill NC 27517 E -mail: vbrown852 @nc.mcom Resid/Spec Req: Chapel Hill Town Li Number Of Terms: 1 Special Repr: Dr. Richard White Day Phone: 919 732 8527 Sex: Male First Appointed: 09/18/2012 Evening Phone: Race: Caucasian Current Appointment: 09/18/2012 4 4901 Schley Rd FAX: Township: Little River Expiration: 06/30/2015 Hillsborough NC 27278 E -mail: rwhite @duke.edu Resid/Spec Req: At -Large Number of Terms: 1 Special Repr: Ms. Heather Altman Day Phone: 919 -918 -2609 Sex: Female First Appointed: 01/27/2009 Chair Evening Phone: 919- 928 -9822 Race: Caucasian Current Appointment: 06/19/2012 5 109 Sunset Ridge Lane FAX: 919- 969 -2507 Township: Chapel Hill Expiration: 06/30/2015 Chapel Hill NC 27516 E -mail: haltman(a�carolwoods.org Resid/Spec Req: Carrboro Town Limit Number Of Terms: 2 Special Repr: Monday, September 15, 2014 Page 1 Board and Commission Members And Vacant Positions Advisory Board on Aging Meeting Times: 1:00 PM second Tuesday Terms: 2 Contact Person: Janice Tyler Meeting Place: Cntrl Orange Senior Cntr &Seymour Cntr Positions: 12 Length: 3 years Contact Phone: 919- 245 -4255 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 charged with promoting needed services, programs and funding that impacts the older citizens. Mr Elijah (Ed) Flowers, HI Day Phone: 919- 357 -9256 Sex: Male First Appointed: 01/20/2011 Evening Phone: 919- 357 -9256 Race: Caucasian Current Appointment: 05/21/2013 6 2813 Beckett's Ridge Drive FAX: Township: Hillsborough Expiration: 06/30/2016 Hillsborough NC 27278 E -mail: ed_ flowers @yahoo.com Resid/Spec Req: Hillsboro Twn Limits Number Of Terms: 2 Special Repr: Ms. Thelma Perkins Day Phone: 919 - 918 -3601 Sex: Female First Appointed: 09/09/2008 Evening Phone: Race: African American Current Appointment: 09/20/2011 7 750 Weaver Dairy Road # 13 15 FAX: Township: Chapel Hill Expiration: 06/30/2014 Chapel Hill NC 27514 E -mail: Resid/Spec Req: At -Large Number of Terms: 2 Special Repr: Mr. Daniel Hatley Day Phone: 919 -200 -0822 Sex: Male First Appointed: 09/18/2012 Evening Phone: 309 - 252 -1169 Race: Caucasian Current Appointment: 09/18/2012 8 317 W. University FAX: 888- 514 -4878 Township: Chapel Hill Expiration: 06/30/2015 Chapel Hill NC 27516 E -mail: dan @hatleylawoffice.com Resid/Spec Req: At -Large Number of Terms: 1 Special Repr: Mr. Lorenzo Mejia Day Phone: 919 - 338 -2183 Sex: Male First Appointed: 01/24/2013 Evening Phone: Race: Hispanic Current Appointment: 01/24/2013 9 119 Summergate Circle FAX: Township: Chapel Hill Expiration: 06/30/2015 Chapel Hill NC 27516 E -mail: lorenzo(OAcomHCS.com Resid/Spec Req: At -Large Number of Terms: 1 Special Repr: Dr. Margaret Cohn Day Phone: 9199183698 Sex: Female First Appointed: 02/04/2014 Evening Phone: 9199183698 Race. Caucasian Current Appointment: 02/04/2014 10 750 Weaver Dairy Road #110 FAX: Township: Chapel Hill Expiration: 06/30/2016 Chapel Hill NC 27514 E -mail: peggycohn38(a�gmail.com Resid/Spec Req: At -Large Number of Terms: 1 Special Repr: Monday, September 15, 2014 Page 2 Board and Commission Members And Vacant Positions Advisory Board on Aging Meeting Times: 1:00 PM second Tuesday Terms: 2 Contact Person: Janice Tyler Meeting Place: Cntrl Orange Senior Cntr &Seymour Cntr Positions: 12 Length: 3 years Contact Phone: 919- 245 -4255 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 charged with promoting needed services, programs and funding that impacts the older citizens. CDR Alexander Castro Jr 11 Vice -Chair 5915 Morrow Mill Road Chapel Hill NC 27516 12 Mr. Keith Cook 419 Calvary Court Hillsborough NC 27278 Day Phone: 919 - 619 -1510 Evening Phone: 919- 929 -6368 FAX: E -mail: alexcastrojr @hotmail.com Day Phone: 919 - 644 -1886 Evening Phone: 919- 644 -1884 FAX: E -mail: kdc52(a�aol.com Sex: Male Race: Caucasian Township: Bingham Resid/Spec Req: At -Large Special Repr: Sex: Male Race: African American Township: Cedar Grove Resid/Spec Req: At -Large Special Repr: First Appointed: 01/20/2011 Current Appointment: 05/21/2013 Expiration: 06/30/2016 Number of Terms: 2 First Appointed: 04/17/2012 Current Appointment: 04/17/2012 Expiration: 06/30/2014 Number of Terms: Monday, September 15, 2014 Page 3 Thom Freeman From: Janice Tyler Sent: Wednesday, August 27, 2014 2:29 PM To: Thom Freeman Cc: Kathie Kearns; Donna Baker Subject: Reappointments to the Aging Board Good Afternoon, The Aging Board would like to recommend that Donna Prather and Keith Cook be reappointed for a second term. With these reappointments it means that we have one vacancy on the board. The September board meeting is going to be a joint meeting with the Nursing Nome and Adult Care CACs to review a long -term care study that was completed this summer by one of our interns. We know that we have several applicants for the one vacancy. Those persons will be invited to our October board meeting. Let me know if you have any questions and thanks for your assistance in getting Donna and Keith reappointed. Thanks, Janice Tyler Director Orange County Department on Aging 2551 Homestead Road I Chapel Hill, NC 27516 919.245.4255 j www.orangecountVnc.gov /aging Endless possibilities! iN C � Orange County Department on Ails Thom Freeman Front: Janice Tyler Sent: Friday, September 26, 2014 7:36 PM To: Thorn Freeman Cc: Kathie Kearns; Mary Fraser, Donna Baker Subject: Appointment recommendation for tar. John Vogt Attachments: Recommendation letter for Dr. Vogt,pdf Good Evening Thom, Attached is a recommendation letter for Dr. Vogt to be appointed to Advisory Board on Aging. Thanks and have a great weekend! Janice Tyler Director Orange County Department on Aging 2551 Homestead Road j Chapel Hill, NC 27516 919.245.4255 1 www.orangecountVnc.gov /aging IN �, Endless possibilities! Orange (ount Department on Aging Page 1 of 1 Donna Prather Volunteer Application Orange County Advisory Boards and Commissions Name: Name Called: Home Address: Phone (Day): Phone (Evening) Phone (Cell): Email: Place of Employment: Job Title: Year of OC Residence: Dr. Donna Prather 107 -A Spring Valley Road Carrboro NC 27510 919 929 -3375 919 929 -3375 dprather @bellsouth.net OPC Area Program Medical Director 1981 Township of Residence: Chapel Hill Zone of Residence: Carrboro City Limits Sex: Female Ethnic Background: Caucasian Community Activities /Organizational Memberships: Past Service on Orange County Advisory Boards: Boards /Commissions applied for: Supplemental Questions: 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: 12/31/2013 Page 1 of 2 Anthony John Vogt Volunteer Application Orange County Advisory Boards and Commissions Name: Name Called: Home Address: Phone (Day): Phone (Evening) Phone (Cell): Email: Place of Employment: Job Title: Year of OC Residence: Dr. Anthony John Vogt 713 W. Barbee Chapel Road Chapel Hill NC 27517 919- 929 -8646 919- 929 -8646 ajvogt@earthlink.net Retired - School of Government, UNC -CH Adjunct Professor 1973 Township of Residence: Chapel Hill Zone of Residence: Chapel Hill Township within C.H. city limits Sex: Male Ethnic Background: Caucasian Community Activities /Organizational Memberships: Past Service on Orange County Advisory Boards: Vice Chair of Orange County Adult Care Home Community Advisory Committee. Boards /Commissions applied for: Advisory Board on Aging Background, education and experience relevant to this board: I have an interest in aging issues. This arise experience of my wife and I taking care of my mother. Besides service on the Adult Care Home Advisory Committee and prior service on the County Nursing Home Community Advisory Committee, I currently volunteer at Signature (formerly Chapel Hill Rehab) Nursing Home in Chapel Hill. Reasons for wanting to serve on this board: The Advisory Board on Aging plays a key advisory role in the county on aging issues. Home health care for the aging is very important, and neither the Adult Care Home nor the Nursing Home committees address home health care for the aging in a major way. The County Advisory Board on Aging can do this. Conflict of Interest: However, my wife and I are on the waiting list for the Carol Woods continuing Care Community. Supplemental Questions: Work Experience: I currently serve on the Human Relations Commission and wish to continue serving on that Commission. I've been on the HRC for several years now and feel I'm making a contribution. I've recently retired to Adjunct Professor status at the School of Government of UNC. Because of this, I have more time to devote to volunteer work and can serve on a second county committee. In the past, I served on the Nursing Page 2 of 2 Anthony John Vogt Home Committee, found the experience to be rewarding, and feel that I made a valuable contribution. I would like to serve on either the Adult Care Home Committee or return to the Nursing Home Committee. My first choice is the Adcult Care Home committee. It has more vacancies, and there is less regulation than for nursing homes; this makes service on the adult care home committee to be potentially useful. 08/20/2012 UPDATE: Faculty, School of Government, UNC -CH 1973 - 2009; Budget Analyst, State Budget Office, Wisconsin 1968 -1972 Volunteer Experience: Nursing Home Community Advisory Committee (2000- 2006). Served about five years, including as chair of the committee for one year or so. Human Relations Commission: (2006- 2012). UNC Health Care, ACC, (2011- 2012); Kindred Nursing Home (2011 -2012) Education: Ph.D., Cornell University, 1973; Court work at Cornell 1968 -1970 MPIA, University of Pittsburgh, 1965 B. S., Georgetown University, 1963 Other Comments: The residents of adult care and nursing homes are too often neglected. Care in such facilities too often falls short of acceptable standards. Since leaving the Nursing Home Advisory Committee several years ago, I have continued to visit one or two friends. 08/20/2012: 1 have interest that is strong in care for elderly. Served as Chair of Nursing Home Committee for a year or two. STAFF COMMENTS: Reapplied 7/3/2005 for HRC Adult Care Home Community Advisory Committee and OPC Area Board. App. 1/12/2000 for Innovation and Efficiency Committee; REAOPPLIED FOR ADULT CARE COME COMMUNITY ADVISORY COMMITTEE 08/20/2012. ADDRESS VERIFICATION: 713 W. Barbee Chapel Road is Chapel Hill Jurisdiction; Chapel Hill Town Limits. Previous address -402 Yorktown Drive Chapel Hill. Updated application 09/24/2014. This application was current on: 9/24/2014 Date Printed: 9/29/2014 Page 1 of 1 Keith Cook Volunteer Application Orange County Advisory Boards and Commissions Name: Name Called: Home Address: Phone (Day): Phone (Evening) Phone (Cell): Email: Place of Employment: Job Title: Year of OC Residence: Mr. Keith Cook 419 Calvary Court Hillsborough NC 27278 919- 644 -1886 919- 644 -1884 kdc52 @aol.com Retired Township of Residence: Cedar Grove Zone of Residence: At -Large Sex: Male Ethnic Background: African American Community Activities /Organizational Memberships: Past Service on Orange County Advisory Boards: Boards /Commissions applied for: Supplemental Questions: 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 6/23/2004, he renewed his app. For the Ag. Center Work Group as a rep. from the EDC. Renewed app. 7/27/01 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: 12/31/2013 Applicant Interest Listing Advisory Board on Aging by Board Name and by Applicant Name Contact Person: Janice Tyler Contact Phone: 919 - 245 -4255 Ms. Susan Adams Day Phone: 919 - 357 -5541 Sex: Female 211 Hogan Woods Circle Evening Phone: 919 - 357 -5541 Race: Caucasian Chapel Hill NC 27516 Cell Phone: Township: Chapel Hill E -mail: jaseradams@gmail.com Date Applied: 10/07/2013 Skills: Consultant Also Serves On: Dr. Mary Altpeter Day Phone: 919 - 966 -0499 Sex: Female 1613 Providence Glen Drive Evening Phone: 919 - 942 -8273 Race: Caucasian Chapel Hill NC 27514 Cell Phone: Township: Chapel Hill E -mail: mary _altpeter @unc.edu Date Applied: 01/16/2013 Skills: Research Associate Also Serves On: Ms Rosie Benzonelli 837 Kenmore Rd Chapel Hill NC 27514 Skills: Guardian ad litem Skills: Hospice Volunteer Ms. Teri J. Driscoll 422 Hampton Pointe Hillsborough NC 27278 Skills: Office Manager Skills: Recreational Activities Director Mrs. Jerry Ann Gregory 2224 Lebanon Rd Efland NC 27243 Skills: Public Health Skills: Registered Nurse Day Phone: 919 - 923 -7673 Evening Phone: 919 - 923 -7673 Cell Phone: E -mail: rbenzonelli@gmail.com Also Serves On: Also Serves On: Sex: Female Race: Caucasian Township: Chapel Hill Date Applied: 06/27/2013 Day Phone: 919 - 245 -1127 Sex: Female Evening Phone: 919 - 245 -1127 Race: Caucasian Cell Phone: 919 - 923 -3336 Township: Hillsborough E -mail: drisco11323gnc.rr.com Date Applied: 08/27/2014 Also Serves On: Nursing Home Community Advisory Committee Day Phone: 919 - 644 -8172 Evening Phone: 919 - 644 -8172 Cell Phone: 919 - 810 -4397 E -mail: harleyphn@yahoo.com Also Serves On: Also Serves On: Sex: Female Race: Caucasian Township: Cheeks Date Applied: 01/06/2014 Monday, September 29, 2014 Page 1 of 4 Applicant Interest Listing Advisory Board on Aging by Board Name and by Applicant Name Contact Person: Janice Tyler Contact Phone: 919 - 245 -4255 Ms. Carolyn Helfrich Day Phone: 757- 871 -6092 Sex: Female 1233 Highland Loop Evening Phone: Race: Other Hillsborough NC 27278 Cell Phone: Township: Hillsborough E -mail: Carolyn.helfrich@gmail.com Date Applied: 07/10/2013 Skills: Social Work Also Serves On: Skills: Teacher Also Serves On: Ms. Sandra Jones 600 West Poplar Ave., Apt. 239 Carrboro NC 27510 Skills: Skills: Geriatric Care Skills: Nurse Mrs Janice Laube 6826 Carol Lane Hillsborough NC 27278 Skills: Farmer Emily Lees 1516 Cumberland Rd Chapel Hill NC 27514 Skills: Skills: Arts Skills: Professor Ms. Jilan Li 734 Providence Glen Drive Chapel Hill NC 27514 Skills: Day Phone: 828- 668 -9628 Sex: Female Evening Phone: Race: Caucasian Cell Phone: 828- 712 -2362 Township: Chapel Hill E -mail: None Date Applied: 01/22/2013 Also Serves On: Nursing Home Community Advisory Committee Day Phone: 919 - 219 -4140 Evening Phone: Cell Phone: E -mail: jrlaube@embargmail.com Also Serves On: Day Phone: 919 960 3737 Evening Phone: 919 960 3737 Cell Phone: 919 593 2004 E -mail: emilylees@bellsouth.net Also Serves On: Also Serves On: Arts Commission Day Phone: 919 - 806 -5154 Evening Phone: 919 - 806 -5154 Cell Phone: 919 - 317 -2635 E -mail: chulan46@hotmail.com Also Serves On: Sex: Female Race: Caucasian Township: Little River Date Applied: 02/14/2011 Sex: Female Race: Caucasian Township: Chapel Hill Date Applied: 07/21/2014 Sex: Female Race: Asian American Township: Chapel Hill Date Applied: 07/31/2014 Monday, September 29, 2014 Page 2 of 4 Applicant Interest Listing Advisory Board on Aging Mr. Winston Liao 126 Fern Lane Chapel Hill NC 27514 Skills: Public Health Ms. Karen Metzguer 507 Gwen Road Hillsborough NC 27278 Skills: Executive Director Skills: Nurse Mr. Frank Montes de Oca 423 Joyce Road Hillsborough NC 27278 Skills: Aging Issues Skills: Emergency Manager Skills: Paramedic Thomas ODwyer 105 Boulder Lane Chapel Hill NC 27514 Skills: Ms. Deborah Rider 2314 Red Oak CT. Hillsborough NC 27278 Skills: Care Provider Skills: Community Planning Skills: Social Work Day Phone: 919 929 3123 Evening Phone: Cell Phone: E -mail: Also Serves On: by Board Name and by Applicant Name Contact Person: Janice Tyler Contact Phone: 919 - 245 -4255 Day Phone: 919 - 619 -6332 Evening Phone: 919 - 241 -4402 Cell Phone: E -mail: kmetzguer @gmail.com Also Serves On: Also Serves On: Day Phone: 321 - 624 -1898 Evening Phone: 321 - 624 -1898 Cell Phone: E -mail: frml@me.com Also Serves On: Also Serves On: Also Serves On: Sex: Male Race: Asian American Township: Chapel Hill Date Applied: 01/16/2013 Sex: Female Race: Caucasian Township: Hillsborough Date Applied: 10/15/2013 Sex: Male Race: Hispanic Township: Hillsborough Date Applied: 08/30/2013 Day Phone: 919 - 906 -0581 Sex: Male Evening Phone: 919 - 942 -7244 Race: Caucasian Cell Phone: 919 - 906 -0581 Township: Chapel Hill E -mail: greenbuilder4us@aol.com Date Applied: 12/17/2013 Also Serves On: Day Phone: 919 - 818 -6489 Sex: Female Evening Phone: 919 - 732 -9476 Race: Caucasian Cell Phone: Township: Hillsborough E -mail: driderl736@gmail.com Date Applied: 04/26/2012 Also Serves On: Adult Care Home Community Advisory Committee Monday, September 29, 2014 Page 3 of 4 Applicant Interest Listing by Board Name and by Applicant Name Advisory Board on Aging Contact Person: Contact Phone: Janice Tyler 919 - 245 -4255 Deborah Stewart Day Phone: 919 - 210 -4857 Sex: Female 1405 Buckhorn Rd. Evening Phone: 919 - 210 -4857 Race: Caucasian Mebane NC 27302 Cell Phone: 919 - 210 -4857 Township: Cheeks E -mail: deb.k.stewartggmail.com Date Applied: 07/21/2014 Skills: Also Serves On: Dr. Anthony John Vogt Day Phone: 919 - 929 -8646 Sex: Male 713 W. Barbee Chapel Road Evening Phone: 919 - 929 -8646 Race: Caucasian Chapel Hill NC 27517 Cell Phone: Township: Chapel Hill E -mail: ajvogtgearthlink.net Date Applied: 09/24/2014 Skills: Budget Analysis Also Serves On: Adult Care Home Community Advisory Committee Skills: Professor Monday, September 29, 2014 Page 4 of 4 Page 1 of 2 Susan Adams Volunteer Application Orange County Advisory Boards and Commissions Name: Name Called: Home Address: Phone (Day): Phone (Evening): Phone (Cell): Email: Place of Employment: Job Title: Year of OC Residence: Ms. Susan Adams 211 Hogan Woods Circle Chapel Hill NC 27516 919 -357 -5541 919- 357 -5541 jaseradams @gmaii.com Self - employed Consultant i1111I*1! Township of Residence: Chapel Hill Zone of Residence: Carrboro City Limits Sex: Female Ethnic Background: Caucasian Boards /Commissions applied for: Advisory Board on Aging I am energized by solving problems and taking on challenges. With over 1 person turning 50 every second due to the dramatic achievements in public health, Orange County is poised to see a 67% increase in persons over 65 and a 43% increase in persons over 85 in the next 10 years. This trend continues through 2030 when persons over 65 will again increase by 42% and over 85 by 70 %. Orange county is a leader in serving its senior population and I want to contribute to preparing and meeting these needs throughout the next 20 years, Although I worked as a chemical engineer for 15 years, I recently returned to school to get a BA in Multidisciplinary studies, with an emphasis on social sciences and the Socio- Ecological Model which shows that the health of an individual is based not just on the person but withing the greater context of his relationships, his community and his society. Because of my interest in the aging process, I am currently completing a Masters in Gerontology from the University of Southern California. Through this program I have been able to receive the training and tools that will aid me in pursuing my goal of improving the disparity in the aging experience between the different economic classes. The research area where I am basing my concentration consists of early depression intervention for the home caregiver. Many home caregivers are thrust into their duties with little to no training and as more residents, especially in the rural areas, are deciding to age in place there will be a need for increased programs to address the adult child or spousal caregiver, many of whom are over 50. I am excited to be beginning this new phase of my life as I turn 50, and consider myself to be a life -long learner who believes that we are all part of something larger and there is purpose to all our lives. My belief system influences all I do and I value responsibility and high ethical standards. I Page 2 of 2 believe that the strategic methods of problem solving I utilized as an engineer allows me to find and evaluate alternatives and seek innovative ways to get things done. I believe in community involvement as I was a member of the School Improvement Team (SIT) committee for McDougle Middle School for 2 years, worked as a volunteer at the Chapel Hill Museum for 3 years, and have been a member of the MAC - Mandarin Advisory Council for the dual language program in CHCCS since it began and my daughter has been part of the program for the past 8 years. As my children are growing up and moving on to new goals, 1 feel that I too must focus my time and energies on the future. I appreciate your time in considering me for this position. Nursing Homo Community Advisory Committee I am graduating with my Masters of Arts in Gerontology in May 2014 from the University of Southern California. My BS is multi disciplinary in psychology and public health. My concentration of study is in environmental interventions to decrease agitation in persons with dementia. I currently volunteer at Galloway Ridge and care part time for my elderly parents who I relocated to Chatham County in 2008. Susan Adams Community ActivitieslOrganizational Memberships: IFC - Orange County Homeless Shelter, Galloway Ridge - Volunteer, Care Ministry - Newman Center, Coastal Pines of North Carolina - troop 862 - Adult Volunteer, Treasurer 2007 -2012, AARP, GSA - Gerontological Society of America MAC Committee - Mandarin Advisory Council for the Dual Language Program for Chapel Hill Carrboro City School District, Newman center outreach care ministry, MAC -dual language for Mandarin Chinese advisory board for school system, NAHB - National Home Builders Association Orange, Chatham and Durham counties - remodeler s council, National Gerontology Society, AARP, Past Service on Orange County Advisory Boards: Other Comments: STAFF COMMENTS: Applied 2/1/2013 for Advisory Board on Aging. Applied 10/4/2013 for Nursing Home CAC. ADDRESS VERIFICATION: 211 Hogan Woods Circle is Chapel Hill Township, Carrboro Jurisdiction, Carrboro City Limits. This application was current on: 2/1/2013 8:58:59 AM Date Printed: 10/7/2013 Page 1 of 2 Susan Adams Volunteer Application Orange County Advisory Boards and Commissions Name: Name Called: Home Address: Phone (Day): Phone (Evening): Phone (Cell): Email: Place of Employment: Job Title: Year of OC Residence: Ms. Susan Adams 211 Hogan Woods Circle Chapel Hill NC 27516 919 -357 -5541 919- 357 -5541 jaseradams @gmaii.com Self - employed Consultant i1111I*1! Township of Residence: Chapel Hill Zone of Residence: Carrboro City Limits Sex: Female Ethnic Background: Caucasian Boards /Commissions applied for: Advisory Board on Aging I am energized by solving problems and taking on challenges. With over 1 person turning 50 every second due to the dramatic achievements in public health, Orange County is poised to see a 67% increase in persons over 65 and a 43% increase in persons over 85 in the next 10 years. This trend continues through 2030 when persons over 65 will again increase by 42% and over 85 by 70 %. Orange county is a leader in serving its senior population and I want to contribute to preparing and meeting these needs throughout the next 20 years, Although I worked as a chemical engineer for 15 years, I recently returned to school to get a BA in Multidisciplinary studies, with an emphasis on social sciences and the Socio- Ecological Model which shows that the health of an individual is based not just on the person but withing the greater context of his relationships, his community and his society. Because of my interest in the aging process, I am currently completing a Masters in Gerontology from the University of Southern California. Through this program I have been able to receive the training and tools that will aid me in pursuing my goal of improving the disparity in the aging experience between the different economic classes. The research area where I am basing my concentration consists of early depression intervention for the home caregiver. Many home caregivers are thrust into their duties with little to no training and as more residents, especially in the rural areas, are deciding to age in place there will be a need for increased programs to address the adult child or spousal caregiver, many of whom are over 50. I am excited to be beginning this new phase of my life as I turn 50, and consider myself to be a life -long learner who believes that we are all part of something larger and there is purpose to all our lives. My belief system influences all I do and I value responsibility and high ethical standards. I Page 2 of 2 believe that the strategic methods of problem solving I utilized as an engineer allows me to find and evaluate alternatives and seek innovative ways to get things done. I believe in community involvement as I was a member of the School Improvement Team (SIT) committee for McDougle Middle School for 2 years, worked as a volunteer at the Chapel Hill Museum for 3 years, and have been a member of the MAC - Mandarin Advisory Council for the dual language program in CHCCS since it began and my daughter has been part of the program for the past 8 years. As my children are growing up and moving on to new goals, 1 feel that I too must focus my time and energies on the future. I appreciate your time in considering me for this position. Nursing Homo Community Advisory Committee I am graduating with my Masters of Arts in Gerontology in May 2014 from the University of Southern California. My BS is multi disciplinary in psychology and public health. My concentration of study is in environmental interventions to decrease agitation in persons with dementia. I currently volunteer at Galloway Ridge and care part time for my elderly parents who I relocated to Chatham County in 2008. Susan Adams Community ActivitieslOrganizational Memberships: IFC - Orange County Homeless Shelter, Galloway Ridge - Volunteer, Care Ministry - Newman Center, Coastal Pines of North Carolina - troop 862 - Adult Volunteer, Treasurer 2007 -2012, AARP, GSA - Gerontological Society of America MAC Committee - Mandarin Advisory Council for the Dual Language Program for Chapel Hill Carrboro City School District, Newman center outreach care ministry, MAC -dual language for Mandarin Chinese advisory board for school system, NAHB - National Home Builders Association Orange, Chatham and Durham counties - remodeler s council, National Gerontology Society, AARP, Past Service on Orange County Advisory Boards: Other Comments: STAFF COMMENTS: Applied 2/1/2013 for Advisory Board on Aging. Applied 10/4/2013 for Nursing Home CAC. ADDRESS VERIFICATION: 211 Hogan Woods Circle is Chapel Hill Township, Carrboro Jurisdiction, Carrboro City Limits. This application was current on: 2/1/2013 8:58:59 AM Date Printed: 10/7/2013 Page 1 of 1 Rosie Benzonelli Volunteer Application Orange County Advisory Boards and Commissions Name: Name Called: Home Address: Phone (Day): Phone (Evening) Phone (Cell): Email: Place of Employment: Job Title: Year of OC Residence: Township of Residence: Zone of Residence: Sex: Ethnic Background Ms Rosie Benzonelli 837 Kenmore Rd Chapel Hill NC 27514 919- 923 -7673 919- 923 -7673 renzonelli@gmail.com Self Chapel Hill Atrium Home 2003 Chapel Hill C.H. City Limits Female Caucasian Community Activities /Organizational Memberships: Past Service on Orange County Advisory Boards: none Boards /Commissions applied for: Advisory Board on Aging Background, education and experience relevant to this board: I m 55, in good health. I ve just completed my first year of a 2 year MSW at UNC, specializing in aging. My placement next year is at Duke Geriatric Assessment Unit, and most likely Carol Woods. I ve served on multiple non profit boards in the area, mostly associated with youth music organizations. Reasons for wanting to serve on this board: Conflict of Interest: Supplemental Questions: Other Comments: STAFF COMMENTS: Originally applied (06/27/2013) for Animal Services Advisory Board (MEANT ADVISORY BOARD ON AGING AND NOT ANIMAL SERVICES) and Adult Care Home Community Advisory Committee. ADDRESS VERIFICATION: 837 Kenmore Road is Chapel Hill Township, Chapel Hill Jurisdiction, and Chapel Hill Town Limits. This application was current on: 6/27/2013 1:11:03 PM Date Printed: 12/27/2013 Page 1 of 3 Teri J. Driscoll Volunteer Application Orange County Advisory Boards and Commissions Name: Name Called: Home Address: Phone (Day): Phone (Evening) Phone (Cell): Email: Place of Employment: Job Title: Year of OC Residence: Township of Residence: Zone of Residence: Sex: Ethnic Background Ms. Teri J. Driscoll 815 US Hwy 70A East, Apt. 323 Hillsborough NC 27278 919- 245 -1127 919- 245 -1127 919- 923 -3336 drisco11323@nc.rr.com Retired from Brookdale Senior Living Was Business Office Manager 2012 Hillsborough Hillsborough Town Limits Female Caucasian Community Activities /Organizational Memberships: Nursing Home Community Advisory Committee - Secretary Do Telephone Reassurance Phone Calls for Orange Co. Duke Hospice Past Service on Orange County Advisory Boards: Have served on the OC Adult Home Care Advisory Council and had to resign because my daughter is the Director of the Carillon. Currently on the OC Nursing Home Community Advisory Council Boards /Commissions applied for: Alcoholic Beverage Control Board Background, education and experience relevant to this board: I have 22 years of legal secretarial experience and thought this might be helpful in serving on this board Reasons for wanting to serve on this board: I am retired and have plenty of time to give back to the community; I love living in Hillsborough and have met so many nice people; would not have known about this upcoming vacancy if I had not received an e -mail and I thought this might be an interesting board to serve on. Conflict of Interest: No Page 2 of 3 Orange County Parks and Recreation Council Background, education and experience relevant to this board: Teri J. Driscoll I spent 18 years as a stay -at -home Mom many years ago raising my children. At that time I was involved in three schools that my children were attending and always volunteered for the Parent/Teacher Organizations. I was also an officer for many years, serving as Pres,. VP and Sec. for the PTO. I was involved with the local Township Recreation Board where I lived also. Helped organize many soccer teams and schedules for the County where I resided. Reasons for wanting to serve on this board: I have lots of spare time and interestingly, I just had the opportunity to review your brochure that has a list of all the Recreation Department activities for this upcoming fall. I thought there were lots of good events listed there and since I have 2 grandchildren who live close by and visit me often, I thought that maybe I could help this committee out with planning events. I also know that there are vacancies on this committee. Conflict of Interest: Advisory Board on Aging Background, education and experience relevant to this board: I am a former Office Manager of an Assisted Living Home. I served on the Adult Home Care Community Advisory Board. I am currently on the Nursing Home Community Advisory Board and am Secretary. I attend all leadership conferences held by Triangle J. I was just to one yesterday. I am very much concerned about the care of adults in the nursing homes. I have always done all of my site visits and prepare the reports for my committee. Reasons for wanting to serve on this board: See above answers. I had the opportunity to attend a meeting of the Department of Aging this month and found it very interesting. It would relate to my service on the Nursing Home CAC and I feel that my attending the leadership classes that I do and visiting the facilities and it would be another committee that I could contribute to. You may contact Ed Flowers, Chair of the Nursing Home Advisory Board; Charlotte Terwilliger, Ombudsman or Mary Fraser, Dept. of Aging for references. I am certain that they would recommend me for the Board. I have applied for other Board vacancies but would like to make my application to this Board a priority. I am retired and have plenty of time to give back. Conflict of Interest: Supplemental Questions: Work Experience: Legal Secretary - 22 years; Brookdale Sr. Living /High Point Place - Office Manager - 5 years. Volunteer Experience: Duke Hospice, Orange Co. RSVP; Piedmont of the Triad Hospice, Winston -Salem Hospice, 18 years volunteering in public schools and holding various offices - fundraising. Education: High School, Secretarial School, Activity Director Certification for Assisted Living Communities, Notary Public in NC. Other Comments: As Business Office Manager of AL Community I had contact with many adult home care volunteers and thought I would like to do this when I retired; also, I live at Eno Haven, an affordable senior housing complex. I am interested in becoming more involved with issues pertaining to Orange County. STAFF COMMENTS: Applied for Adult Care Home Community Advisory Council and Affordable Housing Advisory Board 07/29/2012. Page 3 of 3 Teri J. Driscoll UPDATED APPLICATION 05/14/2013 FOR Nursing Home Community Advisory Committee. ADDRESS VERIFICATION: 815 US Hwy 70A East, Apt. 323 is Hillsborough Jurisdiction and Hillsborough Town Limits. Application updated 08/27/2014. Application updated 09/25/2014. This application was current on: 8/27/2014 Date Printed: 9/25/2014 Page 1 of 2 Jerry Ann Gregory Volunteer Application Orange County Advisory Boards and Commissions Name: Name Called: Home Address: Phone (Day): Phone (Evening) Phone (Cell): Email: Place of Employment: Job Title: Year of OC Residence: Township of Residence: Zone of Residence: Sex: Ethnic Background Mrs. Jerry Ann Gregory 2224 Lebanon Rd Efland NC 27243 919- 644 -8172 919- 644 -8172 919- 810 -4397 harleyphn @yahoo.com Retired Retired Public health Nurse 1973 Cheeks Female Caucasian Community Activities /Organizational Memberships: Meals on Wheels Hillsborough Fairfield Homemakers Club Exc. Club of Greater Durham Durham Harley Owners Group Board of Directors Public Health Corp Past Service on Orange County Advisory Boards: Past Adult Care Home Community Advisory Committee. Boards /Commissions applied for: Advisory Board on Aging Background, education and experience relevant to this board: Worked as a Public Health Nurse for 33 years providing services to adults most of those years, including senior centers. Reasons for wanting to serve on this board: Feel my experiences in past and presently would be of value. Conflict of Interest: No Page 2 of 2 Adult Care Home Community Advisory Committee Jerry Ann Gregory Background, education and experience relevant to this board: Have served on this committee in the past, experienced in working with all adult populations. Reasons for wanting to serve on this board: Provide service to community and residents of facilities. Conflict of Interest: Supplemental Questions: Work Experience: Public Health Nurse for 31 yrs with Orange County Health- 1969 -2001; Adult Day Center Health Coordinator for 2 years Nurse Consultant for Are You Your Brother's Keeper progect with Efland Cheeks Voices of Efland and UNC for 1 year 2010 Served as Guardian on behalf of Health Director for clients in Community House in Carrboro and various Rest Homes and Nursing facilities. Volunteer Experience: PTA Thrift shop; ; VA Medical Center in Durham doing data entry for Oncology Research nurses; Habitat for Humanity; Fund raising for Child Abuse Prevention Foundation in Durham; Fund raising for various charities sponsered by my Exchange Club Adult Care Home Community Advisory Committee 5 -6 yrs; Volunteer RN for B/P clinic at various Senior sites; Volunteer in Flu clinics offered at Senior sites in CH and Hillsborough; Meals on Wheels Volunteer since retirement in 2001; Volunteer in fund raising with Durham Harley Owners Group,Exchsnge Club of Greater Durham and American Cancer Society; Member of Public Health Volunteer Corp,volunteering as needed. Volunteer annually with Project Homelessness in providing immunizations and education. Education: H.S.; BS in Nursing; Adult Health Assestment -UNC; Various workshops on Wellness, disease prevention, couseling,etc. Adult Health assessment course /certification at UNC; Numerous classes re: Dementia, Aging, Chronic disease Other Comments: Have lived, worked and volunteered in Orange County since 1973. During my 32 years of working in Public Health I have worked in the adult community providing services and am very familiar with community and its needs. STAFF COMMENTS: Renewed application 10/09/03 for ACHCAC and Adv. Bd. on Aging. 6/16/03 for ACHCAC; NHCAC; Adv. Bd. on Aging. Originally applied 9/3/99. Applied 1/8/2012 for Orange County Emergency Services Work Group. ADDRESS VERIFICATION: Lebanon Road is Orange County Jurisdiction, Efland Fire Tax, and Cheeks Township. This application was current on: 1/6/2014 Date Printed: 7/25/2014 Page 1 of 2 Carolyn Helfrich Volunteer Application Orange County Advisory Boards and Commissions Name: Name Called: Home Address: Phone (Day): Phone (Evening): Phone (Cell): Email: Place of Employment: Job Title: Year of OC Residence: Ms. Carolyn Helfrich 1233 Highland Loop Hillsborough NC 27278 757 - 871 -6092 Carolyn. helfrich @gmail.com Weaver St. Mkt Clerk 2008 Township of Residence: Hillsborough Zone of Residence: Hillsborough ETJ Sex: Female Ethnic Background: Other Community Activities /Organizational Memberships: Recently retired teacher, work at Weaver St. mkt Past Service on Orange County Advisory Boards: Boards /Commissions applied for: Advisory Board on Aging Background, education and experience relevant to this board: As a person who is aging I recognize the necessity of recognizing how this process effects people physically and mentally. I have worked as a geriatric social worker and am a long time believer in the connection of maintaining physical and mental activities as well as connection to the larger community to help people age with integrity and dignity. Recently retiring as a high school teacher, I clearly see the importance of maintaining ties to a larger community to lessen the isolation created with retirement. I would like the opportunity to bring my ideas to a larger group in order to be more inclusive of the aging population. Reasons for wanting to serve on this board: Conflict of Interest: Hillsborough Planning Board Background, education and experience relevant to this board: As a life long walker and cyclist, I would be able to help make this community plan for these as well as possible expanded public transportation as Hillsborough grows. Reasons for wanting to serve on this board: Conflict of Interest: Supplemental Questions: Page 2 of 2 Other Comments: Carolyn Helfrich STAFF COMMENTS: Originally (07/10/2013) applied for Advisory Board on Aging and Hillsborough Planning Board. ADDRESS VERIFICATION: 1233 Highland Loop is Hillsborough Township, Orange County Jurisdiction, Hillsborough ETJ, Hillsborough Town Limits, and R1 Rural Residential Zoning. This application was current on: 7/10/2013 9:29:58 AM Date Printed: 12/27/2013 Page 1 of 2 Sandra Jones Volunteer Application Orange County Advisory Boards and Commissions Name: Name Called: Home Address: Phone (Day): Phone (Evening): Phone (Cell): Email: Place of Employment: Job Title: Year of OC Residence: Township of Residence: Zone of Residence: Sex: Ethnic Background Ms. Sandra Jones 600 West Poplar Ave., Apt. 239 Carrboro NC 27510 828 - 668 -9628 828 - 712 -2362 None Retired RN, Teacher 2012 Chapel Hill Carrboro City Limits Female Caucasian Community Activities /Organizational Memberships: Volunteer at McDougle Elementary School - 2nd Grade Reading and Writing Volunteer Leukemia & Lymphoma Society Volunteer Ronald McDonald House (UNC Childrens Hospital) Volunteer Literacy Council- Tutoring in Reading & Math for a 70 year old illiterate lady. Active in my church. Active in my Church Past Service on Orange County Advisory Boards: None Boards /Commissions applied for: Nursing Home Community Advisory Committee Background, education and experience relevant to this board: I have been an RN for 50 years with my specialty being geriatrics. I have been in many positons in Nursing Homes from charge nurse, to supervisory, inservice director, Director of Nursing and I was licensed in Michigan as a Nursing Home Administrator. I also have degree in Education (Allied Health). Reasons for wanting to serve on this board: Conflict of Interest: Page 2 of 2 Advisory Board on Aging Background, education and experience relevant to this board: Sandra Jones I am aged - recently became 70 - and I am slightly handicapped and live in a senior independent apartment complex where I see the reality of aging at every level - economically, socially, healthwise, mentally, emotionally. With my background in geriatrics I can be very discerning as to the blessings and problems of aging. Reasons for wanting to serve on this board: Conflict of Interest: Supplemental Questions: Other Comments: STAFF COMMENTS: Originally applied for Nursing Home Committee and Advisory Board on Aging 01/24/2013. ADDRESS VERIFICATION: 600 West Poplar Avenue, Apt. 239, is Carrboro Jurisdiction, Carrboro City Limits, Chapel Hill Township. This application was current on: 1/22/2013 Date Printed: 12/27/2013 Page 1 of 2 Janice Laube Volunteer Application Orange County Advisory Boards and Commissions Name: Name Called: Home Address: Phone (Day): Phone (Evening): Phone (Cell): Email: Place of Employment: Job Title: Year of OC Residence: Township of Residence: Zone of Residence: Sex: Ethnic Background Mrs Janice Laube 6826 Carol Lane Hillsborough NC 27278 919- 219 -4140 jrlaube @embargmail.com Home Owner - Horse Farm 2001 Little River Female Caucasian Community Activities /Organizational Memberships: Past Service on Orange County Advisory Boards: Boards /Commissions applied for: Animal Services Advisory Board Background, education and experience relevant to this board: Reasons for wanting to serve on this board: Conflict of Interest: Advisory Board on Aging Background, education and experience relevant to this board: Reasons for wanting to serve on this board: Conflict of Interest: Supplemental Questions: 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. Education: B.A. Theatre Arts SUNY Binghamton, NY Other Comments: Page 2 of 2 Janice Laube 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: 12/27/2013 Page 1 of 2 Emily Lees Volunteer Application Orange County Advisory Boards and Commissions Name: Name Called: Home Address: Phone (Day): Phone (Evening) Phone (Cell): Email: Place of Employment: Job Title: Year of OC Residence: Township of Residence: Zone of Residence: Sex: Ethnic Background Emily Lees 1516 Cumberland Rd Chapel Hill NC 27514 919 960 3737 919 960 3737 919 593 2004 em ilylees @bellsouth. net retired retired faculty /researcher 2004 Chapel Hill Female Caucasian Community Activities /Organizational Memberships: Orange County Arts Commission Shared Learning Osher Lifelong Learning Institute (OLLI) Orange County Artists Guild ( current chair) Past Service on Orange County Advisory Boards: Arts Commission Boards /Commissions applied for: Advisory Board on Aging Background, education and experience relevant to this board: While working for the Houston Community College System, I ran a program for adults over 55 for several years. While still with HCCS, I became president of a Texas Gerontological consortium that offered a basic certificate in gerontology. Later I taught public health courses to nursing students, including a component on the aging. I returned to North Carolina when my husband decided to retire. Reasons for wanting to serve on this board: I would like to be more involved with issues affecting older adults and hope that both my professional background and my experience as an over -55 adult can be of service. Since returning to North Carolina, I have been primarily involved in working with the arts community through the artists guild and the arts commission. I have also acted as facilitator for several classes in Shared Learning, a peer leisure learning group for older adults. Conflict of Interest: Supplemental Questions: Page 2 of 2 Other Comments: Emily Lees This application was current on: 7/21/2014 5:15:07 PM Date Printed: 7/23/2014 Page 1 of 2 Volunteer Application Orange County Advisory Boards and Commissions Name: Name Called: Home Address: Phone (Day): Phone (Evening) Phone (Cell): Email: Place of Employment: Job Title: Year of OC Residence: Ms. Jilan Li 734 Providence Glen Drive Chapel Hill NC 27514 919- 806 -5154 919- 806 -5154 919- 317 -2635 chulan46 @hotmail.com NCA &T assistant professor 2014 Township of Residence: Chapel Hill Zone of Residence: Chapel Hill Township within C.H. city limits Sex: Female Ethnic Background: Asian American Jilan Li Community Activities /Organizational Memberships: community activity: volunteer at summer camp for children adopted from China; organizational membership: member of the society for social work research Past Service on Orange County Advisory Boards: No. Boards /Commissions applied for: Advisory Board on Aging Background, education and experience relevant to this board: I studied social work. I am currently doing research on issues related to aging. Reasons for wanting to serve on this board: My mom is 85. She is in China. Getting connected with elderly people in a certain way and being able to do things for them would make me feel good. Conflict of Interest: Arts Commission Background, education and experience relevant to this board: I have no formal education in arts but have been an art -lover and friends of artists. Reasons for wanting to serve on this board: I love arts and want to contribute to make our county more charming. Conflict of Interest: Page 2 of 2 Human Relations Commission Background, education and experience relevant to this board: blank Reasons for wanting to serve on this board: blank Conflict of Interest: Supplemental Questions: Other Comments: Jilan Li This application was current on: 7/31/2014 9:57:47 PM Date Printed: 9/15/2014 Page 1 of 2 Winston Liao Volunteer Application Orange County Advisory Boards and Commissions Name: Name Called: Home Address: Phone (Day): Phone (Evening): Phone (Cell): Email: Place of Employment: Job Title: Year of OC Residence: Mr. Winston Liao 126 Fern Lane Chapel Hill NC 27514 919 929 3123 Retired 1979 Township of Residence: Chapel Hill Zone of Residence: C.H. City Limits Sex: Male Ethnic Background: Asian American Community Activities /Organizational Memberships: St. Thomas More Caring and Sharing Center; STM School North Carolina COPD Taskforce North Carolina Public Health Association American Public Health Association Orange County Election Official Past Service on Orange County Advisory Boards: Boards /Commissions applied for: Advisory Board on Aging Background, education and experience relevant to this board: Before my retirement on Decmeber 31, 2012, 1 was with the Chronic Disease and Injury Section, NC Division of Public Health. During my five and a half years there, I worked with the cancer, heart disease /stroke, diabetes, physical activity & nutrition, injury & violence prevention, tobacco prevention and control, and asthma branches. My work was to promote education and outreach, and intervention programs (including those for the older population), especially for adults with chronic lower respiratory diseases and their associated conditions (e.g., heart disease, diabetes, arthritis, depression, etc.). Reasons for wanting to serve on this board: Conflict of Interest: Page 2 of 2 Board of Health Background, education and experience relevant to this board: Winston Liao Same as above. I have an MPH and completed all course work for a PhD in public health. I have served on various advisory boards, including those for the CDC, Public Health Foundation, American Lung Association, etc. I have taught public health at the University of Mississippi, conducted research in many aspects of public health and aging at RTI International and NC DPH, and practiced public health at NC DPH. I have also been active in using data to support and drive policy at the state and national levels. Reasons for wanting to serve on this board: Conflict of Interest: Supplemental Questions: Other Comments: STAFF COMMENTS: Originally (1/17/2012) applied for Advisory Board on Aging and Board of Health. ADDRESS VERIFICATION: 126 Fern Lane is Chapel Hill Township, Chaprl Hill Jurisdiction, and Chapel Hill Town Limits. This application was current on: 1/16/2013 3:19:46 PM Date Printed: 12/27/2013 Page 1 of 1 Karen Metzguer Volunteer Application Orange County Advisory Boards and Commissions Name: Name Called: Home Address: Phone (Day): Phone (Evening) Phone (Cell): Email: Place of Employment: Job Title: Year of OC Residence: Ms. Karen Metzguer 507 Gwen Road Hillsborough NC 27278 919- 619 -6332 919- 241 -4402 kmetzguer @gmail.com Fearrington Cares Nurse and Executive Director 1976 Township of Residence: Hillsborough Zone of Residence: Hillsborough ETJ Sex: Female Ethnic Background: Caucasian Community Activities /Organizational Memberships: Past Service on Orange County Advisory Boards: I served on the charter Orange County Human Relations Commission. Boards /Commissions applied for: Advisory Board on Aging Background, education and experience relevant to this board: I am a registered nurse, retired from the faculty of the Department of Pediatrics, and currently working in a non - profit organization in Fearrington Village. The mission is to assist the residents to maintain health. My mother -in -law lived with my family for 9 years before she died and my parents moved into my home in 2008 and currently both still reside with me. I served on the charter Orange County Human Relations Commission. I have a lifelong commitment to vulnerable populations and see serving with this board as another way to contribute. Reasons for wanting to serve on this board: Conflict of Interest: Supplemental Questions: Other Comments: STAFF COMMENTS: Originally (10/15/2013) applied for Advisory Board on Aging. ADDRESS VERIFICATION: 507 Gwen Road is Hillsborough Township, Hillsborough Jurisdiction, and Hillsborough ETJ. This application was current on: 10/15/2013 9:56:20 AM Date Printed: 12/27/2013 Page 1 of 2 Frank Montes de Oca Volunteer Application Orange County Advisory Boards and Commissions Name: Name Called: Home Address: Phone (Day): Phone (Evening) Phone (Cell): Email: Place of Employment: Job Title: Mr. Frank Montes de Oca 423 Joyce Road Hillsborough NC 27278 321 - 624 -1898 321 - 624 -1898 frm1@me.com Year of OC Residence: 2008 Township of Residence: Hillsborough Zone of Residence: Hillsborough ETJ Sex: Male Ethnic Background: Hispanic Community Activities /Organizational Memberships: Member of the Efland Ruritan Club Instructor and active Community Emergency Response Team (CERT) member Member of Master Aging Plan committee Past Service on Orange County Advisory Boards: Boards /Commissions applied for: Advisory Board on Aging Background, education and experience relevant to this board: As a former employee with Orange County I understand the operations of local government and the importance of collaborative planning and implementation of programs that benefit the community as a whole. Further, as the former director of Emergency Services, I was intimately involved in service delivery to all visitors and citizens within Orange County - particularly the elderly and aging. As a former paramedic and emergency manager, I bring a wealth of knowledge and experience to this board and the community. Reasons for wanting to serve on this board: Conflict of Interest: Supplemental Questions: Other Comments: STAFF COMMENTS: Originally (08/30/2013) applied for Advisory Board on Aging. ADDRESS VERIFICATION: 423 Joyce Road is Hillsborough Jurisdiction and Hillsborough ETJ. Page 2 of 2 Frank Montes de Oca This application was current on: 8/30/2013 2:11:06 PM Date Printed: 12/27/2013 Page 1 of 2 Thomas ODwyer Volunteer Application Orange County Advisory Boards and Commissions Name: Name Called: Home Address: Phone (Day): Phone (Evening) Phone (Cell): Email: Place of Employment: Job Title: Year of OC Residence: Township of Residence: Zone of Residence: Sex: Ethnic Background Thomas ODwyer 105 Boulder Lane Chapel Hill NC 27514 919- 906 -0581 919- 942 -7244 919- 906 -0581 greenbuilder4us @aol.com Self Employed Greneral Contractor and Designer President 1985 Chapel Hill Male Caucasian Community Activities /Organizational Memberships: Just completed 7 years of service on the Orange County Commission for the Environment, I am a Hospice Volunteer, and I participated with the Council on the Aging s Master Aging Plan (MAP). I am currently attending Aging in Community series lectures, as housing needs for aging in place will be in demand now and even more in our community s future. Universal Design supporter, and I attend BOCC meeting that impactt the environmet ( recycling recently) We must find a way to partner with our municipalities and provide pro active policies which support the needs of an aging community while making a real difference in Energy sources and consumtion Past Service on Orange County Advisory Boards: Orange County Commission for the Environment, 7 years. Off the Commission as of Dec. 7 Boards /Commissions applied for: Advisory Board on Aging Background, education and experience relevant to this board: I design for aging in place and would support creating policies to incentivise this much needed paradigm Reasons for wanting to serve on this board: I want to help my community to live out their lives fully in there homes .. ( if possible) Conflict of Interest: Page 2 of 2 Thomas ODwyer Orange County Planning Board (REQUIRES DISCLOSURE STATEMENT) Background, education and experience relevant to this board: Reasons for wanting to serve on this board: Conflict of Interest: Supplemental Questions: Orange County Planning Board (REQUIRES DISCLOSURE STATEMENT) Please list the work /volunteer experience /qualifications that would add to your expertise for this board. I am a Design /Builder with a passion for Energy efficiency, indoor air quality and outdoor living space What unique perspective can you bring to the Orange County Planning Board? Energy efficiency and bringing stakeholders together to discuss objectives for a Greener Orange county What do you see as the responsibilities of this board, and what do you hope to accomplish if appointed? Assure appropriate guidelines are followed with developers, and propose ways to increase energy efficiency and indoor air quality What do you consider to be be the most important issues facing Orange County related to growth? Homes and commercial buildings that waste energy What role should the Planning Board take in guiding and regulating growth? Support all ordinances and work to achieve goals for a much more sustainable and cooperative community How would you, as a member of the Planning Board, contribute to the implementation of the Board of Commissioners' adopted Goals and Priorities? First know the Bocc adopted Goals and Priorities and implement them with any new development Other Comments: Sustainable /Smart Development of land should be the norm in our future. My understanding is, it requires legislative approval for ordinances that have certain requirements. We should do as many things possible to support environmentally responsible development, such as creating solar easements for future renewable power use, smarter energy efficiency improvements in new construction, Smart Grid development, or work on ways to propose changes in the legislature to better protect our environment on local levels. STAFF COMMENTS: Applied for Commission for the Environment 05/11/2006; Applied for Orange County Planning Board 06/15/2012. ADDRESS VERIFICATION: 105 Boulder Lane is in Chapel Hill Township, Chapel Hill Jurisdiction, Chapel Hill Town Limits. This application was current on: 12/17/2013 3:00:52 PM Date Printed: 9/15/2014 Page 1 of 2 Deborah Rider Volunteer Application Orange County Advisory Boards and Commissions Name: Name Called: Home Address: Phone (Day): Phone (Evening) Phone (Cell): Email: Place of Employment: Job Title: Year of OC Residence: Township of Residence: Zone of Residence: Sex: Ethnic Background Ms. Deborah Rider 2314 Red Oak CT. Hillsborough NC 27278 919- 818 -6489 919- 732 -9476 drider1736 @gmail.com Home Care Assistance Care Giver 2005 Hillsborough Hillsborough Town Limits Female Caucasian Community Activities /Organizational Memberships: Past Service on Orange County Advisory Boards: Boards /Commissions applied for: Advisory Board on Aging Background, education and experience relevant to this board: Reasons for wanting to serve on this board: Conflict of Interest: Board of Social Services Background, education and experience relevant to this board: Reasons for wanting to serve on this board: Conflict of Interest: Supplemental Questions: Work Experience: 30+ years with the state of Maryland from social services to policy analyzing, I did it all. Volunteer Experience: I have volunteered at various k -12 school functions for my daughter. Avid animal lover. Cared for my parents until their deaths in 2000 and 2011. Education: Dundalk High School 1967 -1970 High School Diploma; University of Maryland Baltimore County 1970 -1974 Bachelors in Social Work /Sociology; University of Maryland School of Social Work 1981 -1983 Masters in Social Work and Community Planning Page 2 of 2 Other Comments: Deborah Rider STAFF COMMENTS: Applied 04/26/2012 for Advisory Board on Aging, Board of Social Services, Adult Care Home Community Advisory Committee. ADDRESS VERIFICATION: 2314 Red Oak Ct. is Hillsborough Township, Hillsborough Town Limits. This application was current on: 4/26/2012 8:06:33 PM Date Printed: 2/10/2014 Page 1 of 2 Deborah Stewart Volunteer Application Orange County Advisory Boards and Commissions Name: Name Called: Home Address: Phone (Day): Phone (Evening) Phone (Cell): Email: Place of Employment: Job Title: Year of OC Residence: Township of Residence: Zone of Residence: Sex: Ethnic Background Deborah Stewart 1405 Buckhorn Rd. Mebane NC 27302 919- 210 -4857 919- 210 -4857 919- 210 -4857 deb.k.stewart @gmail.com UNC Healthcare - UNC Home Health Social Worker 1997 Cheeks Female Caucasian Community Activities /Organizational Memberships: Member of National Association of Social Workers - NC Chapter; NC Society for Clincal Social Work (was Treasurer /Board Member 2006 - 2007); 1 work regularly with Orange County citizens by visiting them in their homes when they are sick or homebound. Past Service on Orange County Advisory Boards: N/a Boards /Commissions applied for: Adult Care Home Community Advisory Committee Background, education and experience relevant to this board: In my current position as Home Health Social Worker, I help assess the need for assistance or supervision for our patients and I provide education regarding the various long -term care options, including Adult Care Homes. My primary role is as advocate for our patients and their families and educator regarding community resources. Reasons for wanting to serve on this board: To increase my community involvement and gain a fuller understanding of the inner workings of Adult Care supports in our area. Conflict of Interest: Since I provide information to individuals and their families regarding long -term care options, some could believe that I make specific referrals to some facilities. However, as a state employee I am strictly prohibited from doing so. My role is to provide neutral information so individuals can find the right fit for them. Page 2 of 2 Advisory Board on Aging Deborah Stewart Background, education and experience relevant to this board: The majority of clients that we serve are Medicare recipients and citizens 60 years old and older. Reasons for wanting to serve on this board: To increase my community involvement, especially with organizations that provide helpful and supportive services to people I serve in my work daily. Conflict of Interest: Board of Social Services Background, education and experience relevant to this board: I earned a Masters in Social Work and hold a NC Clinical Social Work License. In my position as Home Health Social Worker, I identify the needs of our clients and regularly screen individuals for potential eligibility for social service supports. Reasons for wanting to serve on this board: To increase my community involvement and increase my connection to and understanding of the various social service programs that serve Orange County citizens. Conflict of Interest: Supplemental Questions: Other Comments: This application was current on: 7/21/2014 1:43:36 PM Date Printed: 7/22/2014