HomeMy WebLinkAboutAgenda - 11-06-2014-11a REVISEDORANGE COUNTY
BOARD OF COMMISSIONERS
ACTION AGENDA ITEM ABSTRACT Q t 45e.
Meeting Date: November 6, 2014
Action A
Item No 11 -a
SUBJECT: Advisory Board on Aging:- Appointments
DEPARTMENT: Board of Commissioners PUBLIC HEARING: (Y /N) No
ATTACHMENT(S): Under Separate Cover
Membership Roster
Recommendations
Applications for Persons Recommended
Interest List
Applications of Persons on the Interest List
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 first full term (Position #7) At -Large for Ms. Mary Aitpeter ending
06/30/2017.
• Appointment to a partial term (Position #8) At -Large for Mr. Winston Liao ending
06/30/2016
POSITION NO.
NAME
SPECIAL REPRESENTATIVE
EXPIRATION DATE
7
Ms. Mary Alt peter
At-Large
06/30/2017
8
Mr. Winston Liao
At-Large
06/30/2015
T 1f.ah m al ' s
lo i66,6 Gai c'ies i aih
• None.
FINANCIAL IMPACT: None.
RECOMMENDATION(S): The Board will consider making appointments to the Advisory Board
on Aging.
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.
Dr. Donna Prather
Day Phone: 919 929 -3375
Sex: Female
First Appointed:
05/15/2012
1
Evening Phone: 919 929 -3375
Race: Caucasian
Current Appointment:
10/07/2014
107 -A Spring Valley Road
FAX:
Township: Chapel Hill
Expiration:
06/30/2017
Carrboro NC 27510
E -mail: dprather @bellsouth.net
Resid/Spec Req: At -Large
Number of Terms:
2
Special Repr:
Dr. Anthony John Vogt
Day Phone: 919 - 929 -8646
Sex: Male
First Appointed:
10/07/2014
2
Evening Phone: 919 - 929 -8646
Race: Caucasian
Current Appointment:
10/07/2014
713 W. Barbee Chapel Road
FAX: NA
Township: Chapel Hill
Expiration:
06/30/2017
Chapel Hill NC 27517
E -mail: ajvogt @earthlink.net
Resid/Spec Req: At -Large
Number of Terms:
1
Special Repr:
Ms. Virginia M. Brown
Day Phone: 919 -945 -1492
Sex: Female
First Appointed:
01/24/2013
3
Evening Phone:
Race: Native American
Current Appointment:
01/24/2013
103 Driskel Court
FAX:
Township: Chapel Hill
Expiration:
06/30/2015
Chapel Hill NC 27517
E -mail: vbrown852 @nc.rr.com
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
4
Evening Phone:
Race: Caucasian
Current Appointment:
09/18/2012
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
5
Chair
Evening Phone: 919- 928 -9822
Race: Caucasian
Current Appointment:
06/19/2012
109 Sunset Ridge Lane
FAX: 919 - 969 -2507
Township: Chapel Hill
Expiration:
06/30/2015
Chapel Hill NC 27516
E -mail: haltman@carolwoods.org
Resid/Spec Req: Carrboro Town Limit
Number of Terms:
2
Special Repr:
Tuesday, October 21, 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, III
Day Phone: 919- 357 -9256
Sex: Male
First Appointed:
01/20/2011
6
Evening Phone: 919 - 357 -9256
Race: Caucasian
Current Appointment:
05/21/2013
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:
VACANT
Day Phone:
Sex:
First Appointed:
7
Evening Phone:
Race:
Current Appointment:
FAX:
Township:
Expiration:
06/30/2017
E -mail:
Resid/Spec Req: At -Large
Number of Terns:
Special Repr:
VACANT
Day Phone:
Sex:
First Appointed:
8
Evening Phone:
Race:
Current Appointment:
FAX:
Township:
Expiration:
06/30/2015
E -mail:
Resid/Spec Req: At -Large
Number of Terms:
Special Repr:
Mr. Lorenzo Mejia
Day Phone: 919 -338 -2183
Sex: Male
First Appointed:
01/24/2013
9
Evening Phone:
Race: Hispanic
Current Appointment:
01/24/2013
119 Summergate Circle
FAX:
Township: Chapel Hill
Expiration:
06/30/2015
Chapel Hill NC 27516
E -mail: lorenzo @AcomHCS.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
10
Evening Phone: 9199183698
Race: Caucasian
Current Appointment:
02/04/2014
750 Weaver Dairy Road #110
FAX:
Township: Chapel Hill
Expiration:
06/30/2016
Chapel Hill NC 27514
E -mail: peggycohn38 @gmail.com
Resid/Spec Req: At -Large
Number of Terms:
1
Special Repr:
Tuesday, October 21, 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
II 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 @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:
10/07/2014
Expiration:
06/30/2017
Number of Terms:
2
Tuesday, October 21, 2014 Page 3
pppppp
0 Orange County
Department on Aging
'endless possihilIM" Robert & Pearl Seymour Center 12551 Home:
Central orange Senior Center 1103 Meadowli
October 16, 2014
The Honorable Barry Jacobs, Chair
Orange County Board of Commissioners
P.O. Box 8181
Hillsborough, NC 27278
Dear Chair Jacobs:
Subject: Board Appointment
The Orange County Advisory Board on Aging recommends Mary Altpeter to fill one of its current
vacancies.
Ms. Altpeter has more than 30 years of experience in the field of aging and served on committees
for the development of the Master Aging Plan. She has also served as a consultant for the NC
Division of Aging and Adult Services.
Respectfully submitted,
Janice Tyler, Director
Orange County Department on Aging
Visit us online @ www.orangecountync.gov /aging
Like us on Facebook @ www.facebook.com /OrangeCountyDE
.AAA
Orange County
Department on Aging
endless possibilit +eS Robert & Pearl Seymour Center 12551 Home!
central orange Senior Center 1 103 Meadowl4
October 16, 2014
The Honorable Barry Jacobs, Chair
Orange County Board of Commissioners
P.O. Box 8181
Hillsborough, NC 27278
Dear Chair Jacobs:
Subject: Board Appointment
The Orange County Advisory Board on Aging recommends Winston Liao to fill one of its current
vacancies.
Before his retirement in late 2012 Mr. Liao worked with the NC Division of Public Health,
promoting education, outreach, and intervention programs.
Respectfully submitted,
Janice Tyler, Director
Orange County Department on Aging
InVisit us online @ www.orangecountync.gov /aging
tike us on Facebook @ www. facebook .com /OrangeCountyDeparti
Page 1 of 2
Mary Altpeter
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:
Dr. Mary Altpeter
1613 Providence Glen Drive
Chapel Hill NC 27514
919- 966 -0499
919- 942 -8273
mary_altpeter @unc.edu
UNC at Chapel Hill
Research Associate
1993
Chapel Hill
C.H. City Limits
Female
Caucasian
Community Activities /Organizational Memberships:
n/a
Past Service on Orange County Advisory Boards:
n/a
Boards /Commissions applied for:
Advisory Board on Aging
Background, education and experience relevant to this board:
I have a graduate certificate in gerontology and 30 years of experience working in the field of
aging. I have expertise in health promotion and aging research and education. I have a masters
and doctorate in social work and a masters in public administration. I ve served on committees
for the development of the Orange County Master Aging Plan and I have for many years been a
consultant to the NC Division of Aging and Adult Services. 1 have served for 10 years as a
consultant to the National Council on Aging and through that work have had experience with
many states on aging - related health promotion activities.
Reasons for wanting to serve on this board:
Conflict of Interest:
Supplemental Questions:
Other Comments:
STAFF COMMENTS: Originally applied (01/16/2013) for Advisory Board on Aging.
ADDRESS VERIFICATION: 1613 Providence Glen Drive, Chapel Hill, NC 27514 is
Chapel Hill Township, Chapel Hill Jurisdiction, Chapel Hill Town Limits.
Page 2 of 2
Mary Altpeter
This application was current on: 1/16/2013 2:05:21 PM Date Printed: 10/21/2014
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:
Township of Residence:
Zone of Residence:
Sex:
Ethnic Background:
Mr. Winston Liao
126 Fern Lane
Chapel HillNC 27514
919 929 3123
Retired
1979
Chapel Hill
C.H. City Limits
Male
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
Winston Liao
Background, education and experience relevant to this board:
Same as above. I have an MPH and completed all course work for a PhD in public health.
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
Applicant Interest Listing by Board Name and by Applicant Name
Day Phone: 919- 245 -1127 Sex:
Contact Person:
Janice Tyler
Evening Phone: 919- 245 -1127 Race:
Advisory Board on Aging
Hillsborough NC 27278
Cell Phone: 919 - 923 -3336 Township:
Hillsborough
Cell Phone: 919- 810 -4397
Contact Phone:
919- 245 -4255
Skills: Office Manager
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. Teri J. Driscoll
Day Phone: 919- 245 -1127 Sex:
Female
422 Hampton Pointe
Evening Phone: 919- 245 -1127 Race:
Caucasian
Hillsborough NC 27278
Cell Phone: 919 - 923 -3336 Township:
Hillsborough
Cell Phone: 919- 810 -4397
E -mail: drisco11323 @nc.rr.com Date Applied:
08/2712014
Skills: Office Manager
Also Serves On: Nursing Home Community Advisory Committee
Date Applied:
01/06/2014
Also Serves On: Orange County Parks and Recreation Council
Also Serves On:
Skills: Recreational Activities Director
Also Serves On: Nursing Home Community Advisory Committee
Skills: Registered Nurse
Also Serves On:
Also Serves On: Orange County Parks and Recreation Council
Mrs. Jerry Ann Gregory
Day Phone: 919 -644 -8172
Sex:
Female
2224 Lebanon Rd
Evening Phone: 919 -644 -8172
Race:
Caucasian
Efland NC 27243
Cell Phone: 919- 810 -4397
Township:
Cheeks
E -mail: harleyphn ®yahoo.com
Date Applied:
01/06/2014
Skills: Public Health
Also Serves On:
Skills: Registered Nurse
Also Serves On:
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:
Monday, November 03, 2014 Page 1 of 3
Applicant Interest Listing by Board Name and by Applicant Name
Advisory Board on Aging
Ms. Sandra Jones
600 West Poplar Ave., Apt. 239
Carrboro NC 27510
Skills:
Skills: Geriatric Care
Skills: Nurse
Contact Person: Janice Tyler
Contact Phone: 919 - 245 -4255
Day Phone: 828- 668 -9628 Sex: Female
Evening Phone: Race: Caucasian
Cell Phone: 828 - 712 -2362 Township: Chapel Hill
E -mail: None Date Applied: 10/01/2014
Also Serves On: Nursing Home Community Advisory Committee
Emily Lees
Day Phone: 919 960 3737
Sex:
Female
1516 Cumberland Rd
Evening Phone: 919 960 3737
Race:
Caucasian
Chapel Hill NC 27514
Cell Phone: 919 593 2004
Township:
Chapel Hill
E -mail: emilylees @bellsouth.net
Date Applied:
07/21/2014
Skills:
Also Serves On:
Skills: Arts
Also Serves On: Arts Commission
Sex:
Male
Skills: Professor
Evening Phone:
Race:
Asian American
MS. Jilan Li
Day Phone: 919 - 806 -5154
Sex:
Female
734 Providence Glen Drive
Evening Phone: 919- 806 -5154
Race:
Asian American
Chapel Hill NC 27514
Cell Phone: 919 - 317 -2635
Township:
Chapel Hill
E -mail: chulan46 @hotmail.com
Date Applied:
07/31/2014
Skills:
Also Serves On:
Mr. Winston Liao
Day Phone: 919 929 3123
Sex:
Male
126 Fern Lane
Evening Phone:
Race:
Asian American
Chapel Hill NC 27514
Cell Phone:
Township:
Chapel Hill
E -mail:
Date Applied:
01/16/2013
Skills: Public Health
Also Serves On:
Ms. Karen Metzguer
Day Phone: 919 - 619 -6332
Sex:
Female
507 Gwen Road
Evening Phone: 919- 241 -4402
Race:
Caucasian
Hillsborough NC 27278
Cell Phone:
Township:
Hillsborough
E -mail: kmetzguer@gmail.com
Date Applied:
10/15/2013
Skills: Executive Director
Also Serves On:
Skills: Nurse
Also Serves On:
Monday, November 03, 2014 Page 2 of 3
Applicant Interest Listing by Board Name and by Applicant Name
Advisory Board on Aging
Care Provider
Contact Person: Janice Tyler
Contact Phone: 919 - 245 -4255
Community Planning
Mr. Frank Montes de Oca
Day Phone: 321- 624 -1898
Sex:
Male
423 Joyce Road
Evening Phone: 321- 624 -1898
Race:
Hispanic
Hillsborough NC 27278
Cell Phone:
Township:
Hillsborough
E -mail: frml@me.com
Date Applied:
08/30/2013
Skills: Aging Issues
Also Serves On:
Skills: Emergency Manager
Also Serves On:
Skills: Paramedic
Also Serves On:
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
Deborah Stewart
1405 Buckhorn Rd.
Mebane NC 27302
Skills:
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:
12117/2013
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:
10/10/2014
Also Serves On: Adult Care Home Community Advisory Committee
Day Phone: 919- 210 -4857
Evening Phone: 919 - 2104857
Cell Phone: 919 -210 -4857
E -mail: deb.k.stewart @gmail.com
Also Serves On:
Sex:
Female
Race:
Caucasian
Township:
Cheeks
Date Applied:
07/21/2014
Monday, November 03, 2014 Page 3 of 3
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:
Township of Residence:
Zone of Residence:
Sex:
Ethnic Background:
Ms. Susan Adams
211 Hogan Woods Circle
Chapel Hill NC 27516
919- 357 -5541
919- 357 -5541
jaseradams @gmail.com
Self- employed
Consultant
2004
Chapel Hill
Carrboro City Limits
Female
Caucasian
Community Activities /Organizational 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:
Boards /Commissions applied for:
Advisory Board on Aging
Background, education and experience relevant to this board:
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
Page 2 of 2
Susan Adams
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.
1 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 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.
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, I feel that I too
must focus my time and energies on the future.
I appreciate your time in considering me for this position.
Reasons for wanting to serve on this board:
Conflict of Interest:
Nursing Home Community Advisory Committee
Background, education and experience relevant to this board:
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
relocated to Chatham County in 2008.
Reasons for wanting to serve on this board:
Conflict of Interest:
Supplemental Questions:
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: 10/7/2013 Date Printed: 10/2112014
Page 1 of 2
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
422 Hampton Pointe
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 2 Teri J. Driscoll
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. 1 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.
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: 10/21/2014
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:
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
Township of Residence: Cheeks
Zone of Residence: -
Sex: Female
Ethnic Background: 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
Jerry Ann Gregory
Adult Care Home Community Advisory Committee
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:
Township of Residence:
Zone of Residence:
Sex:
Ethnic Background:
Ms. Carolyn Helfrich
1233 Highland Loop
Hillsborough NC 27278
757 - 871 -6092
Carolyn.helfrich @gmaii.com
Weaver St. Mkt
Clerk
2008
Hillsborough
Hillsborough ETJ
Female
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
Carolyn Helfrich
Other Comments:
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: 12/2712013
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
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 1 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 01/2412013. 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
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
emilylees@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, l 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 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:
Township of Residence:
Zone of Residence:
Sex:
Ethnic Background:
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
Hillsborough
Hillsborough ETJ
Female
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: 10115/2013 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:
Year of OC Residence:
Township of Residence:
Zone of Residence:
Sex:
Ethnic Background:
Mr. Frank. Montes de Oca
423 Joyce Road
Hillsborough NC 27278
321 - 624 -1898
321 - 624 -1898
frml@me,.com
2008
Hillsborough
Hillsborough ETJ
Male
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:
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
driderl736@gmail.com
Affordable Family Care
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
Deborah Rider
Other Comments:
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: 10/1012014 Date Printed: 10110/2014
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