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HomeMy WebLinkAboutAgenda - 10-23-2007-10aORANGE COUNTY BOARD OF COMMISSIONERS ACTION AGENDA ITEM ABSTRACT Meeting Date: October 23, 2007 Action Agenda Item No. 10-a SUBJECT: Advisory Board on Aging--New Appointments DEPARTMENT: Board of Commissioners PUBLIC HEARING: (Y/N) No ATTACHMENT(S): Under Separate Cover Membership Roster Letter of Recommendation Application(s)/Resume(s) of Person(s) Recommended Interest List Application(s)/Resume(s) of Person(s) on the Interest List INFORMATION CONTACT: Clerk's Office, 245-2130 PURPOSE: To consider making new appointments to the Advisory Board on Aging. BACKGROUND: The Clerk's office has received recommendations from the Advisory Board of Aging for the following: Ms. Ellen Ozier Hayes and Mrs. Mariah McPherson. Position Number S ecial Re resentation Ex iration Date 1 At-Lar e 06/30/2008 3 Cha el Hill 06/30/2010 4 Hillsborou h 06/30/2009 10 At-Lar e . 06/30/2010 FINANCIAL IMPACT: None. 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VI '° ~ ° ~ ,, ` V ~ , O p C O O ~ ' ~ G ~ O O N ~ ~ ~ ~ p F ~ O O G ~v~ ~_y tl ~ t 7 ~ \ V O~ O ~ ~ ~p O y c !~, ~ W ~ ~ b o M rn M rn t o, ~ ~ ~ ~ rn rn rn ° o ~ U o Y w rn an , ^o o o h o o ~C c° o o d t° o o ~ •"f ~". a a w w w a u" w a a ~' w ~ ~~ w j , ~ Q CC3 ~ ~ Q Q ' ~ °°~ ~~ ~ w' W W M ~G+ N ~~" W C ~ ~ i ~ ~ ~ ~ ~ ~ a ~o on O G ~ ~ ~?+ . '~ i • wi "~S ~ ~ A i G ~ . U ~ N a~- y roa~w p ~ vOi G bA 'd .~-~ ~ .H N O y D U ~ Q Z 'b 0 ~ ~ Z r f..a VO . ,.C ,.C ~ O .~ F O ~ M M N H H 1p+ ~ xi V QO 'r' C~ ~ ~ ~ ~ cVC '~.', ~ „~ W ~ N W a .~ ~ p ~ O O A ~ of ~ -y~ «f ~ ~ a~ ~ ~ , ~ . ~. •~+ f~ F-'-1 ~ U ~ ~1 ~l1 N C .~ ~ N ~ b ~ ~ . H 5 Orange County Advisory Board on Aging October 5, 2007 The Honorable Moses Carey, Chair Orange County Board of County Commissioners P.O. Box 8181 Hillsborough, NC 27278 Dear Chair Carey: Subject: Board Appointment The Orange Cotmty Advisory Board on Aging reviewed all applicants for vacant at-large representation to the Advisory Board. At the Septemberl2th meeting of the Aging Board, the members recommended Ms. Ellen Ozier-Hayes for appointment. The Aging Board invites prospective applicants to attend meetings prior to malting iecorrunendations to assure their uzterests in the worltings of the Board and become familiar with meeting dates and times. Ms. Ozier-Hayes has attended several advance meetings. Ms. Ozier-Hayes has experience wonting with the older population in Orange County. She wonted as an intern with the Department on Aging while studying for a Masters of . Social Worlt degree at UNC. She has volunteered with several area organizations such as Alterra C1areBridge's Memory Care facility wonting with residents diagnosed with Alzheimer's or dementia-related illnesses. She is a former member of the Dulte Brain Tumor Center Advisory Board and currently serves on the Center for Women's Health Research Board in Chapel Hill. Ms. Ozier-Hayes is presently a clinical instructor with the Jordan Instihite's Family and Children's Resource Program and the Center for Aging Research and Educational Services. With both her volunteer service and professional experience, she will be as asset to the Advisory Board on Aging. Thanlt you for your consideration of her nomination. Respectfully submitted, Jaclt Chestnut, Chair Orange County Advisory Board on Aging Orange County Advisory Board on Aging October 5, 2007 The Honorable Moses Carey, Chair Orange County Board of County Commissioners P.O. Box 8181 Hillsborough, NC 27278 Dear Chair Carey: Subject: Board Appointment The Orange Coiuzty Advisory Board on Aging reviewed the applicants for the vacant position of Town of Hillsborough resident. At the September 12t1i meeting of the Advisory Board, the members recommended Mrs. Mariah McPherson for consideration to the Aging Advisory Board. As the County Commmissioners are well aware, Mrs. McPherson has vast experience in serving on many volunteer boards dating from the 1950's to present. Some of the boards are Capital Needs Advisory Task Force, Htunan Relations Cormnission, Master Aging Plan Taslcforce-Steering Committee, Central Orange Senior Center Design Committee, as well as two terms on the Advisory Board on Aging. Mrs. McPherson has agreed and is eligible to serve another term, if appointed, to the Aging Advisory Board. Thank you for your consideration of her nomination. Respectfiilly submitted, Jack Chestnut, Chair Orange County Advisory Board on Aging Print Applicant for Orange County Boards and Commissions Volunteer Application Orange County Advisory Boards and Commissions Name: Ellen Ozier Hayes Name Called: Home Address: 7125 New Light Trail Chapel Hill, NC 27516 Phone: (Day) 919-880-3681 Phone: 919-942-9357 (Evening) Fax: 919-929-3755 Email: eozier@earthlink.net Place of University of North Carolina School of Social Work Employment: Job Title: Clinical Instr~.ictor Township of Bingham Residence: Zone of At-Large Residence: Sex: Female Ethnic Caucasian Background: Date of Birth: 05/21/1972 Position History: No position history exists for this applicant. Boards Applied for: Advisory Board on Aging Serving On: Page 1 of 2 7 Worlc Experience: I have worked as a professional photojournalist for 13 years, but decided to go back to school to pursue a Master's degree in Social Worlc in August of 2004 to combine my background in journalism with my desire to affect social change on a macro level. While in the program, I worked as an intern for Dl~lce Hospice and the Orange County Department on Aging under the supervision of Jerry Passmore and Kate Barrett. I graduated with an MSW degree focusing on Management and Community Practice and Aging in May of 2006 and was immediately hued as a consultant for the Jordan Institute for Families' Rural Success Proj ect. I was appointed to a Clinical Instructor position in November of 2006, working full-time with the Jordan Institute's Family and Children's Resource Program and the Center for Aging Research and Educational Services and I continue to hold this position today. Volunteer Experience: I volunteered at Alterra C1areBridge's Memory Care facility where I helped start an art program for residents with a diagnosis of Alzheimer's or other dementia-related illnesses. I also spent time as a volunteer for TROSA, or http://serverl .co.orange.nc.us/boards/Printlndiv.asp?AppID=2145644285 10/9/2007 Print Applicant for Orange County Boards and Commissions Page 2 of 2 ri~ Triangle Residential Options for Substance Abusers, in their literacy program where I helped teach adults to read. I am a former member of the Duke Brain Tumor Center Advisory Board and currently serve on the Center for Women's Health Research Board in Chapel Hill. I also volunteer for Hidden Voices, a Carrboro-based non-profit organiztion that seeks to give a voice to vulnerable and oppressed populations through various artistic mediums. Education: BA, Journalism and Mass Communication- Visual Commtulicaitons sequence, UNC-Chapel Hill (1994); MSW, UNC-Chapel Hill School of Social Wonc~ (2006) Remarks: I have a real passion for working with older adults, particularly those who are vulnerable and/or oppressed and who live in rural areas. I would be honored to represent not only a younger generation of individuals who realize the importance of aging service, but also an area of rural Orange COUnty that could sertainhy benefit from education about exisit aging services in Orange County and a voice for services they feel are needed to promote a beter overall quality of life.. STAFF COMMENTS: Originally applied for Advisory Board on Aging 2/23/2007. ADDRESS VERIFICATION: 7125 New Light Trail is in the Bingham township in Orange County. This application was current on: 02/22/2007 10:55:10 AM http;//served .co.orange.nc.us/boards/PrintIndiv.asp?AppID=2145644285 10/9/2007 Print Applicant for Orange County Boards and Commissions Volunteer Application Orange County Advisory Boards and Commissions Name: Mariah McPherson Name Called: 513 N. Nash Street Home Address: P O Box 327 Hillsborough, NC 27278 Phone: (Day) 919-732-2583 Phone: 919-732-2583 (Evening) Fax: Email: Mariahp@earthlinlc.net Place of Employment: Job Title: Township of Hillsborough Residence: Zone of Hillsborough Town Limits Residence: Sex: Female Ethnic African American Background: Date of Birth: Position Board Name History Capital Needs Advisory Taslc Force Advisory Board on Aging Human Relations Commission Advisory Board on Aging Master Aging Plan Taslcforce-Steering Committee Central Orange Senior Center Design Committee Page 1 of 2 Term Term Ending Number of Beginning Date Terms Date 02/07/2001 07/29/2001 1 05/20/2003 07/07/2006 2 11/01/2000 09/02/2003 2 09/05/2000 06/30/2003 0 10/18/2005 07/02/2007 1 12/05/2005 08/27/2007 1 http://serverl .co.orange.nc.us/boards/Printlndiv.asp?AppID=309 10/9/2007 Print Applicant for Orange County Boards and Commissions Page 2 of 2 r Boards Applied for: Advisory Board on Aging Serving On: Work Experience: Current 2/6/01 Retired. Previious: Worked 2 years for Judge W.G. Pearson; Worked 47 years for Cooperative Extension Services of Orange Cotmty. Volunteer Experience: Multiple agencies in Orange Coiuzty from 1950 to present. Education: BS in Business Administration from NC Central UniversityAdditional computer courseworlc. Remarks: ,Reapplied for MAP 2005.Renewed application 2/6/01 for Capital Needs Advisory Task Force. Renewed application 9/2/99 for Advisory Board on Aging; Worlc Exp. North Carolina Cooperative Extension. Apptd. to Adv. Board on Aging, 9/29/99Applied 8/8/99 for "where needed"; put on Census 2000 Complete County Committee. OTHER COMMENTS: Willing to help educate citizens of Orange County on why we should pass the Bond. ADDRESS VERIFICATION: 513 N Nash Street is in Hgillsborough city limits. This application was current on: 02/06/2001 http://serverl .co.orange.nc.us/boards/Printlndiv.asp?AppID=309 10/9/2007 Applicant Interest Listing by Board Name and by Applicant Name Advisory Board on Aging 1VIs Amanda Borer 312 Parlcridge Ave Chapel Hill NC 27517 Skills: Chapel Hill City Limits Day Phone: 4193065608 Evening Phone: 4193065608 FAX: E-mail: borer.8@osu.edu Also Serves On: Contact Person: Jerry Passmore Contact Phone: 919-245-2009 Sex: Female Race: Caucasian Township: Chapel Hill Date Applied: 05/14/2007 MS. ELIZABETH CRONER 1605 N. GREENBOROUGH ROAD CARRBORO NC 27510 Skills: Retired Ms Mary Currie 721 ICenion Road Hillsborough NC 27278 Skills: Cedar Grove Township Ms. Ellen Ozier Hayes 7125 New Light Trail Chapel Hill NC 27516 Skills: Bingham Township Ms. Frances Kovens 1010 Pinehurst Drive Chapel Hill NC 27517 Skills: Registered Nurse Day Phone: 919-880=3681 Evening Phone: 91.9-942-9357 FAX: 919-929-3755 E-mail: eozier@earthlinlc.net Also Serves On: Sex: Female Race: African American Township: Chapel Hill Date Applied: 11/05/2005 Sex: Female Race: African American Township: Cedar Grove Date Applied: 07/11/2006 Sex: Female Race: Caucasian Township: Bingham Date Applied: 02/22!2007 Day Phone: 919-602-4301 Sex: Female Evening Phone: 919-929-7434 Race: Caucasian FAX: 919-929-7589 Township: Chapel Hill E-mail: fkovens@nc.rr.com Date Applied: 11/05/2003 Also Serves On: Adult Care Home Community Advisory Committee Mr. Kevin Leibel Day Phone: 933-4676 Sex: Male 2703 Creek Run Ct Evening Phone: 933-0872 Race: Caucasian Chapel Hill NC 27514 FAX: Township: Chapel Hill E-mail: kmleibel@gmail.com Date Applied: 01/01/2006 Skills: Political Volunteer Also Serves On: Skills: Professor Also Serves On: Day Phone: 919.933.862 Evening Phone: FAX: E-mail: Also Serves On: Day Phone: 919-732-7421 Evening Phone: FAX: E-mail: mhcun•ie@yahoo.com Also Serves On: Tuesday, October 09, 2007 Page 1 of 2 .a Applicant Interest Listing Advisory Board on Aging by Board Narne and by Applicant Name Contact Person: Jerry Passmore Contact Phone: 919-245-2009 Dr. Margaret Matheis 2102 Waterwheel Road Hurdle Mills NC 27541 Skills: Guardian ad litem Skills: M.S. Rehabilitation Counseling Skills: N.C. Registered Guardian Skills: PhD Psychology Ms. Marian McPherson 513 N. Nash Street P O Box 327 Hillsborough NC 27278 Skills: Community Service Volunteer Skills: Cooperative Extension Skills: SENIOR CENTERS Subcmtee (Bond E Day Phone: 919-644-7308 Evening Phone: 919-644-7308 F,q}{; 919-644-7306 E-mail: mm@eldercare-solutions.com Also Serves On: Also Serves On: Also Serves On: Also Serves On: Day Phone: 919-732-2583 Evening Phone: 919-732-2583 FAX: E-mail: Mariahp@earthlink.net Also Serves On: Also Serves On: Also Serves On: Sex: Female Race: Caucasian Township: Cedar Grove Date Applied: 04/12/2004 Sex: Female Race: African American Township: Hillsborough Date Applied: 02/06/2001 Ms. Katina Nichols 5656 Preston Loop Mebane NC 27302 Skills: Non-Profit Agency Skills: Registered Nurse Ms. Debra Snipes 3222 Ode Turner Road Hillsborough NC 27278 Day Phone: 919-563-4373 Evening Phone: 336-266-9993 FA}{: 919-563-9881 E-mail: nichols@mebtel.net Also Serves On: Human Relations Commission Skills: Accounting Experience Skills: Community Service Volunteer Day Phone: 919-260-3373 Evening Phone: 919-643-2086 FAX: E-mail: Also Serves On: Also Serves On: Sex: Female Race: African American Township: Cheeks Date Applied: 07/18/2005 Sex: Female Race: Caucasian Township: Hillsborough Date Applied: 05/12/2005 Tuesday, October 09, 2007 Page 2 of 2 Print Applicant for Orange County Boards and Commissions Volunteer Application Orange County Advisory Boards and Commissions Name: Amanda Borer Name Called: Home Address: 312 Parlcridge Ave Chapel Hill, NC 27517 Phone: (Day) 4193065608 Phone: 4193065608 (Evening) Fax: Email:. borer.8@osu.edu Place of Employment: Job Title: Township of Chapel Hill Residence: Zone of C.H. City Limits Residence: Sex: Female Ethnic Caucasian Background: Date of Birth: 08/09/1984 Position History: No position history exists for this applicant. Page 1 of 2 3 I Boards Applied for: Adult Care Home Community Advisory Committee, Advisory Board on Aging, Serving On: Work Experience: May 2005-May 2007 Assisted Living Aide, Trilliuun Place Columbus, OH Trillium Place is a retirement community with 160 (and growing) residents in independent living quarters and 30 residents in the assisted living unit. Trillium Place is part of the Brookdale Senior Living Communities. Duties include: • Helping residents with their activities of daily living, such as dressing, toileting, and transferring • Occasionally assisting with cleaning, laundry, and organizing (e.g. rooms and inventory) • Preparing meals, serving, delivering, and helping cut up food for consumption • Most importantly being a friend to each of the residents Summer 2006 Intern, Trillium Place Worked with both- the Resident Services Director and the Assisted Living Director about 12 hours a week. • Update the emergency log for all residents • Put together a book with oxygen, pet, vehicle, and med alert information • Put together a book with "Permission to Enter" forms • Involved in care, meetings with managers, residents, and their families Swniners of 2002-2003 Intern, Michael A Borer's Law Office Ottawa, OH Formally named Gerschutz and Borer Law Office http://serverl .co.orange.no.us/boards/PrintIndiv.asp?AppID=2145644318. .10/9/2007 Print Applicant for Orange County Boards and Commissions Page 2 of 2 ~~ Duties included: • Running title searches in court houses around the state • Answering phones • Typing documents and sitting in on closings Winter 2006-Present Ohio State Geriatrics and Gerontology Club Social Chair Duties include: • Planning and coordinating events • Organizing events by contacting the appropriate people • Events included: The Ohio State Involvement Fair, Health Science Club and Geriatrics BBQ, a Beat Michigan Party at Westminster-Thurber, Meals on Wheels and a Senior Prom at Wesley Glenn 2005-Present Ohio State Health Sciences Club Member Duties include: • Worked closely with the officers to plan and organize events • Attended events and meetings Spring 2006 Independent Study with Dr. Margaret Teaford, Assistant Professor.School of Allied Medical Professions The independent study was a national exercise and nutrition program for older adults. Called "You Can!" We implemented the program at Westerville Senior Center. Duties included: • Recruiting participants • Helping fill out surveys • Organizing and explaining the program • Evaluating t11e participants • Concluding the program with a written report Volunteer Experience: The majority of my volunteer experience has been through projects involved with the Geriatrics and Gerontology club at The Ohio State University. Education: The Ohio State University Columbus, OH B.S. Health Sciences Specialization: Geriatrics and Gerontology Cumulative GPA of 3.38 and Major GPA of 3.9 Graduated: March 18, 2007 Remarks: I just moved to Chapel Hill, and am planning on attending UNC in the fall for my Masters of Health Adnunistration.. STAFF COMMENTS: Originally applied for Adult Care Home Community Advisory Committee, Advisory Board on Aging, and Master Aging Plan Taskforce. ADDRESS VERIFICATION: 312 Parlcridge Avenue is in Chapel Hill in the Chapel Hill City Limits. This application was current on: 05/14/2007 9:32:40 AM http://serverl .co.orange.nc.us/boards/PrintIndiv.asp?AppID=2145644318 10/9/2007 Print Applicant for Orange County Boards and Commissions Volunteer Application Orange County Advisory Boards and Commissions Name: ELIZABETH CRONER Name Called: Home Address• 1605 N. GREENBOROUGH ROAD • CARRBORO, NC 27510 Phone: (Day) 919.933.862 Phone: (Evening) Fax: Email: Place of RETIRED Employment: Job Title:' Township of Chapel Hill Residence: Zone of Carrboro City Limits Residence: Sex: Female Ethnic African American Background: Date of Birth: 05/14/1934 Position History: No position history exists for this applicant. Page 1 of 1 ~~ Boards Applied for: Advisory Board on Aging, Nursing Home Community Advisory Committee, Serving On: Worlc Experience: RETIRED FROM STATE OF OHIO, CLEVELAND DEVELOPMENTAL CENTER; STAFF SUPV. Volunteer Experience: CZT~lZRENTLY ASSISTING ABUNDANT LIFE CHURCH PANTRY Education: HIGH SCHOOL; CONTINUED EDUCATION; Remarks: STAFF COMMENTS: Originally applied for Adv. Board on Aging, Nursing Home CAC, and Board of Social Services 11/8/2005. ADDRESS VERIFICATION: 1605 N. Greensboro St is in Carrboro City Limits in Orange Cotmty in the Chapel Hill Township. This application was current on: 11/05/2005 11:28:47 AM http://served .co.orange.nc.us/boards/PrintIndiv.asp?AppID=2145644067 10/9/2007 Print Applicant for Orange County Boards and Commissions Volunteer Application Orange County Advisory Boards and Commissions Name: Mary Currie Name Called: Home Address: 721 Kenion Road Hillsborough, NC 27278 Phone: (Day) 919-732-7421 Phone: (Evening) Fax: Email: Place of Employment: Job Title: Township of Residence: Zone of Residence: Sex: Ethnic Background: Date of Birth: Position History mhcurrie@yahoo.com Cedar Grove At-Large Female African American 04/07/1953 Page 1 of 1 i~ Board Name Term Beginning Term Ending Number of Date Date Terms Cornlnission for 01/23/2007 08/24/2007 0 Women Boards Applied for: Hillsborough Planning Board, Advisory Board on Aging, Serving On: Work Experience: Information Technology Volunteer Experience: Education: AAS -Business Computer Programming Remarks: STAFF COMMENTS: Originally applied for Commission for Wolnen, Hillsborough Planning Board, Advisory Board of Aging 7/20/2006. ADDRESS VERIFICATION: 721 Kenion Road is in Orange County in Cedar Grove townslup. This application was current on: 07/11/2006 4:35:01. PM http://serverl .co.orange.nc.us/boards/PrintIndiv.asp?AppID=2145644185 10/9/2007 Print Applicant for Orange County Boards and Commissions Page 1 of 2 1 `1 Volunteer Application Orange County Advisory Boards and Commissions Name: Frances Kovens Name Called: Home Address: 1010 Pinehurst Drive Chapel Hill, NC 27S 17 Phone: (Day) 919-602-4301 Phone: 919-929-7434 (Evening) Fax: 919-929-7589 Email: flcovens@nc.rr.com Place of Duke Medical Center Employment: Job Title: RN - Pt. Resource Mgr. Township of Chapel Hill Residence: Zone of C.H. City Limits Residence: Sex: Female Ethnic Caucasian Background: Date of Birth : 06/17/1957 Position ~ Board Name Term Term Ending Number of Beginning History Date Terms Date Adult Care Home Community Advisory. 03/27/2007 03/31/2009 1 Committee Adult Care Home Community Advisory 03/01/2005 03/31/2007 0 Committee Boards Applied for: Advisory Board on Aging Serving On: Adult Care Home Community Advisory Committee Work Experience: RN 6 yrs. @ DUMC ;prior to that short term construction, UNC Hospitals Volunteer Experience: Hadassah, various school activities in Chapel Hill School System Education: BSN http://serverl .co.orange.nc.us/boards/Printlndiv.asp?AppID=1068063 SSO 10/9/2007 Print Applicant for Orange County Boards and Commissions Page 2 of 2 Remarks: Due to the nature of my position @ Duke -largely discharge planning - co- ordination and care - I feel I have knowledge of the aging population health care needs and social network supports. Would very much want to interface with the Chapel Hill Community efforts to provide support and resources to this group of citizens. Originally applied 11/S/03 for ACHCAC and ADV. Board on Aging. Address Verification: This application was current on: 11/OS/2003 http://serverl .co.orange.nc.us/boards/PrintIndiv.asp?AppID=1068063SS0 10/9/2007 Print Applicant for Orange County Boards and Commissions Volunteer Application Orange County Advisory Boards and Commissions Name: Kevin Leibel Name Called: Home Address: 2703 Creels Run Ct Chapel Hill, NC 27514 Phone: (Day) 933-4676 Phone: 933-0872 (Evening) Fax: Email: kmleibel@gmail.com Place of Innovation Management, LLC Employment: Job Title: President Township of Chapel Hill Residence: Zone of At-Large Residence: Sex: Male Ethnic Caucasian Background: Date of Birth: 06/05/1959 Position History: No position history exists for this applicant. Boards Applied for: Advisory Board on Aging, Orange Water & Sewer Authority Board of Directors, Economic Development Commission, Serving On: Page 1 of 1 1~ Work Experience: Adjunct Professor of Marketing UNC CH -expertise in branding and marketing research Marketing professional -New product development, constuner insights, brand development and positioning Volunteer Experience: NC Hillel North Carolina Institue of Political Leadership Education: MBA UNC Kenan Flagler Business School Remarks: STAFF COMMENTS: Originally applied for Aging Board, OWASA, and EDC 1/03/2006. ADDRESS VERIFICATION: 2703 Creels Rn Ct is in Chapel Hill Township outside the Chapel Hill City Limits. This application was current on: 01/01/2006 9:24:50 PM http://serverl .co.orange.nc.us/boards/PrintIndiv.asp?AppID=2145644083 10/9/2007 Print Applicant for Orange County Boards and Commissions Page 1 of 2 a~ Volu>~teer Application. Orange County Advisory Boards and Commissions Name: Margaret Matheis Name Called: Home Address• 2102 Waterwheel Road Hurdle Mills, NC 27541 Phone: (Day) 919-644-7308 Phone: 919-644-7308 (Evening) Fax: 919-644-7306 Email: mm@edercare-solutions.com Place of Matheis & Associates Employment: Job Title: Eldercare Consultant Township of Cedar Grove Residence: Zone of Cedar Grove Twnsp Residence: Sex: Female Ethnic Caucasian Baclcground: Date of Birth: 10/03/1949 Position History: No position history exists for this applicant. Boards Applied for: Advisory Board on Aging Serving On: Work Experience: As a Geriatric Care Manager in the private sector I worlc with older adults and their families to provide assessment, comprehensive care planning, counseling, crisis intervention, consumer education, and referral to commtuuty resources. I help arrange in home care or provide consultation to help transition to long term care facilities. Volunteer Experience: Arc of Orange Cotiulty; Community Partner 11/99-present; Guardian ad Litern; Guardian 10/00-7/01; Cornucopia House; Volunteer 11/99- present; Prior to moving to N.C. I volunteered in Chicago: Ryerson Woods; Librarian over 10 years; Center of Concern; Friendy Visitor to Seniors 2 years; Rainbow Hospice; Counselor 2 years. Education: Ph.D., Psychology, M.S. Rehabilitation Counseling; I hold 5 different certifications related to case/care management and disability I am an N.C. Registered Guardian (for incompetent individuals). http://serverl .co.orange.nc.us/boards/PrintIndiv.asp?AppID=258140232 10/9/2007 Print Applicant for Orange County Boards and Commissions Page 2 of 2 ~~ Remarks: I am very interested in all matters pertaining to the older population in our area. I would hope to be a valuable addition to your team both with any appropriate professional input as well my personal concern as a citizen in the community. Please note that I live in the Orange County section of Hurdle Mills. STAFF NOTES: Originally applied 4/12/04 for Advisory Board on Aging. ADDRESS VERIFICATION:2102 Waterwheel Road, Hurdle Mills, is in Cedar Grove Township, MOAD/ncg. This application was current on: 04/12/2004 4:28:38 PM http://serverl .co.orange.nc.us/boards/PrintIndiv.asp?AppID=258140232 10/9/2007 Print Applicant for Orange County Boards and Commissions Volunteer Application Orange County Advisory Boards and. Commissions Name: Katina Nichols Name Called: Home Address: 5656 Preston Loop Mebane, NC 27302 Phone: (Day) 919-563-4373 Phone: 336-266-9993 (Evening) Fax: 919-563-9881 Email: nichols@mebtel.net Place of Touching Lives Everyday Home Care, INC Employment: Job Title: Agency Director/Owner Township of Cheeks Residence: Zone of At-Large Residence: Sex: Female Ethnic African American Background: Date of Birth: 02/23/1971 Position Term History Board Name Beginning Date Nursing Home Community Advisory 06/19/2006 Committee Boards Applied for: Advisory Board on Aging Serving On: Human Relations Commission Page 1 of 2 as Term Ending Number of Date Terms 05/14/2007 0 Work Experience: Presently owner, Director of Nursing and Agency Direcoor of home care agency, RN for 9 years with experience in renal and nephrology, home care, case management, MDS coordinator at Nursing Home facility, worked as weekend RN supervisor at sleilled nursing home facility and RN team leader at Rehabiliation facility. Volunteer Experience: School system and soon the daycare that my baby attends. Education: A.D.N. Remarks: I am looking forward to giving in the community and helping others. I am a http://served .co.orange.nc.us/boards/Printlndiv.asp?AppID=2145643966 10/9/2007 Print Applicant for Orange County Boards and Commissions Page 2 of 2 ~~ stay-at-home mom/wife who is ruining a business and wanting to make a difference for our youth and other people. I want better standards for our elderly in long term care facilities. STAFF COMMENTS: Originally applied for Adv. bd on Aging, NHCAC, HRC 7/18/2005, ADDRESS VERIFICATION: 5656 Preston Loop is in Orange County in Cheelcs township. This application was current on: 07/18/2005 http://serverl .co.orange.nc.us/boards/PrintIndiv.asp?AppID=2145643966 10/9/2007 Print Applicant for Orange County Boards and Commissions Page 1 of 1 a~ Volunteer Application Orange County Advisory Boards and Commissions Name: Debra Snipes Name Called: Home Address: 3222 Ode Turner Road Hillsborough, NC 27278 Phone: (Day) 919-260-3373 Phone: 919-643-2086 (Evening) Fax: Email: Place of Employment: Job Title: Township of Hillsborough Residence: Zone of At-Large Residence: Sex: Female Ethnic Caucasian Background: Date of Birth: 08/25/1960 Position History: No position history exists for this applicant. Boards Applied for: Advisory Board on Aging, Board of Social Services, Chapel HilUOrange County Visitors Bureau, Serving On: Work Experience: Mainly business, accounting, auditor, writer, notary Volunteer Experience: feeding the homeless, active in church activities Education: some college Remarks: STAFF COMMENTS: Originally applied for Adv. Bd on Aging, Board of Social Services, Chapel Hill /Orange County Visitors Bureau. ADDRESS VERIFICATION: 3222 Ode Turner Road is in the Hillsborough township in Orange County, not in the ETJ. This application was current on: 05/12/2005 9:43:03 AM http://serverl .co.orange.nc.us/boards/Printlndiv.asp?AppID=2145643919 10/9/2007