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HomeMy WebLinkAboutAgenda - 06-21-2016-11-c - Advisory Board on Aging - Appointments 1 ORANGE COUNTY BOARD OF COMMISSIONERS ACTION AGENDA ITEM ABSTRACT Meeting Date: June 21 , 2016 Action Agenda Item No. 11-c SUBJECT: Advisory Board on Aging — Appointments DEPARTMENT: Board of Commissioners ATTACHMENT(S): INFORMATION CONTACT: Membership Roster Donna Baker, Clerk to the Board Recommendations 919-245-2130 Applications for Persons Recommended Attendance Record Driscoll & Cohn Applicant Interest List Applications of Persons on the Interest List PURPOSE: To consider making appointments to the Advisory Board on Aging. BACKGROUND: The following information is for Board consideration: • Appointment to a partial term (Position #2) "At-Large" representative for Colin Austin expiring 06/30/2017. • Move member Teri Driscoll from (Position #2) "At-Large" representative to (Position #6) "Hillsborough Town Limits" representative to replace Ed Flowers, III (second full term expires 06/30/2016) expiring 06/30/2019. • Appointment to a second full term (Position #10) "At-Large" representative for Dr. Margaret Cohn expiring 06/30/2019. • Appointment to a first full term (Position #11) "At-Large" representative for Heather Altman expiring 06/30/2019. POSITION NAME SPECIAL REPRESENTATIVE EXPIRATION DATE NO. 2 Colin Austin At-Large 06/30/2017 6 Teri Driscoll Hillsborough Town Limits 06/30/2019 (moving from position #2 to position #6) 10 Dr. Margaret Cohn At-Large 06/30/2019 11 Heather Altman At-Large 06/30/2019 NOTE - If the individuals listed above are appointed, the following vacancies remain: • None FINANCIAL IMPACT: None 2 SOCIAL JUSTICE IMPACT: Enable Full Civic Participation. Ensure that Orange County residents are able to engage government through voting and volunteering by eliminating disparities in participation and barriers to participation. RECOMMENDATION(S): The Manager recommends that the Board consider making appointments to the Advisory Board on Aging. 3 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. Marshall Daniel Day Phone:9193573410 Sex: Male First Appointed: 05/15/2012 1 Evening Phone:9197326628 Race:Caucasian Current Appointment: 11/17/2015 4818 NC Hwy 57 FAX: Township: Little River Expiration: 06/30/2017 Hurdle Mills NC 27541 E-mail:dandaniel@embargmail.com Resid/Spec Req: At-Large Number of Terms: Special Repr: Teri J. Driscoll Day Phone:919-245-1127 Sex: Female First Appointed: 06/16/2015 2 Evening Phone:919-245-1127 Race:Caucasian Current Appointment: 06/16/2015 422 Hampton Pointe FAX: Township: Hillsborough Expiration: 06/30/2017 Hillsborough NC 27278 E-mail:drisco11323@nc.rr.corn Resid/Spec Req: At-Large Number of Terms: 1 Special Repr: A Yvonne Mendenhall Day Phone:919-968-7874 Sex: Female First Appointed: 11/17/2015 3 Evening Phone:919-968-7874 Race:Caucasian Current Appointment: 11/17/2015 304 W Barbee Chapel Rd FAX: Township: Chapel Hill Expiration: 06/30/2018 Chapel Hill NC 27517 E-mail:menholiday @aol.com Resid/Spec Req: Chapel Hill Town Li Number of Terms: Special Repr: Dr. Richard White Day Phone:919 732 8527 Sex: Male First Appointed: 09/18/2012 4 Evening Phone: Race:Caucasian Current Appointment: 06/16/2015 4901 Schley Rd FAX: Township: Little River Expiration: 06/30/2018 Hillsborough NC 27278 E-mail:rwhite@duke.edu Resid/Spec Req: At-Large Number of Terms: 2 Special Repr: Dr. Donna Prather Day Phone:919 929-3375 Sex: Female First Appointed: 05/15/2012 5 Evening Phone:919 929-3375 Race:Caucasian Current Appointment: 10/17/2014 107-A Spring Valley Road FAX: Township: Chapel Hill Expiration: 06/30/2018 Carrboro NC 27510 E-mail:dprather@bellsouth.net Resid/Spec Req: Carrboro Town Limit Number of Terms: 2 Special Repr: Friday,May 13,2016 Page 1 4 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. 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 Two Limits Number of Terms: 2 Special Repr: Dr. Mary Altpeter Day Phone:919-966-0499 Sex: Female First Appointed: 11/06/2014 7 Evening Phone:919-942-8273 Race:Caucasian Current Appointment: 11/06/2014 1613 Providence Glen Drive FAX: Township: Chapel Hill Expiration: 06/30/2017 Chapel Hill NC 27514 E-mail:mary_altpeterCaunc.edu Resid/Spec Req: At-Large Number of Terms: I Special Repr: Winston Liao Day Phone:919 929 3123 Sex: Male First Appointed: 11/06/2014 8 Evening Phone: Race:Asian American Current Appointment: 06/16/2015 126 Fern Lane FAX: Township: Chapel Hill Expiration: 06/30/2018 Chapel Hill NC 27514 E-mail:winston.liaol @gmail.com Resid/Spec Req: At-Large Number of Terms: I Special Repr: Lorenzo Me]la Day Phone:919-338-2183 Sex: Male First Appointed: 01/24/2013 g Evening Phone: Race:Hispanic Current Appointment: 06/16/2015 119 Summergate Circle FAX: Township: Chapel Hill Expiration: 06/30/2018 Chapel Hill NC 27516 E-mail:lorenzo@AcornHCS.com Resid/Spec Req: At-Large Number of Terms: 2 Special Repr: Dr. Margaret Cohn Day Phone:9199183698 Sex: Female First Appointed: 02/04/2014 10 Vice-Chair 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:peggycohn380dgmail.com Resid/Spec Req: At-Large Number of Terms: 1 Special Repr: Friday,May 13,2016 Page 2 5 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 Day Phone:919-619-1510 Sex: Male First Appointed: 01/20/2011 11 Chair Evening Phone:919-929-6368 Race:Caucasian Current Appointment: 05/21/2013 5915 Morrow Mill Road FAX: Township: Bingham Expiration: 06/30/2016 Chapel Hill NC 27516 E-mail:alexcastrojr@hotmail.com Resid/Spec Req: At-Large Number of Terms: 2 Special Repr: Keith Cook Day Phone:919-644-1886 Sex: Male First Appointed: 04/17/2012 12 Evening Phone:919-644-1884 Race:African American Current Appointment: 10/07/2014 419 Calvary Court FAX: Township: Cedar Grove Expiration: 06/30/2017 Hillsborough NC 27278 E-mail:kdc52Caaol.com Resid/Spec Req: At-Large Number of Terms: 2 Special Repr: Friday,May 13,2016 Page 3 111111111111111111111 Ora ice I I Depi mrtment 1,1n Agin 11 gores, ,r,srrilor,,, Robert & Pearll Scmour(onto' I 7551 Homestead Rd. I Ch a,r)ell Hon, NIC 27516 Central Orang e Set or Center I 103 Meadovvlands Dr.,. P1) Box B181 Hnlisborough, NC 2/218 May 10, 2016 The Honorable Earl McKee Orange County Board of County Commissioners P.O. Box 8181 Hillsborough, NC 27278 Dear Chair McKee: The Orange County Advisory Board on Aging requests that Ms. Heather Altman and Mr. Colin Austin be considered for appointment to the Advisory Board on Aging. Ms.Altman has previously served on the Advisory Board and is employed by Carol Woods Retirement Community. She would fill the at-large position that Alex Castro has occupie d for two terms. Mr.Austin is an attorney whose firm has recently completed the Dementia-Friendly Business training. Ed Flowers is completing his second term on the Advisory Board. If Teri Driscoll can be transferred to his Hillsborough town limits position then the at-large vacancy can be filled by Mr.Austin. Thank you for your consideration of these requests. Respectfully submitted, Janice Tyler, Secretary Orange County Advisory Board on Aging vr,it us oramo 11 www.orangewuntync,.govioagmg fflJ Like ws on lacebook @ www..facebook(um/ ron,..v,eCountyDepartmentOnAging 111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111MHOMOHOMMOUHUHUO 00.000000 ' 111111111111111111111 Ora ice CunIy Deprtrnent loln Agin 11 gores, possm)f,,,,, Robert & Pearll Sc,yrnoLar(onto' I 7551 F )Inestead Rd. I Ch r r-A, )ell Hon, NIC 27516 Central Orang e Set or Center I 103 Meadovvlands Dr.,. P1) Box B181 Hnlisborough, NC 2/218 June, 7, 2016 The Honorable Earl McKee Orange County Board of County Commissioners P.O. Box 8181 Hillsborough, NC 27278 Dear Chair McKee: The Orange County Advisory Board on Aging requests that Dr. Margaret Cohn be considered for re-appointment to the Advisory Board on Aging. Dr. Cohn has been an outstanding member of the board. She has served on many sub- committees of the board. She is currently serving as the Vice Chair of the board and pending this re-appointment she will move to be the Chair with the retirement of our current Chair, Mr.Alex Castro. Thank you for your consideration of this request. Respectfully submitted, Janice Tyler, Secretary Orange County Advisory Board on Aging -73 fflJ vrAt us ontmo 11 www.orangm_ountync goy!' t LiI<c ws on lacebool<@ www..facebook com/Orilirii,...cf,eCountyDepartrnentOnAging /7/ 8 Page 1 of 1 Colin Austin Volunteer Application Orange County Advisory Boards and Commissions Name: Colin Austin Name Called: Home Address: 124 Stateside Drive Chapel Hill NC 27514 Phone (Day): 9193703284 Phone (Evening): 9193703284 Phone (Cell): 9194498900 Email: colinaus @gmail.com Place of Employment: Law Office of Colin K. Austin, PLLC Job Title: Attorney at Law Year of OC Residence: 1991 Township of Residence: Chapel Hill Zone of Residence: C.H. City Limits Sex: Male Ethnic Background: Caucasian Community Activities/Organizational Memberships: Orange County Bar Association Human Relations Commission (formerly) Past Service on Orange County Advisory Boards: Human Relations Commission Boards/Commissions applied for: Advisory Board on Aging Background, education and experience relevant to this board: Elder Law is one of my practice areas. I am also a volunteer with the Dementia Friendly Business initiative. Reasons for wanting to serve on this board: I believe that providing for our elderly is key to a healthy community and creating bridges between generations. Orange County does a great job at this and we can continue to be a model for the state and country. Conflict of Interest: Supplemental Questions: Other Comments: This application was current on: 4/13/2016 11:48:31 AM Date Printed: 4/14/2016 9 Page 1 of 2 Teri J. Driscoll Volunteer Application Orange County Advisory Boards and Commissions Name: Ms. Teri J. Driscoll Name Called: Home Address: 422 Hampton Pointe Hillsborough NC 27278 Phone (Day): 919-245-1127 Phone (Evening): 919-245-1127 Phone (Cell): 919-923-3336 Email: drisco11323 @nc.rr.com Place of Employment: Retired from Brookdale Senior Living Job Title: Was Business Office Manager Year of OC Residence: 2012 Township of Residence: Hillsborough Zone of Residence: Hillsborough Town Limits Sex: Female Ethnic Background: 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 10 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. 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. 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 11 Page 1 of 1 Margaret Cohn Volunteer Application Orange County Advisory Boards and Commissions Name: Dr. Margaret Cohn Name Called: Home Address: 750 Weaver Dairy Road #110 Chapel Hill NC 27514 Phone (Day): 9199183698 Phone (Evening): 9199183698 Phone (Cell): Email: peggycohn38 @gmail.com Place of Employment: retired Job Title: Year of OC Residence: 2009 Township of Residence: Chapel Hill Zone of Residence: Sex: Female Ethnic Background: Caucasian Community Activities/Organizational Memberships: Various Sub Committees of the Advisory Board for the Office of Aging Past Service on Orange County Advisory Boards: Past only: Advisory Board to The Ombudsman for Assisted Living Facilities MAP Steering Committee Boards/Commissions applied for: Advisory Board on Aging Background, education and experience relevant to this board: BS RN MPH in Health Education from UNC, PhD in Family and Aging from Penn State University Over fifteen years in research and practice in Aging Service Breadth of perspective Active involvement with this population professionally and personally as a resident of carol Woods Experience with the development of the MAP Reasons for wanting to serve on this board: Conflict of Interest: Supplemental Questions: Other Comments: This application was current on: 12/11/2013 10:21:38 PM Date Printed: 12/27/2013 12 Page 1 of 2 Heather Altman Volunteer Application Orange County Advisory Boards and Commissions Name: Dr. Heather Altman Name Called: Home Address: 460 Bayberry Drive Chapel Hill NC 27517 Phone (Day): 919-918-2609 Phone (Evening): 919-928-9822 Phone (Cell): 919-622-2328 Email: haltman @carolwoods.org Place of Employment: Carol Woods Retirement Community Job Title: Director of Community Connections Year of OC Residence: 2001 Township of Residence: Chapel Hill Zone of Residence: Sex: Female Ethnic Background: Caucasian Community Activities/Organizational Memberships: In addition to working at Carol Woods Retirement Community, I also work with UNC School of Public Health on global aging issues as well as with Carolina Villages, a local non-profit organizations supporting individuals aging in place. I have previously served on the Orange County Advisory Board on Aging as both a participant and chair. Past Service on Orange County Advisory Boards: Served as participant and chair of the Orange County Advisory Board on Aging. Rotated off for the year as per term limit requirements. Boards/Commissions applied for: Advisory Board on Aging Background, education and experience relevant to this board: I have worked in aging services in different capacities for over 30 years (starting as a teenager!). For over 13 years I ve worked at Carol Woods Retirement Community as well as volunteered with different public agencies and private non-profit organizations dedicated to older adults and their caregivers. Both my masters and doctoral degrees are in public health with a concentration in programs and policies in aging and long term care. Reasons for wanting to serve on this board: I was honored to serve on the board for over six years, first with Jerry Passmore and then with Janice Tyler. The staff of the OC Department on Aging is incredibly amazing. They are innovative, resourceful, proactive and productive, as well as a complete joy to work with. The other board members have always been thoughtful champions of our older adult community members. Serving besides them has been incredibly meaningful. As we prepare to embark on our next Master Aging Plan, I m excited at the possibility of re-joining the board to help with next steps. Conflict of Interest: 13 Page 2 of 2 Heather Altman Supplemental Questions: Other Comments: This application was current on: 4/12/2016 4:34:04 PM Date Printed: 4/13/2016 14 BOCC Attendance Report For Advisory Boards Advisory Board on Aging May / 2015 — May/ 2016 Member Appointed May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Teri Driscoll 06/16/2015 P P P P P P P E E P P: Present A: Absent E=Excused Current through-05/31/2016 15 BOCC Attendance Report For Advisory Boards Advisory Board on Aging May / 2015 — May/ 2016 Member Appointed May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Dr. Margaret Cohn 02/04/2014 P P E E E P E P P P P: Present A: Absent E=Excused Current through-05/31/2016 16 Applicant Interest Listing by Board Name and by Applicant Name Contact Person: Janice Tyler Advisory Board on Aging Contact Phone: 919-245-4255 Dr. Heather Altman Day Phone: 919-918-2609 Sex: Female 460 Bayberry Drive Evening Phone: 919-928-9822 Race: Caucasian Chapel Hill NC 27517 Cell Phone: 919-622-2328 Township: Chapel Hill E-mail: haltman @carolwoods.org Res.Eligibility: ETJ-Chapel Hill Date Applied: 04/12/2016 Skills: Also Serves On: Colin Austin Day Phone: 9193703284 Sex: Male 124 Stateside Drive Evening Phone: 9193703284 Race: Caucasian Chapel Hill NC 27514 Cell Phone: 9194498900 Township: Chapel Hill E-mail: colinaus @gmail.com Res.Eligibility: C.H.City Limits Date Applied: 04/13/2016 Skills: Also Serves On: 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 Res.Eligibility: County Date Applied: 05/12/2016 Skills: Public Health Also Serves On: Nursing Home Community Advisory Committee Skills: Registered Nurse 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 Res.Eligibility: Hillsborough ETJ Date Applied: 05/23/2016 Skills: Social Work Also Serves On: Skills: Teacher Also Serves On: 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 Res.Eligibility: C.H.City Limits Date Applied: 05/12/2016 Skills: Arts Also Serves On: Skills: Professor Also Serves On: Monday,June 06,2016 Page 1 of 2 17 Applicant Interest Listing by Board Name and by Applicant Name Contact Person: Janice Tyler Advisory Board on Aging Contact Phone: 919-245-4255 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 Res.Eligibility: Hillsborough ETJ Date Applied: 05/17/2016 Skills: Executive Director Also Serves On: Skills: Nurse Also Serves On: Thomas ODwyer Day Phone: 919-906-0581 Sex: Male 105 Boulder Lane Evening Phone: 919-942-7244 Race: Caucasian Chapel Hill NC 27514 Cell Phone: 919-906-0581 Township: Chapel Hill E-mail: greenbuilder4us @aol.com Res.Eligibility: C.H.City Limits Date Applied: 05/12/2016 Skills: Also Serves On: Jacqulyn Podger Day Phone: 919-740-8814 Sex: Female 719 New Hope Church Rd. Evening Phone: 919-240-7633 Race: Caucasian Chapel Hill NC 27516 Cell Phone: 919-740-8814 Township: Chapel Hill E-mail: jacannpod @gmail.com Res.Eligibility: County Date Applied: 05/23/2016 Skills: Also Serves On: Deborah Rider Day Phone: 919-818-6489 Sex: Female 2314 Red Oak CT. Evening Phone: 919-732-9476 Race: Caucasian Hillsborough NC 27278 Cell Phone: Township: Hillsborough E-mail: drider1736 @gmail.com Res.Eligibility: Hillsborough Town Lim Date Applied: 05/31/2016 Skills: Care Provider Also Serves On: Adult Care Home Community Advisory Committee Skills: Community Planning Skills: Social Work Katy Stewart Day Phone: 9196915555 Sex: Female 8407 NC 57 Evening Phone: 9196915555 Race: Caucasian Rougemont NC 27572 Cell Phone: 9196915555 Township: Hillsborough E-mail: katystewl @gmail.com Res.Eligibility: Date Applied: 01/15/2016 Skills: Also Serves On: Monday,June 06,2016 Page 2 of 2 18 Page 1 of 2 Jerry Ann Gregory Volunteer Application Orange County Advisory Boards and Commissions Name: Jerry Ann Gregory Name Called: Home Address: 2224 Lebanon Rd Efland NC 27243 Phone (Day): 919-644-8172 Phone (Evening): 919-644-8172 Phone (Cell): 919-810-4397 Email: harleyphn @yahoo.com Place of Employment: Retired Job Title: Retired Public health Nurse Year of OC Residence: 1973 Township of Residence: Cheeks Zone of Residence: County 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. Currently serving on the Nursing Home Community Advisory Board 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 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 19 Page 2 of 2 Jerry Ann Gregory 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: 5/12/2016 Date Printed: 5/12/2016 20 Page 1 of 2 Carolyn Helfrich Volunteer Application Orange County Advisory Boards and Commissions Name: Carolyn Helfrich Name Called: Home Address: 1233 Highland Loop Hillsborough NC 27278 Phone (Day): 757-871-6092 Phone (Evening): Phone (Cell): Email: Carolyn.helfrich @gmail.com Place of Employment: Weaver St. Mkt Job Title: Clerk Year of OC Residence: 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: 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: 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: Supplemental Questions: 21 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: 5/23/2016 Date Printed: 5/23/2016 22 Page 1 of 2 Emily Lees Volunteer Application Orange County Advisory Boards and Commissions Name: Emily Lees Name Called: Home Address: 1516 Cumberland Rd Chapel Hill NC 27514 Phone (Day): 919 960-3737 Phone (Evening): 919 960 3737 Phone (Cell): 919 593 2004 Email: emilylees @bellsouth.net Place of Employment: self/retired Job Title: potter/behavioral science researcher Year of OC Residence: 2004 Township of Residence: Chapel Hill Zone of Residence: C.H. City Limits Sex: Female Ethnic Background: 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: 23 Page 2 of 2 Emily Lees Work Experience: 2004-present: potter 2006-2007: consultant, Robert Wood Johnson grant on physical activity and the environment 2000 -2004: assistant professor, public health and research techniques, Houston Baptist University College of Nursing 1995-2000: research assistant/research associate, University of Texas-Houston Health Science Center School of Public Health and Center on Aging 1980-1994: Coordinator of Continuing Education, Houston Community College 1975-1979: Assistant Professor of French, NC A&T State University, Meredith College, Duke University (Adjunct) Volunteer Experience: 1995-1996: Walk Texas! Health Promotion Project for Older Adults, UT-Houston Health Science Center School of Public Health 1989-2000: Member, Texas Gerontological Consortium for Continuing Education. President, 1993-2000 1989-1994: Advisory Council Member, Houston Retired & Senior Volunteer Program, Houston Interfaith Ministries 1986-1987: American Cancer Society Education Committee Member Education: 1994-1999: MPH, course work on DrPH, University of Texas-Houston Health Science Center School of Public Health. Emphasis on women and aging 1971-1975: MA, PhD, French Renaissance literature, Duke University 1967-1971: BA, French, University of North Carolina at Greensboro 2004-present: courses and workshops in pottery, claymakers Studio, Durham, NC; Odyssey House, Asheville, NC; Pullen Art Center, Raleigh, NC Other Comments: Throughout my career, I have combined my love of art and my interest in health promotion for the aging and for women. As a potter and the mother of an artist (painter), I am aware of the challenges and opportunities for people in the arts. As a retiree an former professional working in aging research, I am familiar with the issues facing the elderly today. Hying moved from Houstin back to my native North Carolina, I am eager toserve the citizens of Orange County. STAFF COMMENTS: Originally applied for Advisory Board on Aging, Arts Commission, Board of Health 7/13/08. ADDRESS VERIFICATION: 1516 Cumberland Rd, Chapel Hill is Chapel Hill Township, CHPL jurisdiction. This application was current on: 5/12/2016 Date Printed: 5/13/2016 24 Page 1 of 1 Karen Metzguer Volunteer Application Orange County Advisory Boards and Commissions Name: Karen Metzguer Name Called: Home Address: 507 Gwen Road Hillsborough NC 27278 Phone (Day): 919-619-6332 Phone (Evening): 919-241-4402 Phone (Cell): Email: kmetzguer @gmail.com Place of Employment: Fearrington Cares Job Title: Nurse and Executive Director Year of OC Residence: 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: 5/17/2016 Date Printed: 5/17/2016 25 Page 1 of 2 Thomas ODwyer Volunteer Application Orange County Advisory Boards and Commissions Name: Thomas ODwyer Name Called: Home Address: 105 Boulder Lane Chapel Hill NC 27514 Phone (Day): 919-906-0581 Phone (Evening): 919-942-7244 Phone (Cell): 919-906-0581 Email: greenbuilder4us @aol.com Place of Employment: Self Employed Greneral Contractor and Designer Job Title: President Year of OC Residence: 1985 Township of Residence: Chapel Hill Zone of Residence: C.H. City Limits Sex: Male Ethnic Background: 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: Supplemental Questions: 26 Page 2 of 2 Thomas ODwyer 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: 5/12/2016 Date Printed: 5/13/2016 27 Page 1 of 2 Jacqulyn Podger Volunteer Application Orange County Advisory Boards and Commissions Name: Jacqulyn Podger Name Called: Home Address: 719 New Hope Church Rd. Chapel Hill NC 27516 Phone (Day): 919-740-8814 Phone (Evening): 919-240-7633 Phone (Cell): 919-740-8814 Email: jacannpod @gmail.com Place of Employment: retired Job Title: former Duke employee 14 years Year of OC Residence: 2008 Township of Residence: Chapel Hill Zone of Residence: County Sex: Female Ethnic Background: Caucasian Community Activities/Organizational Memberships: 1. Senior Health Insurance Information Program Counselor 2. A Helping Hand Volunteer and Pro Bono Hero 3. Board Member Junior Leadership of Durham Past Service on Orange County Advisory Boards: Former Adult Home Advisory Committee for Durham County Boards/Commissions applied for: Adult Care Home Community Advisory Committee Background, education and experience relevant to this board: Previous experience with the Adult Care Home Advisory Committee in Durham County along with current commitment to SHIIP and A Helping Hand. Both commitments are volunteer and I work with seniors in Orange County and am aware of the problems facing an aging population. I believe I can offer a perspective unique to my experience in providing front line services. Reasons for wanting to serve on this board: I have a passion for working with seniors and would like to contribute in a way that can influence decision making at a county and state level. Conflict of Interest: 28 Page 2 of 2 Jacqulyn Podger Advisory Board on Aging Background, education and experience relevant to this board: Durham County along with current commitment to SHIIP and A Helping Hand. Both commitments are volunteer and I work with seniors in Orange County and am aware of the problems facing an aging population. I believe I can offer a perspective unique to my experience in providing front line services. Reasons for wanting to serve on this board: I have a passion for working with seniors and would like to contribute in a way that can influence decision making at a county and state level. Conflict of Interest: Nursing Home Community Advisory Committee Background, education and experience relevant to this board: Durham County along with current commitment to SHIIP and A Helping Hand. Both commitments are volunteer and I work with seniors in Orange County and am aware of the problems facing an aging population. I believe I can offer a perspective unique to my experience in providing front line services. Reasons for wanting to serve on this board: I have a passion for working with seniors and would like to contribute in a way that can influence decision making at a county and state level. Conflict of Interest: Supplemental Questions: Other Comments: This application was current on: 5/23/2016 12:37:29 PM Date Printed: 5/23/2016 29 Page 1 of 2 Katy Stewart Volunteer Application Orange County Advisory Boards and Commissions Name: Katy Stewart Name Called: Home Address: 8407 NC 57 Rougemont NC 27572 Phone (Day): 9196915555 Phone (Evening): 9196915555 Phone (Cell): 9196915555 Email: katystew1@gmail.com Place of Employment: Self employed Job Title: RN Year of OC Residence: 1997 Township of Residence: Hillsborough Zone of Residence: Sex: Female Ethnic Background: Caucasian Community Activities/Organizational Memberships: I am currently exploring ways to get involved with my community and advocate for the clientele that I have been caring for my whole career. I have been a nurse for 25 years. I have worked with the geriatric community during those years with 22 years spent in hospice care. I have recently decided to work for myself and care for those as I can. I am researching housing for the elderly and terminally ill. I want to provide a safe caring environment for this population. I believe I have many years of experience to offer. Past Service on Orange County Advisory Boards: None Boards/Commissions applied for: Adult Care Home Community Advisory Committee Background, education and experience relevant to this board: 25 years in nursing of the elderly. Head of hospice care during most of my career.As well as home health care, visiting most of all care homes in the 25 mile radius. Reasons for wanting to serve on this board: I would like to offer my knowledge that I have have gained in this field in a constructive, helpful way. I want to be a patient advocate, speak for a population I know very well. Conflict of Interest: 30 Page 2 of 2 Katy Stewart Advisory Board on Aging Background, education and experience relevant to this board: As I stated above, 25 years in nursing of the elderly. Head of hospice care during most of my career. As well as home health care, visiting most of all care homes in the 25 mile radius. I want to be a patient advocate, speak for a population I know very well. Reasons for wanting to serve on this board: I want to offer any knowledge I have gained to speak for this population. Conflict of Interest: Board of Health Background, education and experience relevant to this board: As I stated above, 25 years in nursing of the elderly. Head of hospice care during most of my career. As well as home health care, visiting most of all care homes in the 25 mile radius. I want to be a patient advocate, speak for a population I know very well. Reasons for wanting to serve on this board: I want to be a patient advocate, speak for a population I know very well. Conflict of Interest: Supplemental Questions: Other Comments: This application was current on: 1/15/2016 10:39:15 AM Date Printed: 5/4/2016