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HomeMy WebLinkAboutAgenda - 05-16-2017-11-a - Advisory Board on Aging - Appointments 1 ORANGE COUNTY BOARD OF COMMISSIONERS ACTION AGENDA ITEM ABSTRACT Meeting Date: May 16, 2017 Action Agenda Item No. 11-a SUBJECT: Advisory Board on Aging - Appointments DEPARTMENT: Board of Commissioners ATTACHMENT(S): INFORMATION CONTACT: Membership Roster Clerk's Office, 919-245-2130 Recommendations Applications for Persons Recommended Attendance Record Applicant Interest List Applications of Persons on the Interest List Advisory Board on Aging By-Laws 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 #1) "At-Large" representative for Alexander Castro, Jr. expiring 06/30/2020. • Appointment to a first full term (Position #2) "At-Large" representative for Colin Austin expiring 06/30/2020. • Appointment to a partial term (Position #6) "Hillsborough Town Limits: representative for Viveke Talley expiring 06/30/2019. • Appointment to a second full term (Position #7) "At-Large" representative for Dr. Mary Altpeter expiring 06/30/2020. • Appointment to a one year term extension (Position #12) "At-Large" representative for Keith Cook expiring 06/30/2018. (Extension of a term, is provided for in the "ORANGE COUNTY BOARD OF COUNTY COMISSIONERS ADVISORY BOARD POLICY, Section III, Item D6). POSITION NAME SPECIAL REPRESENTATIVE EXPIRATION DATE NO. 1 Alexander Castro, Jr. At-Large 06/30/2020 2 Colin Austin At-Large 06/30/2020 6 Vibeke Talley Hillsborough Town Limits 06/30/2019 7 Dr. Mary Altpeter At-Large 06/30/2020 12 Keith Cook At-Large 06/30/2018 NOTE - If the individuals listed above are appointed, the following vacancies remain: 2 • None FINANCIAL IMPACT: None 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. VACANT Day Phone: Sex: First Appointed: 1 Evening Phone: Race: Current Appointment: FAX: Township: Expiration: 06/30/2017 E-mail: Resid/Spec Req: At-Large Number of Terms: Special Repr: Cohn Austin Day Phone:9193703284 Sex: Male First Appointed: 06/21/2016 2 Evening Phone:9193703284 Race:Caucasian Current Appointment: 06/21/2016 124 Stateside Drive FAX: Township: Chapel Hill Expiration: 06/30/2017 Chapel Hill NC 27514 E-mail:colinaus@gmail.com Resid/Spec Req: At-Large Number of Terms: 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: Thursday,May 04,2017 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. VACANT Day Phone: Sex: First Appointed: 6 Evening Phone: Race: Current Appointment: FAX: Township: Expiration: 06/30/2019 E-mail: Resid/Spec Req: Hillsboro Two Limits Number of Terms: 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 Chair Evening Phone:9199183698 Race:Caucasian Current Appointment: 06/21/2016 750 Weaver Dairy Road#110 FAX: Township: Chapel Hill Expiration: 06/30/2019 Chapel Hill NC 27514 E-mail:peggycohn380dgmail.com Resid/Spec Req: At-Large Number of Terms: 2 Special Repr: Thursday,May 04,2017 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. Dr. Heather Altman Day Phone:919-918-2609 Sex: Female First Appointed: 06/21/2016 11 Evening Phone:919-928-9822 Race:Caucasian Current Appointment: 06/21/2016 460 Bayberry Drive FAX: Township: Chapel Hill Expiration: 06/30/2019 Chapel Hill NC 27517 E-mail:haltman@carolwoods.org Resid/Spec Req: At-Large Number of Terms: 1 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:kdc52@aol.com Resid/Spec Req: At-Large Number of Terms: 2 Special Repr: Thursday,May 04,2017 Page 3 6 Orange County" Department on Agini endless possibill�'Q� Robert 8' Pearl Seymour Center 1 2551 Homestead Rd. I Chapel Hill, NC 27516 Jerry M.Passmore Center 1 103 Meadowlands Dr., PO Box 8181 I Hillsborough, NC 27278 April 7, 2017 The Honorable Mark Dorosin, Chair Orange County Board of Commissioners P.O. Box 8181 Hillsborough, NC 27278 Dear Chair Dorosin: Subject: Board Appointments At its March 14 meeting the Orange County Advisory Board on Aging recommended reappointment for current members Colin Austin and Dr. Mary Altpeter. The Advisory Board also recommended that Alex Castro be appointed to fill the vacancy created by the recent resignation of Marshall Daniel. Respectfully submitted, ax.,0,4(:_e „ufsit Janice Tyler, Director Orange County Department on Aging i Visit us online @ www.orangecountync.gov/departments/aging I Like us on Facebook @ www.facebook.com/OrangeCountyDepartmentOnAging 16 II 1 i .., 0, „4..., ,-**,,I, ,,,.,Cti Orange County -,.,,._):,-,....,-.„.,,,,,,,_ --,,_,,,,,.._Ace.,-..- fu ` ell(1leSS ossibi11l1e Robert& Pearl Seymour Center 1 2551 Homestead Rd. I Chapel Hill, NC 27516 Central Orange Senior Center 1 103 Meadowlands Dr., PO Box 8181 I Hillsborough, NC 27278 :e.--'—, r tom: April 27, 2017 .�f The Honorable Mark Dorosin, Chair Orange County Board of Commissioners -- P.O. Box 8181 Hillsborough, NC 27278 Dear Chair Dorosin: Subject: Board Appointment The Orange County Advisory Board on Aging recommends Vibeke Talley to fill Vacancy#1 on the Orange County Advisory Board on Aging. Ms. Talley has many years of experience working in the field of aging in Orange County and has recently been selected to Chair the Nursing Home Community Advisory Committee. If appointed she will serve as the liaison between that committee and the Advisory Board. Respectfully submitted, at...--rt-ce....e- `-..fc-G,■._ ._-;,,..,:.,-,---;-,-- Janice Tyler, Director ...,-.:7 _,,,, .---,..,,Orange County Department on Aging . 9 s � r Ira Visit us online @ www.orangecountync.gov/aging - `r Like us on Facebook @ www.facebook.com/OrangeCountyDepartmentOnAging ...:...�.� .. _,. .����� ..._. .. . .... � .�.�.,.,�..�_......., . . .... .. �'-✓:mss. . `=.:ice..�...,tc., f:;;::::;fr„;::.,,,_e.,;'cto,„;:::;,,;fr,,:,;z,__,.:7; Ji :.; Orange County ,,,,.....,„, ,,,,,,vny.,,,fe,-..*-,,s4-,kfe,stetI- ® J o4u855 possibI'ift S,.; Robert& Pearl Seymour Center 1 2551 Homestead Rd. I Chapel Hitt, NC 27516 , Jerry M.Passmore Center 1 103 Meadowlands Dr., PO Box 8181 I Hillsborough, NC 27278 > April 7, 2017 jjjj JJJ l The Honorable Mark Dorosin, Chair Orange County Board of Commissioners P.O. Box 8181 Hillsborough, NC 27278 Dear Chair Dorosin: Subject: Board Appointment Extension At its March 14 meeting the Advisory Board on Aging approved a recommendation that Keith Cook's membership be extended for one additional year. He was first appointed in 2012 and reappointed in 2016, therefore serving five of a possible six consecutive years on this Board. Thank you for your consideration of this request. Respectfully submitted, j ))---- Janice Tyler, Director jjjjjjjjajjj Orange County Department on Aging Visit us online @ www.orangecountync.gov/departments/aging 6 Like us on Facebook @ www.facebook.tom/OrangeCountyDepartmentOnAging � lr, r 9 Page 1 of 2 Alexander Castro Jr Volunteer Application Orange County Advisory Boards and Commissions Name: CDR Alexander Castro Jr Name Called: Home Address: 5915 Morrow Mill Road Chapel Hill NC 27516 Phone (Day): 919-619-1510 Phone (Evening): 919-929-6368 Phone (Cell): Email: alexcastrojr @hotmail.com Place of Employment: Retired Job Title: N/A Year of OC Residence: 1989 Township of Residence: Bingham Zone of Residence: Agricultural Residential Sex: Male Ethnic Background: Caucasian Community Activities/Organizational Memberships: Vice Chair Outboard: Chair, Orange County Rural Alliances; Chair, Orange County Voice: Orange County Department on Aging Volunteer Driver; Member Department on Aging Project Engage Senior Resource Teams(Falls Prevention & Transportation); Board Member CHCMOWs Past Service on Orange County Advisory Boards: Outboard (five years), Aging Advisory Board 2010-2016 Boards/Commissions applied for: Advisory Board on Aging Background, education and experience relevant to this board: Project Engage graduate, Member of Master Aging Plan leadership committee, Department on Aging volunteer driver Reasons for wanting to serve on this board: Would like to return to Aging Advisory Board to continue working on senior issue in Orange County, Conflict of Interest: 10 Page 2 of 2 Alexander Castro Jr Orange County Parks and Recreation Council Background, education and experience relevant to this board: Frequent visitor to state and national parks; power boat and canoe owner, past sailboat owner with good knowledge of nautical rules of the road. Senior advocate for healthy living. Reasons for wanting to serve on this board: I have extensive knowledge of county advisory board policies and procedures and would like to be involved in the development of county parks and recreational facilities. Conflict of Interest: Supplemental Questions: Boards/Commissions appointments: Work Experience: 1- business development executive in field of intelligent transportation systems. Involved in testing and fielding of EZPASS electronic toll collection systems. 2- naval aviator and aircraft maintenance officer with specialization in anti-submarine warfare systems. 3- specialist in politico-military affairs and strategic planning Volunteer Experience: 1- Member of OC Aging Advisory Board 2- Member of OC Habitat for Humanity Family Selection Cmte. 3- Past treasurer and current Board member of Preserve Rural Orange, Inc. 4- Prepective board member of Chapel Hill Meals on Wheels Education: BS Marine Engineering, US Naval Academy, Annapolis, MD MA International Relations, The American University, Wash.DC Graduate of the National War College, Washington, DC Other Comments: I have closely followed the development of a solution to the disposal of our solid waste upon the closing of the county landfill. As a resident of the rural section of Orange County I feel it is important to become involved in the process of resolving the problem of solid waste disposal for all county residents. STAFF COMMENTS: Originally applied for Solid Waste Advisory Board, Advisory Board on Aging, Historic Preservation Commission 12/29/09. Applied for Orange Unified Transportation Board and Orange County Planning Board 06/20/2012. ADDRESS VERIFICATION: 5915 Morrow Mill Rd is Bingham township, OC jurisdiction. Added new information on 03/28/2017 when applying for the Orange County Parks and Recreation Council. This application was current on: 9/4/2012 Date Printed: 3/28/2017 11 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 12 Page 1 of 2 Vibeke Talley Volunteer Application Orange County Advisory Boards and Commissions Name: Vibeke Talley Name Called: Home Address: 134 East Tryon Street Hillsborough NC 27278 Phone (Day): 919-732-3112 Phone (Evening): 919-732-3112 Phone (Cell): 919-971-8549 Email: vibandjoe @hotmail.corn Place of Employment: Duke HomeCare and Hospice Job Title: Occupational Therapist Year of OC Residence: 1980 Township of Residence: Hillsborough Zone of Residence: Hillsborough Town Limits Sex: Female Ethnic Background: Caucasian Community Activities/Organizational Memberships: Current Community Activities/Organizational Memberships: Chair of the OCNHCAC. Presently volunteering on a work group for the OC Dept on Aging s Master Aging Plan 2017-2022. Past Service on Orange County Advisory Boards: Chair of the OCNHCAC. Currently serving on OCNHCAC. I have served on the Sportsplex Advisory Committee in the past. Boards/Commissions applied for: Advisory Board on Aging Background, education and experience relevant to this board: I m a retired occupational therapist who has worked in geriatrics for my entire career(approx 40 years). I have been an employee of the OC Dept. on Aging where I made numerous home visits to older adults in OC. Reasons for wanting to serve on this board: As chair of the OCNHCAC I believe that it is important to work closely with the OC Dept. on Aging. Conflict of Interest: Supplemental Questions: Boards/Commissions appointments: 13 Page 2 of 2 Vibeke Talley Nursing Home Community Advisory Committee Application Date: 2/5/2014 Background, education and experience relevant to this board: As an occupational therapist I have worked in skilled nursing facilities in the past. I worked for the Orange County Department on Aging for 10 years and was a liaison to this committee for a while. Reasons for wanting to serve on this board: The experiences mentioned above made me aware of the need for the community to take an interest in the welfare of the residents in nursing homes. Conflict of Interest: Work Experience: Occupational therapist since 1974. I have worked with the geriatric population in various settings such as skilled nursing, home health, assisted living. Presently working for the O.C. Department on Aging in the Eldercare office. As an occupational therapist, I have worked with older adults for 30 years. I'm presently helping seniors remain at home and I have worked closely with the faculty at the UNC Occupational Science Division to create programs helping seniors remain safely at home. I'm especially interested in prevention and helping the well senior remain that way. Volunteer Experience: Master Aging Plan- Well/Fit Senior Sub-committee, Commisson on Practice for the American Occupational Therapy Association, Rebuilding Together of the Triangle Board, Childrens' Ballet Company of Hillsborough Board. Education: Degree in occupational therapy Other Comments: STAFF COMMENTS: Reapplied for Sportsplex Community Advisory Committee 7/5/2006. Master Aging Plan Taskforce 2005 ADDRESS VERIFICATION: Tryon Street is O.C, in Hillsborough Town Limits. This application was current on: 2/5/2014 Date Printed: 4/27/2017 14 Page 1 of 2 Mary Altpeter Volunteer Application Orange County Advisory Boards and Commissions Name: Dr. Mary Altpeter Name Called: Home Address: 1613 Providence Glen Drive Chapel Hill NC 27514 Phone (Day): 919-966-0499 Phone (Evening): 919-942-8273 Phone (Cell): Email: mary_altpeter @unc.edu Place of Employment: UNC at Chapel Hill Job Title: Research Associate Year of OC Residence: 1993 Township of Residence: Chapel Hill Zone of Residence: C.H. City Limits Sex: Female Ethnic Background: 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. I 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. 15 Page 2 of 2 Mary Altpeter This application was current on: 1/16/2013 2:05:21 PM Date Printed: 10/21/2014 16 Page 1 of 2 Keith Cook Volunteer Application Orange County Advisory Boards and Commissions Name: Keith Cook Name Called: Home Address: 419 Calvary Court Hillsborough NC 27278 Phone (Day): 919-644-1886 Phone (Evening): 919-644-1884 Phone (Cell): Email: kdc52 @aol.corn Place of Employment: Retired Job Title: Year of OC Residence: Township of Residence: Cedar Grove Zone of Residence: County Sex: Male Ethnic Background: African American Community Activities/Organizational Memberships: Advisory Board on Aging. Past Service on Orange County Advisory Boards: EDC and Recreation and Parks Council Boards/Commissions applied for: Affordable Housing Advisory Board Background, education and experience relevant to this board: US. Army Retired 26 Years, Financial Consultant, 18 Years. Business and Finance, Fayetteville State University. Reasons for wanting to serve on this board: Affordable housing is a priority of mind. Conflict of Interest: Supplemental Questions: Boards/Commissions appointments: Work Experience: US. Army Retired 26 Years, Financial Consultant, 18 Years. Volunteer Experience: EDC and Recreation and Parks Council Education: Business and Finance, Fayetteville State University. Other Comments: 17 Page 2 of 2 Keith Cook STAFF NOTES: Reapplied for Economic Development Commission 7/7/08. Reapplied for the ABC Board 6-27-2007. Reapplied for District Election Education Committee 10/3/06. Reapplied for MAP 2005 10/06/2005. On 6/23/2004, he renewed his app. For the Ag. Center Work Group as a rep. from the EDC. Renewed app. 7/27/01 for Bond Education Committee. Appointed by 0/C School Board to be representative to Capital Needs Advisory Task Force, 1/2001. Chair of Orange County Board of Education, 2000- 20004. He indicated he was not interested in 0/C Planning Board on 12/01/00. Applied 6/1/98 for ABC Board and 0/C Planning Board. Status changed to inactive for ABC Board, 6/26/00. Addr.Conf.11/29/00 ocpd. 09/12/11 updated application to include Advisory Board on Aging. This application was current on: 3/27/2017 Date Printed: 3/29/2017 18 BOCC Attendance Report For Advisory Boards Advisory Board on Aging Mar/ 2016 — Mar/ 2017 Member Appointed Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Colin Austin 06/21/2016 P P P P P P P Dr.Mary Altpeter 11/06/2014 P E P E P P E P P U P Keith Cook 04/17/2012 P E P E E U P U E E P P: Present E: Excused U: Unexcused Current through-03/31/2017 19 Applicant Interest Listing by Board Name and by Applicant Name Contact Person: Janice Tyler Advisory Board on Aging Contact Phone: 919-245-4255 CDR Alexander Castro Jr Day Phone: 919-619-1510 Sex: Male 5915 Morrow Mill Road Evening Phone: 919-929-6368 Race: Caucasian Chapel Hill NC 27516 Cell Phone: Township: Bingham E-mail: alexcastrojr@hotmail.com Res.Eligibility: Agricultural Residential Date Applied: 03/23/2017 Skills: Business Development Also Serves On: Orange Unified Transportation Board Skills: Marine Engineering Skills: NAVY 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: 03/31/2017 Skills: Public Health Also Serves On: Nursing Home Community Advisory Committee Skills: Registered Nurse 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: 05/02/2017 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: 04/18/2017 Skills: Also Serves On: Human Relations Commission Skills: Also Serves On: Nursing Home Community Advisory Committee Tuesday,May 02,2017 Page 1 of 2 20 Applicant Interest Listing by Board Name and by Applicant Name Contact Person: Janice Tyler Advisory Board on Aging Contact Phone: 919-245-4255 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: 04/02/2017 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: 03/31/2017 Skills: Also Serves On: Vibeke Talley Day Phone: 919-732-3112 Sex: Female 134 East Tryon Street Evening Phone: 919-732-3112 Race: Caucasian Hillsborough NC 27278 Cell Phone: 919-971-8549 Township: Hillsborough E-mail: vibandjoe@hotmail.com Res.Eligibility: Hillsborough Town Lim Date Applied: 04/27/2017 Skills: Employee Relation Consortium Membe Also Serves On: Nursing Home Community Advisory Committee Skills: Staff Tuesday,May 02,2017 Page 2 of 2 21 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 22 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 23 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: 24 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 25 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: 26 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 27 Page 1 of 2 Deborah Rider Volunteer Application Orange County Advisory Boards and Commissions Name: Deborah Rider Name Called: Home Address: 2314 Red Oak CT. Hillsborough NC 27278 Phone (Day): 919-818-6489 Phone (Evening): 919-732-9476 Phone (Cell): Email: drider1736 @gmail.corn Place of Employment: Affordable Family Care Job Title: Care Giver Year of OC Residence: 2005 Township of Residence: Hillsborough Zone of Residence: Hillsborough Town Limits Sex: Female Ethnic Background: 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 28 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: 5/31/2016 Date Printed: 5/31/2016 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 31 APPROVED 11/8/2012 ADVISORY BOARD ON AGING POLICIES AND PROCEDURES SECTION I: SCOPE A. Purpose 1. To establish a policy and procedures whereby the Orange County Board of Commissioners will establish the specific policies and procedures governing the Advisory Board on Aging. 2. The Orange County Board of Commissioners may appoint an advisory board whose duty is to serve in an advisory capacity to the Orange County Department on Aging concerning services and programs for older persons. B. Authority 1. North Carolina General Statute 153A-76 grants boards of county commissioners the authority to establish advisory boards. 2. The Orange County Advisory Board Policy serves as the underlying policy document to which the Advisory Board on Aging, in addition to this policy and procedure document, is subject. The Orange County Advisory Board Policy is attached hereto as "Exhibit A". 3. In the event that there is a conflict between the Orange County Advisory Board Policy and this Policies and Procedures document this Policies and Procedures document shall control. C. Charge 1. The charge of the Advisory Board on Aging is to advise the Orange County Board of Commissioners and Department on Aging on comprehensive and integrated approaches to the delivery of services to Orange County's seniors. SECTION II: GOALS AND OBJECTIVES A. Goals 1. To provide a comprehensive and integrated approach to the delivery of services to Orange County's seniors in the fields of health, mental health, social services, recreation, employment and other programs under federal, state and local authority. 2. The Advisory Board on Aging shall act as a liaison between older residents of Orange County and the County government. B. Objectives 1. Suggest policy and make recommendations to the Department and the Board of County Commissioners on the special needs of the older persons. 2. Work to stimulate and promote needed services and programs for older persons 3. Assist public and voluntary agencies in providing services to older persons. 4. Review and make recommendations concerning service proposals and funding of services that have impact on older persons. 5. Consult with and assist the Department on Aging Director in the preparation of the Department's budget. 6. Assist the Director of the Department on Aging in planning and developing a unified and coordinated "County Aging Plan". 7. Perform other functions and duties as may from time to time be requested and prescribed by the Board of County commissioners. SECTION III: MEMBERSHIP A. Authority 32 APPROVED 11/8/2012 1. North Carolina General Statute 153A-76 grants boards of county commissioners the authority to establish advisory boards and to appoint members to and remove members from those advisory boards. In acting on this authority the Orange County Board of Commissioners hereby establishes certain general conditions to which applicants and members of advisory boards should conform. B. Composition 1. The Advisory Board on Aging is composed of twelve (12) voting members. 2. Members shall consist of seven members over the age of 60 years, one person who is a resident of the Town of Chapel Hill, one person who is a resident of the Town of Carrboro, one person who is a resident of the Town of Hillsborough, and two persons who are residents of unincorporated areas. SECTION IV. MEETINGS A. Staffing 1. Orange County staff may serve a support function to advisory boards upon the approval of the Orange County Manager. B. Committees 1. Each member shall participate in at least one committee assignment. C. Agendas 1. Items for agendas shall be approved by the Advisory Board on Aging Board Chair and staff. D. Meeting time and location 1. The second Tuesday of each month at 3:30 p.m. rotating between the Central Orange Senior Center and the Seymour Center. SECTION V. ORIENTATION A. Attendance 1. Each member shall attend an orientation presented by the Department on Aging Director to familiarize the advisory board members with the operation of County government, the Department on Aging rules, and the operating procedures of the advisory board. 2. Each voting member shall complete the orientation within 12 weeks of his or her appointment. SECTION VI. BY-LAWS A. By-Laws 1. Any Bylaws adopted by the Advisory Board on Aging are void and no further bylaws shall be adopted. Procedure shall be governed solely by this policy document and the General Advisory Board Policy Document. 2. Should the Advisory Board on Aging determine modifications to policies and procedures are necessary the Advisory Board may petition the Board of County Commissioners for such modifications.