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HomeMy WebLinkAboutAgenda - 05-04-2006-5b2ORANGE COUNTY BOARD OF COMMISSIONERS ACTION AGENDA ITEM ABSTRACT Meeting Date: May 4, 2006 Action Agenda Item No, 5- b-a SUBJECT• Board of Health- Reappointments DEPARTMENT: Board of Commissioners PUBLIC HEARING: (Y/N) No ATTACHMENT(S): Under Separate Cover INFORMATION CONTACT: Membership Roster Clerk's Office, 245-2130 Letter of Recommendation from Advisory Board Attendance Records Application(s)/Resume(s) of Person(s) Being Recommended Interest List Application(s)/Resume(s) of Person(s) on the Interest List PURPOSE: To consider making reappointments to the Board of Health. BACKGROUND: The terms of Mr. Matthew Vizithum and Ms. Sharon Freeland will end 6/30/2006. Mr. Vizithum is currently serving in his first full term, and Ms. Freeland is serving in a partial term. They are willing and eligible for reappointment and they are being recommended for reappointment by the Board of Health. If reappointed, Mr. Vizithum will be serving his second full term and Ms. Freeland will be serving her first full term, both ending 6!30/2009. FINANCIAL IMPACT: None. RECOMMENDATION(S): Consider making reappointments to the Board of Health. ~-- vi vi oo w v, n o v~ m n v~ m n .n .o 0 0 0 o 0 0 o 0 0 0 0 0 ', o 0 0 0 0 0 o 0 0 0 0 0 ~. o 0 0 ~.. o 0 0 pp ~ N\ ` N '. N N N N N N \ N N ', ~~ N G t't Kf O u h t~ O _' a r O N N r O~ I N N~ .~ .. .. i .. .., .. .. 1 O ~ y _~ y p I:. h h b I. a h V' :, O~ vl b b b b ~ O O O ', O O O 0 0 O O O O E a o °' o °a' ~ a o ¢ ~ ~ o :. G o, a ° d o. ul ° ~ y a E a w o ¢ p' w ,n ~ Q w a u _¢ w .po ~ G -p° ° ~ d E E E " c~ w C ~ w e ~ ~'" ~ ^ c u' ~ o w~ o v z C z ~ Z o k z C z o~ v ~ ° U a ''. U ',. V vi ~r o = U : U 6 '', Z, vNS °' ~ ~ c F ~' ~ ti '.. '.. 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Matthew Vizithum, the HEALTH DEPARTMENT P g optometrist representative on the Board will be completing his first term on .June 30, 2006 and is eligible and willing to be reappointed for a second term. Rosemary L. summers, Sharon Freeland is completing a partial term of service on .Tune 30, 2006 and is MPH, DrPH willing and eligible to be reappointed to her first full teen of service. She Health Director serves in an at-large position. Attendance records are attached. Richard E. Whiffed Human services Center 300 West Tryon Street Post office Box asst Hillsborough, Nc vzys Phone: (9r9) 245-2411 Fax: (919) 644-3007 Hrvwv co oranoe nc us/healm In addition, Dr. Alice Wlute is completing her second term of service on .June 30, 2006 as at at-large representative on the Boazd and is not eligible for re- appointment according to the Board of Commissioners rules. Her expertise as an epidemiologist has been very valuable to the Board. The Board carefully considered all current a hcants that uali for the at-laze osition and are PP q ~ g P recommending for your consideration Dr. Anissa Vines for appointment to the Board of Health. Dr. Vines is an epidemiologist wonting on health disparity ~ issues, She is African-American and resides in northern Orange County. Her soARD of HEALTH sltills as an epidemiologist will be an important resource to the Board and the Department in its work to reduce dispazities, in outbreak investigations, and in prepazing the required community assessment.. Iessica Y. Lee, Dos, MPH, DrPH Tharilc ou for our consideration of this a hcant and the sea ointments of Y Y PP PP Chair current Boazd members. Matthew Vizithum, OD Moses Carey, Jr. Commissioner Timothy r..arey, MPH, MD Christina Harlan, RN Alan Rimer, PE Sharon E. Van Hom, MPH, MD Ce: Donna Baker ROSemaI'y Sununers Jlm Stefanadis, Pharmacist Alice White, MPH, PhD DeWana Anderson, DVM Sharon Freeland, BA, MTS Rte:(='N jgTF!.~ APR ~ 5 ?006 BY: Q p W p = N W ~ 0 ~ Q Q m Z V W Z a 0 ~ ~ V d .-~ °y 0 - Z i- u O N - a. d W N v N h ~ N ~ 7 ~' ~ N ~' N 4 ~ N ~ X X X X C o C o x C o x H 2 j c X X X X X X X m N +~ o ~- 0 $ 0 ti 5 0 - .O m X X 3 o X X X X X X X X x X X X X N ~ 0 " ti x x x ~ ~ x x x C 3 ~ x x ~ o x x x x x N o a ~ Z w ~ "2 ~ h p C O Q `c" U W {{-- I- T ` S ~ W Q S Z W ~n ~n O ~ ~ 2 W Z J W a, Z F - S Z ~ 4 H G V !Y Z S ~ W Z 'y' Q ~ < Q O ¢ W '.. { H > Z ¢ to ~ ¢ V O ~ ~ ~ O ¢ W ~ ~' e ~ u-' W z W ~ ~ z = z Z z Z Q V ~ ' ~ ~ H+ a N ~ v ¢ ¢ ~ h N ~ + ¢ I ~ i u Q ' ¢ ¢ ~ Qa' ~ ~ ~ h `2 ~ ~ ~ a ~ W W V Z Z W {'~ Q C i:. N N .~ O V V i .V L O1 fi d 3 i~. ,v O V N V e W w w w 4 ._ J ~ Q O W ~ = N ~ ~ ~~ a ~ W {T~ 1 V Z Z O D v Z ~.~..) w (^ r ~~! 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Z ~ i~ N '~ 0 V v L v 'j N S 0 S v 4.. 0 V w Q j W U U O CLl Z W h Z Q Page 1 of 1 C~ Matthew Vizithum Volunteer Application Orange County Advisory Boards and Commissions Name: Name Called: Home Address: Phone: (Day) Phone: (Evening) Fax: Email: Place of Employment: Job Title: Mr, Matthew Vizithum 67 Dogwood Acres Drive Chapel Hill NC 27516 919-968-1065 919-968-1065 919-929-6122 mvizithum@yahoo,com Township of Residence: Chapel Hill Zone of Residence: ETJ -Chapel Hill Sex: Male Ethnic Background: Caucasian Date of Birth: 6/2/1971 BoardslCommissions applied for: Work Experience: Volunteer Experience: Education: Ather Comments: Applied 2/28/03 for Board of Health, WORK EXPERIENCE: Veterans Hospital Durham, NC Private practice optometry TLC-Staff referral laservision surgical center. VOLUNTEER EXPERIENCE: Organized and participated in many vision/glaucoma screenings. EDUCATIONAL EXPERIENCE: Doctor of Optometry 1998 BA Biology/Biochemistry 1993, OTHER COMMENTS: Member American Public Health Association and State Public Health Association , Address Verification: D,Squires, C,H. Planning Dept., 67 Dogwood Acres is within C,H.'s planning jurisdiction, Nancy C. Glover, Assistant to the Clerk This application was current on: 2/26/2003 Date Printed: 4/26/2006 Page 1 of 1 Sharon Freeland Volunteer Application Orange County Advisory Boards and Commissions Name: Name Called: Home Address: Phone: (Day) Phone: (Evening) Fax: Email: Place of Employment: Job Title: Township of Residence: Zone of Residence: Sex: Ethnic Background: Date of Birth: Rev Sharon Freeland 100 Old Heritage Court Hillsborough NC 27278 919-732-6194x10 919-644-1126 ocim300mi11@mindspring.com Orange Congregations in Mission Executive Director Hillsborough Female African American Boards/Commissions applied for: j0 Work Experience: Executive Director of OCIM since 1991; Senior Editor -Blue Crass Blue Shield; Editor, Public Affairs UNC Hospitals; Reporter, Durham Morning Herald. Volunteer Experience: Chaplain -Hillsborough Police (farmer); Various church-related activities, boards; inaugural board of Communities In Schools; Partnership for Young Children; Kid's Cafe; Serve on the Advisory Board of BB&T; Former member of Hillsborough Board of Adjustment; Early member of Orange County Coalition for Immunization. Education: BA -North Carolina Central University; Graduate degree -Duke University. Other Comments: STAFF NOTES: Originally applied for the Board of Health on 1/16/04 This application was current on: 1/23/2004 9:32:20 AM Date Printed: 4/26/2006 ll Applicant Interest Listing by Board Name and by Applicant Name Contact Person: R.osemuy Summers, Director Board of Health Contact Phone: 919-245-2412 M5. Emlly AdanlS Day Phone: (919)636-0307 Sex: Female 4923 Bradshaw Quarry Rd Evening Phone: 919-304-6789 Race: Caucasian EOand NC 27243 FAX: Township: Bingham E-mail: ekadams@hotmail com Date Applied: 01/11/2005 Skills: Community Service Volunteer Also Serves On: Human Relations Commission Also Serves On: Human Services Advisory Commission Skills: Planned Parenthood Employee Also Serves On: Human Relations Commission Also Serves On: Human Services Advisory Commission MS. Je$SICa BCII Day Phone: 7049063366 Sex: Female 219 East Franklin Street Evening Phone: Race: Caucasian Chapel Hill NC 27514 FAX: Township: Chapel Hill E-mail: jbell@emailunc edu Date Applied: 11/11/2004 Skills: Public Health Administration Also Serves On: Skills: iJNC Also Serves On: Ms, Clare Brennan 4216 Hope Valley Drive Hillsborough NC 27278 Skills: Epidemiologist Skills: Masters Degree in Aublic Health Ms. Vickie M. Brown 6538 Mt Mitchell Road EOand NC 27243 Skills: Masters Degree in Public Health Day Phone: 919-483-9675 Sex: Female Evening Phone: 919-302-1199 Race: Caucasian FAX: 919-315-0151 Township: Chapel Hill E-mail: clareabrennan@gskcom Date Applied: 11/18/2003 Also Serves On: Also Serves On: Day Phone: 966-2387 Sex: Female Evening Phone: 563-8687 Race: Caucasian FAX: Township: Bingham E-mail: vickiebrown@mebtcl net Date Applied: 02/22/2005 Also Serves On: Agricultural Center Work Group Also Serves On: Agricultural Preservarion Board DT. Catl3erine Dle(ICIiCh Day Phone: 919-913-4012 Sex: Female 807 High Court Evening Phone: 919-619-9238 Race: Caucasian Iillsborough NC 27278 FAX: Township: Hillsborough E-mail: ediederich@aol com Date Applied: 03/15/2005 Skills: Community Service Volunteer Alsa Serves On: Skills: Mentnl Health Advocate Also Serves On: Tuesday, April 25, 2006 Page 1 ot4 i~ Applicant Interest Listing by Board Name and by Applicant Name Board of Health Ms. Judythe Dingfelder 215 Wild Turkey Trail Chapel Hilt NC 27516 Skills: Carrboro ET! Skills: Church Officer Skins: t9omeowners Association Contact Person: Contact Phone: Rosemary Stunmers, Director 919-245-2412 Sex: Female Race: Caucasian Tovmship: Chapel Hill Date Applied: 11/08/2004 Day Phone: 919-093-8466 Evening Phone: 9t9-929-3350 gA}(; 919-490.8051 E-mail: judiding@aol com Also Serves On: Alcoholic Beverage Control Board M5. Catherine A. GUtInaTlll Day Phone: 919-286-0411 Sex: Female t 17 Weatherhill Pointe Evening Phone: 919-967-2990 Race: Caucasian Carrboro NC 27510 FAX: Township: Chapel Hill E-mail: cggnp@yahoo com Date Applied: 02/06/2004 Sldlls: Nurse Practioner Also Serves On: Stcills: Public Health Atso Serves On: Dr Candace Kelly 1722 Allard Chapel Hill NC 27514 Skills: Pharmacist Mr. Jonghoon Lee I I t Howell St Apt B Chapel Hill NC 275]4 Skills: Habitat for Humanity Mr. B. Patrick McGarry t 250 Ephesus Church Rd. Apt F-6 Chapel Hill NC 27517 Skills: Contribuing Writer College Newspaper Skills: Distribution Management Skills: M A Architectural History Day Phone: 919-918-7720 Sex: Female Evening Phone: 919-918-7720 Race: Caucasian FAX: Township: Chapel Hill E-mait: ckelly@unch uneedu Date Applied: 06/18/2004 Also Serves On: Day Phone: 919-360-1422 Sex: Mate Evening Phone: Race: Asian American FAX: Tovmshipi Chapel Hill E-mail: jlee5@email unc edu Date Applied: 12/27/2003 Also Serves On: Day Phone: (919)926-8383 Sex: Mate Evening Phone: (919)928-6383 Race: Other FAX: Township: Chapel Hill E-mail: megarryp2@aolcom Date Applied: 06/11/2004 Also Serves On: Agricultural Center Work Graup Also Serves On: Agricultumt Preservaton Board Also Serves On: Agricultuml Center Work Group Also Serves On: Agricultural Preservation Board Also Serves On: Agriculmml Center Work Group Tuesday, April 25, 2006 Page 2 of 4 !~ Applicant Interest Listing by Board Name and by Applicant Name Contact Person: Rosemazy Summers, Director Board o f Health Contact Phone: 919-245-2412 Skills: M A. Architectural History Atso Serves On: Agricultuml Preservation Board Skills: Mail Services Delivery Also Serves On: Agricultutal Center Work Group Also Serves On: Agricultuml Preservation Board Skills: Newletter Contributions Also Serves On: Agricultural Center Work Group Also Serves On; Agricultural Preservation Board Mr. Steven R. Moore 913 Roosevelt Dr Chapel Hill NC 27514 Skills: Pharmacist Skills: Public Health Day Phone: 919-530-6289 Evening Phone: FAX: E-mail: steve_moore@unc edu Also Serves On: Also Serves On: Sex: Male Race: Caucasian Township: Chapel Hill Date Applied: 10/30/2003 MS'S SWarnB Reddy Day Phone: 338-2618 Sex: Female 338 Standish Drive Evening Phone: Race: Asian American Chapel Hill NC 27517 FAX: Township: Chapel Hill E-mail: Swama1955@yahoocom Date Applied: 09/14/2005 Skills: Advisory Board Experience Also Serves On: Skills: Grant Writer Atso Serves On: Skills: Nursing Home Experience Atso Serves On: MI' Gre$Ory B. Sbll13IT1erVllle Day Phone: 240-657-3606 Sex: Mate 213 East Franklin Street Unit 13 Evening Phone: 919-338-8133 Race: Caucasian Chapel Hitt NC 27514 FAX: Township: Chapel Hill E-mail: glummer@email uncedu Date Applied: 08/19/2004 Skills: Public Health Also Serves On: Skills: Student Also Serves On: Dr. Patti Thompson Day Phone: 644-1111 Sex: Female 501 Jericho Road Evening Phone: 732-4860 Race: African American Hillsborough NC 27278 FAX: 644-2117 Township: Cedar Gmve E-mail: drpanipod@aol com Date Applied: 10/D7/2005 Skills: Community Health Advocate Also Serves On: Master Aging Plan raskforce-Severely Impaired/[nstitut Skills: Medical Doctor Tuesday, April 25, 2006 Page 3 of 4 l~~ Applicant Interest Listing by Board Name and by Applicant Name Contact Person: Rosemary Summers, Duector Board of Healtk Contact Phone: 919-245-2412 Dr. Anissa Vines 6I0 Orchard Place Hillsborough NC 27278 Skills: Research Professor Day Phone: 919-843-1210 Evening Phone: 9t9-644-0924 FAX: E-mail avines@emiil uneedu Also Serves On: Sex: Female Race: African American Township: Hillsborough Date Applied: Ot/23/20D4 Ms- I{im Walsh Day Phone: 919-765-3145 Sex: Female 3522 Bluestone Court Evening Phone: 919-732-0607 Race: Caucasian Chapel Hill NC 27514 FAX: Township: Eno E-mail: kwatshG@earthlilnknet Date Applied: 02/06/2004 Skills: Asst St Plan Medical Director Also Serves On: Skills: Blue Cross Blue Shield Atso Serves On: Skills: Health Department Director Also Serves On: Skills: Medical Doctor Also Serves On: M7'.. Thomas Wiedemann 159 Hamilton Rd Chapel Hill NC 27517 Skills: Community Service Volunteer Skills: GL.B7 Issues Volunteer Day Phone: 919-923-0726 Evening Phone: 919-933-5666 FAX: E-mail: olycoyote@hotmail com Also Serves On: Also Serves On: Sex: Male Race: Caucasian Township: Chapel Hill Date Applied: 09/03/2005 Tuesday, April 25, 2006 Page 4 of 4 /~~ Applicant Interest Listing by Boazd Name and by Applicant Name Board of Health Contact Person: Rosemary Summers, Director Contact Phone: 919-245-2412 Ms. Emily Adams 4923 Bradshaw Quarry Rd Efland NC 27243 Skills: Community Service Volunteer Skills: Planned Pazenthood Employee Ms. Jessica Bell 219 East Franklin Street Chapel Hill NC 27574 Shills: Public Health Adminisuation Skills: UNC Ms. Clare Brennan 4216 Hope Valley Drive Hillsborough NC 27276 Skills: Epidemiologist Skills: Masters Degree in Public Health Ms. Vickie M. Brown 6538 M4 Mitchell Road Efland NC 27243 Skills: Masters Degree in Public Health Day Phone: (919)636-0307 Sex: Female Evening Phone: 919-304-8769 Race: Caucasian FAX; Township: Bingham E-mail: ekadams@hotmail com Date Applied: 01/11/2005 Also Serves On: Human Relations Commission Also Serves On: Human Services Advisory Commission Also Serves On: Human Relations Commission Also Serves On: Human Services Advisory Commission Day Phone: 7049063366 Sex: Female Evening Phone: Race: Caucasian FAX: Township: Chapel Hill E-mail: )bell@email,unc edu Date Applied: 11/11/2004 Also Serves On: Also Serves On: Day Phone: 919-483-9fi7S Sex: Ferrate Evening Phone: 979-302-1199 Race: Caucasian FA7{; 919-315-0751 Township: Chapel Hill E-mail: Clare abrennan@gsk com Date Applied: 71/18/2003 Also Serves On: Also Serves On: Day Phone: 966-2387 Sex: Female Evening Phone: 563-8687 Race: Caucasian FAX; Township: Bingham E-mail: vicldebrown@mebteinet Date Applied: 02/22/2005 Also Serves On: Agdcultuml Center Work Group Also Serves On: Agricultural Preservation Board Dr. Catherine Diedelich -- Day Phone: 919-913-4072 Sex: Ferrate 801 High Court Evening Phone: 919-679-9238 Race: Caucasian Hillsborough NC 27278 FAX: Township: Hillsborough E-mail: ediederich@aol com Date Applied: 03/1S/2006 Skills: Community Service Volunteer Also Serves On: Skills: Mental Health Advocate Also Serves On: Tuesday, April 25, 2006 Page 1 of 4 i~ Applicant Interest Listing Board of Health Ms. Judythe Dingfelder 215 Wild Turkey Trail Chapel Hill NC 27516 Skins: Carrboro Ell Skills: Church Ofticer Skills: Homeowners Association by Boazd Name and by Applicant Name Contact Person: Contact Phone: Day Phone: 919-493-6466 Evening Phone: 919-929-336D FAX; 919-49D-8051 E-mail: judiding@aol com Also Serves On: Alcoholic Bevernge Control Board Rosemary Summers, Directot 919-245-2412 Sex: Female Race: Caucasian Township: Chapel Hill Date Applied: 11/06/2004 MS. Catherine A. Gutmann Day Phone: 919-286-0411 Sex: Female 117 Weatherhill Pointe Evening Phone: 919-967-2990 Race: Caucasian Carrboro NC 27510 FAX: Township: Chapel Hill E-mail: cggnp@yahoo com Date Applied: 02/06/20D4 Skits: Nurse Practioner Also Serves On: Skills: Public Health Also Serves On: Dr Candace Kelly 1722 Allard Chapel Bill NC 27514 Skills: Pharmacist Mr. Jonghoon Lee 111 Howell St Apt B Chapel Hill NC 27514 Skins: Habitat for Humanity Day Phone: 919-91 B-7720 Evening Phone: 919-918-7720 FAX: E_trtyjj: ckelly@unchuneedu Also Serves On: Day Phone: 919-360-1422 Evening Phone: FAX: E-mail: jlee6@email unc edu Also Serves On: Sex: Female Race: Caucasian Township: Chapel Hill Date Applied: 06/18/2004 Sex: Mate Race: Asian American Township: Chapet Hill Date Applied: 72/27/2003 Mr, $,loatTlC1CMCGaTry Day Phone: (919)928-8383 Sex: Mate 1250 Ephesus Church Rd. Apt F-6 Evening Phone: (919)928-6383 Race: Othor Chapel Hill NC 27517 FAX: Township: Chapel Hill E-mail: mcgarryp2@aolcom Date Applied: 06/1 t/2004 Skills: Contribuing Writer College Newspaper Also Serves On: Agdcultuml Center Work Group Also Serves On: Agricultural Preservation Board Skills: Distribution Management Also Serves On: Agriculmml Center Work Croup Also Serves On: Agricultural Preservation Board Skills: M A. Architectural History Also Serves On: Agricultual Center Work Group Tuesday, April 25, 2006 Page 2 of 4 ~~ A~~plicant Interest Listing by Board Name and by Applicant Name Contact Person: Rosemary Summers, Dtrector Board of Health Contact Phone: 919-245-2412 Skills: M A Architectural History Skills: Mail Services Delivery Skills: Newletter Contributions Mr. Steven R. MDOre 913 Roosevelt Dr Chapel Hill NC 27514 Skills: Pharmacist Skills: Public Health Mrs Swarna Reddy 338 Standish Drive Chapel }Iill NC 27517 Skills: Advisory Board Experience Skills: Grant Writer Skills: Nursing Home Experience Also Serves On: Agriculmml Preservation Board Also Serves On: Agrieulmml Center Work Group Also Serves On: Agricultural Preservation Board Also Serves On: Agricultural Center Wark Croup Also Serves On: Agricultural Preservation Board Day Phone: 919-530-6289 Evening Phone: FAX: E-mail: steve_moore@unc.edu Also Serves On: Also Serves On: Day Phone: 336-2618 Evening Phone FAX: E-mail: Swama1955@yahoo com Also Serves On: Also Serves On: Also Serves On: Sex: Mate Race: Caucasian Township: Chapel HiII Date Applied: 10/30/2003 Sex: Female Race: Asian American Township: Chapel Hill Date Applied: 09/14/2005 Mr Gregory B. Summerville Day Phone: 240-687-3606 Sex: Male 213 East Franklin Street Unit 13 Evening Phone: 919-338-8133 Race: Caucasian Chnpel Hill NC 27514 FAX: Township: Chapel Hill E-mail: gsummer@email uncedu Date Applied: 06/19/2004 Skills: Public Healrh Also Serves On: Skills: Student Also Serves On: Dr. Patti Thompson 501 ]ericho Road Hillsborough NC 27278 Skills: Community Health Advocate Skills: Medical Doctor Day Phone: 644-11 t I Sex: Female Evening Phone: 732-4660 Race: African American PAX; 644-2111 Township: Cedar Grove E-mail: drpattipod@aol.com Date Applied: 10/07/2005 Also Serves On: Master Aging Plan Taskforce-Severely Impaired/Institut Tuesday, April 25, 2006 Page 3 oC4 Applicant Interest Listing Board of Health Dr. Anissa Vines 610 Orchard Place Hillsborough NC 27278 Salts: Research Professor by Board Name and by Applicant Name Gontact Person: Contact Phone: Day Phone: 919-843-7270 Evening Phone: 979-644-0924 FAX: E-mail: avines@email.unc edu Also Serves On: Rosemary Summers, Director 919-245-2412 Sex: Ferrate Race: African American Township: Hillsborough Date Applied: 01/23/2004 IVIS, 1{.iTtl wa15t1 Day Phone: 979-765-3145 Sex: Female 3522 Bluestone Court Evening Phone: 919-732-4607 Race: Caucasian Chnpel Hitt NC 27514 FAX: Township: Eno E-mail: lcwalsh6@earthlitnknet Date Applied: 02/06/2004 Skills: AssLSt Plan Medical Director Also Serves On: Stalls: Blue Cross Blue Shield Also Serves On: Skills: Health Department Director Also Serves On: Skills: Medical Doctor Also Serves On: NIT, ThD7na5 Wledenlatln Day Phone: 979-923-0126 Sex: Male 159 Hamilton Rd Evening Phone: 919-933.5668 )face: Caucasian Chapel Hill NC 27577 FAX: Township: Chapel Hilt E-mail: olycoyote@hotmail com Date Applied: 09/03/2005 Skills: Community Service Volunteer Also Serves On: Skills: GLBT Issues Volunteer Also Serves On: Tuesday, April 25, 2006 Page 4 of 4 Page 1 of 2 Emily Adams ~ G~ Volunteer Application Orange County Advisory Boards and Commissions Name: Name Called: Home Address: Phone: (Day) Phone: (Evening) Fax: Email: Place of Employment: Job Title: Township of Residence: Ms. Emily Adams 4923 Bradshaw Quarry Rd Efland NC 27243 (919)636-0307 919-304-8789 ekadams@hotmaihcom Planned Parenthood of Central North Carolina Director of Education and Training Bingham Zone of Residence: At-Large, Bingham Township Sex: Female Ethnic Background: Caucasian Date of Birth: 6/25/1975 Boards/Commissions applied for: Board of Health Work Experience: Planned Parenthood of Central North Carolina ~~ Director of Education and Training; May 2002-Present Internship Ccordinator -APPLES Service_Learning Program at tJNC; August 2000-May 2002. Executive Assistant/Training Coordinator -ARRAS, Portland OR; September 1998-May 2000. Assistant Human Resources Manager - A Southern Season; September 1997-July 1998. Volunteer Experience: Speakers Committee Chair, Orange County Women's Agenda Assembly, 2002, Speaker, Orange County Women's Agenda Assembly, 2002, 2004 Advisory Board Member, APPLES Service-Learning Program, UNC-CH 2003- Member, Community Advisory Council, Durham County Health Department 2002- Member, World AIDS Day Planning Committee, 2004- Member, Durham Coalition for Adolescent Pregnancy Prevention 2003- Education: Master of Public Administration, May 2002 UNC-CH Certificate in Nonprofit Leadership Bachelors of Arts in English, minor in Women's Studies, May 1997 UNC•~CH Paae 2 of 2 Emily Adams ~~ Other Comments: The majority of my community service has been in Durham since I primarily work in that community. I am very interested in getting involved in Orange County, STAFF COMMENTS: Originally applied far HSAC, HRC and Board of Health, ADDRESS VERIFICATION: New address 4923 Bradshaw Quarry Rd, Efland is in Bingham Township. 9/26/2005. **~105D Weatherstane Drive is in the Chapel Hill township in the Chapel Hill City Limits. In the Chapel Hill GIS system it is listed as 5d, not 105 D, This application was current on: 1/11/2005 3:30:00 PM Date Printed: 4/26/2D06 Page 1 of 2 ~i Jessica Bell Volunteer Application Orange County Advisory Boards and Commissions Name: Name Called: Home Address Phone: (Day) Phone: (Evening) Fax: Email: Place of Employment: Job Title: Township of Residence: Zone of Residence: Sex: Ms. Jessica Bell 219 East Franklin Street Chapel Hill NC 27514 7049063366 jbell@email.unaedu UNC Chapel Hill Student Chapel Hill C.H. City Limits Female Ethnic Background: Caucasian Date of Birth: 10/30/1983 Boards/Commissions applied for: Board of Health Joint Orange Chatham Community Action Agency Human Relations Commission Human Services Advisory Commission Work Experience: Volunteer Experience: UNC Hospitals, various other student organizations Education: I am currently a undergraduate student at UNC Chapel Hill studying Health Policy and Administration and I am really hoping to gain some field experience in areas pertaining to public health. Other Comments: Reapplied 1/19/2005--Applicant Comments- 1/19/2005 I just really want to partiripate in the governing of our surrounding counties so I will continue to apply for related positions (especially the Board of Health because this is my career interest). I sincerely believe that participaticn by citizens is the only way to truly change the way we live and I hope to become involved in this county in the future.---- Applicant Comments 11/11/2004 I would REALLY like to get exposed to the world reality of local and national health care and I truly believe that this starts in one's own community, so I would love to learn more about the health disparities in my area. Summer address 6301 Prov. C. C. Dr., Charlottem NC 28277 STAFF COMMENTS: Originally applied for Board of Health, Chapel Hill Planning Page 2 of 2 .lessica Bell ~ 2' Board, and Joint Orange Chatham Community Action Agency. ADDRESS VERIFICATION: 219 E. Franklin Street is in Chapel Hill Township in the Chapel Hill City Limits in Orange County. This application was current on: 11/11/2004 9:08:17 AM Date Printed: 4/26/2006 Page 1 of 1 Clare Brennan ~~ Volunteer Application Orange County Advisory Boards and Commissions Name: Name Called: Home Address Phone: (Day) Phone: (Evening) Fax: Email: Place of Employment: Job Title: Township of Residence: Zone of Residence: Ms. Clare Brennan 4216 Hope Valley Drive Hillsborough NC 27278 919-483-9675 919-302-1199 919-315-0151 clare.a.brennan@gsk.com GlaxoSmithKline Research Scientist Chapel Hill C.H.Twnsp.Northwest Sex: Female Ethnic Background: Caucasian Date of Birth: 10/7/1960 Boards/Commissions applied for: Board of Health Work Experience: Licensed Physical Therapist in NC; Master of Science in Public Health; Glaxo: Research of Anti-viral and infectious disease agents; Scientific writing. Volunteer Experience: American Red Cross; American Cancer Society; Glaxo-Women in Science Scholars Program; Special Olympics; Jimmy V Golf Classic. Education: BS -Physical Therapy, 1982, Quinnipiac College, CT.; MSPH - UNC-CH, Public Health / Epidemiology. Other Comments: I am looking to get involved in the community and enjoyed my previous volunteer experiences. I think I am a good fit for what you are looking for, awin/win! STAFF NOTES: Orignial application 11 /18/03 for Board of Health. 4216 Hope Valley Drive is off Davis Rd., Chapel Hill Township, NW, not in any city limits or ETJ. MOAD/ncg. This application was current on: 11/18/2003 Date Printed: 4/26/2006 Page 1 of 2 Vickie M. Brown ~~~ Volunteer Application Orange County Advisory Boards and Commissions Name: Name Called: Home Address Phone: (Day) Phone: (Evening) Fax: Email: Place of Employment: Job Title: Township of Residence: Zone of Residence: Sex: Ethnic Background: Ms, Vickie M. Brown 6538 Mt. Mitchell Road Efland NC 27243 966-2387 563-8687 vickiebrown@mebtel.het UNC Hospitals Assiciate Directors Hopital Epidomiology Bingham At-Large Female Caucasian Date of Birth: 9/15/1950 Boards/Commissions applied for: Board of Health Work Experience: I am a registered nurse with 10 years of trauma experience and aver 15 years experience working with Hospital Epidemiology. My role in Epidemiology has given me the opportunity to work meet and work with many residents of Orange County and various service organizations to include the Orange County Health Department, I grew up in a farming community in N,C, and my children participated in 4H farm projects. While I do not have any farm work experience outside of summer work while growing up, I greatly appreciate the value that sustainable farming adds to the local community, Volunteer Experience: My county volunteer experience is limited to working with little league and soccer teams while my sons were growing up. I worked as a volunteer for several years for MedWorld, a UNC medical volunteer team that collects and recycles medical supplies to developing nations, I was recently appointed to serve on the Ag Center Work Group and look forward to serving on that team.Orange Co. Public Health Reserve Corps. Medworld- School of Medicine, UNC-CH Education: I have a BA in Psychology and an AD in Nursing. I am currently enrolled in the UNC-CH MPH program and hopefully will complete my degree by the end of 2005.B.A. Psychology, A.D. Nursing, Pursuing MPH Page 2 of 2 Vickie M, Brown /~ Other Comments: My reason for applying: I have lived and worked in Orange County since 1985, Both my sons were educated in the Orange County Schools and later successfully completed college degrees at UNC-CH and NC State University. Living in Orange County had been a rewarding and enjoyable experience for me and my family and I would very much like to give back to this community in a meaningful capacity. I grew up in rural N,C„ live in the county and work in Chapel Hill, I feel I would be a good representative for the interests of both rural and urban county residents, Thank you for considering my application.! wish to be a part of the process to plan the long term future of the Environmental Resources and Agricultural Productivity of Orange County, STAFF COMMENTS: Reapplied on 2/22/2005 for Ag, Preservation Board and Board of Health. Originally applied for Agricultural Center Work Group. ADDRESS VERIFICATION: 6538 Mt. Mitchell Road is in Bingham Township in Orange County. This application was current on: 2/22/2005 Date Printed: 4/26!2006 Page 1 of 2 Catherine Diederich ~~ Volunteer Application Orange County Advisory Boards and Commissions Name: Name Called: Home Address: Phone: (Day) Phone: (Evening) Fax: Email: Place of Employment: Job Title: Township of Residence: Zone of Residence: Sex: Dr. Catherine Diederich 801 High Court Hillsborough NC 27278 919-913-4012 919-619-9238 cdiederich@aol.com Chysalis Foundation for Mental Health Executive Director Hillsborough Hillsborough Town Limits Female Ethnic Background: Caucasian Date of Birth: 10/6/1963 Boards/Commissions applied for: Human Relations Commission Board of Health Animal Services Advisory Board Work Experience: Executive Director of Chysalis Foundation of Mental Health President of Center far Sight & Hearing Director of Community Relations for Visiting Nurses Association Strategic planning; human resources; finance; program development; accreditiation; home and hospice care, people with disabilities, people with mental illnesses; policy & procedure development, implementation and review; fundraising; contract and grant writing and negotiation; marketing; public relations; housing; construction, Volunteer Experience: Big brothers/Big sisters Rotary International Lions International International Association of Business Communicators National Association of Fundraising Executives Salvation Army Northern Illinois Aids Center Women's Counseling Service Volunteer Teacher of Sign Language at Luther Academy Paae 2 of 2 Catherine Diederich Education: Ed,D, in Leadership in Educational Environments Northern Illinois University, 2002 M.S, in Health Services Administration Southern Illinois University, 1987 B,S, in Community Health Education Southern Illinois University, 1985 Previous licenses held: Emergency Medical Technician Nursing Hame Administrator Other Comments: Current and previous owner of many adopted cats and dogs from animal shelters. Basic/intermediate sign language skills. Two daughters at Cedar Ridge High School, STAFF COMMENTS: Originally applied for HRC, BoH and ASAB 3/16/2005, ADDRESS VERIFICATION: 801 High Court Hillsborough, NC 27278 is in Hillsborough Township in Hillsborogh Town Limits in Orange County, This application was current on: 3/15/2005 3:26:56 PM Date Printed: 4/26/2006 Page 1 of 2 Judythe Dingfelder ~D Volunteer Application Orange County Advisory Boards and Commissions Name: Name Called: Home Address: Phone: (Day) Phone: (Evening) Fax: Email: Place of Employment: Job Title: Township of Residence Zone of Residence: Sex: Ethnic Background: Date of Birth: Ms. Judythe Dingfelder 215 Wild Turkey Trail Chapel Hill NC 27516 919-493-8466 919-929-3350 919-490-8051 judiding@aohcom Eastowne OB-GYN Nurse manager Chapel Hill Carrboro ETJ Female Caucasian Boards/Commissions applied for: Board of Health Commission for Women Work Experience: Prior to graduation from the UNC School of Nursing in 1977 I was a medical secretary and prior to that a bilingual secretary. Since 1977 I have worked as a RN, first at North Carolina Memorial Hospital and since 1984 as manager of Eastowne OB-GYN. Volunteer Experience: I have volunteered for numerous activities through my church and have served as Church President (2 years), on the Altar Guild and as chairperson of the Stewardship committee. I have also served as President of the Board of the Homeowners Association where I live and currently serve as a director of that board. Education: BA: Lake Forest College, Lake Forest, Illinois BSN: University of North Caroina at Chapel Hill Other Comments: I believe I am afair-minded individual with an open view of life. As my children have grown and moved into different areas, my husband and I have found that we have more time to devote to community. STAFF COMMENTS: Orignally applied for Alcoholic Beverage Control Board, Board of Health, Commission for Women. ADDRESS VERIFICATION: 215 Wild Turkey Trail is in Orange County in the Carrboro ET.1 area, per Carrboro Planning Staff. Page 1 of 1 Catherine A. Gutmann `~~ Volunteer Application Orange County Advisory Boards and Commissions Name: Name Called: Home Address Phone: (Day) Phone: (Evening) Fax: Email: Place of Employment: Job Title: Township of Residence: Zone of Residence: Ms. Catherine A. Gutmann 117 Weatherhill Pointe Carrboro NC 27510 919-286-0411 919-967-2990 cggnp@yahoo.com Duham VA Med. Cntr. Nurse Practitioner Chapel Hill Carrboro City Limits Sex: Female Ethnic Background: Caucasian Date of Birth: 8/10/1940 Boards/Commissions applied for: Board of Health Work Experience: Place of Employment; Durham VA Medical Center. Job title: Nurse Practitioner.: MANY YRS TAUGHT COMMUNITY/PUBLIC HEALTH NURING AT THE COLLEGE LEVEL CURRENTLY A GERIATRIC NURSE PRACTITIONER AT THE DURHAM VA FOR THE PAST EIGHT YRS. Volunteer Experience: COMPEER PROGRAM-ORANGE COUNTY MENTAL HEALTH ASSOCIATION AIDS CAREGIVING TEAM CHAPEL HILL CARRBORO SCHOOLS MENTORING PROGRAM HABITAT FOR HUMANITY. Education: BSN, MSN, MPH-MEDICAL CARE ORGANIZATION, DRPH-HEALTH POLICY AND ADMINISTRATION. Other Comments: STAFF NOTES: She renewed her application on 2/6/04 for the Board of Health. Applied 6/27/03 for Board of Health. Address verification: 117 Weatherhill Pte. is within Carrboro City Limits. Ncg/Clerk's office. This application was current on: 2/6l20Q4 Date Printed: 4/26/2006 Page 1 of 1 Candace Kelly `~~ Volunteer Application Orange County Advisory Boards and Commissions Name: Name Called: Home Address: Phone: (Day) Phone: (Evening) Fax: Email: Place of Employment: Job Title: Township of Residence: Zone of Residence: Sex: Ethnic Background: Date of Birth: Dr Candace Kelly 1722 Allard Chapel Hill NC 27514 919-918-7720 919-918-7720 ckelly@unch,unc.edu UNC Health Care Clinical Pharmacist Chapel Hill C.H. City Limits Female Caucasian 6/18/1952 Boards/Commissions applied for: Board of Health Work Experience: Pharmacist Volunteer Experience: None listed on application. Education: BS in Pharmacy -University of Michigan; Doctor of Pharmacy- University of Florida Other Comments: STAFF NOTES: Original application received 6/18/04 for Orange County Board of Health. ADDRESS VERIFICATION: 1722 Allard Rd., Chapel Hill, NC 27514 (current 6/18/2004) is located within Chapel Hill City Limits. MOAD/ncg. This application was current on: 6/18/2004 Date Printed: 4!26/2006 Page 1 of 1 Jonghoon Lee 3 Volunteer Application Orange County Advisory Boards and Commissions Name: Name Called: Home Address Phone: (Day) Phone: (Evening) Fax: Email: Place of Employment: Job Title: Township of Residence Zone of Residence: Sex: Ethnic Background: Date of Birth: Mr, Jonghoon Lee 111 Howell St. Apt B Chapel Hill NC 27514 919-360-1422 jlee5@email,unc.edu Chapel Hill C.H. City Limits Male Asian American 7/28/1977 Boards/Commissions applied for: Adult Care Home Community Advisory Committee Board of Health Nursing Home Community Advisory Committee Work Experience: hiardee's Restaurant UNC-CH Libraries Pantry Dental Research Center Volunteer Experience: Dental Research Center Orange County Habitat for Humanity Education: Sanderson High School-Raleigh, NC UNC-CH; Chemistry Major, Math Minor Other Comments: STAFF COMMENTS: Original) applied for Adult Care Home Comm. Adv, Committee; Board of Health; and Ntursing Home Comm. Adv. Committee, ADDRESS VERIFICATION: 111 Howell St Apt B is in the Chapel Hill township in the Chapel Hiil City Limits, This application was current on: 12/27/2003 2:27:55 PM Date Printed: 4/26/2006 Page 1 of 2 J~ B. Patrick McGarry Volunteer Application Orange County Advisory Boards and Commissions Name: Name Called: Home Address Phone: (Day) Phone: (Evening) Fax: Email: Place of Employment: Job Title: Township of Residence: Zone of Residence: Sex: Ethnic Background: Mr, B. Patrick McGarry 1250 Ephesus Church Rd. Apt F-6 Chapel Hill NG 27517 (919)928-8383 (919)928-8383 mcgarryp2@aol.com Blue-Cross-Blue Shield Mail Services Chapel Hill C.H. City Limits Male Other Date of Birth: 11/1/1975 Boards/Commissions applied for: Board of Health Work Experience: 1/03-present, MAIL SERVICES DELIVERY, Blue-Cross-Blue-Shield of North Carolina: Deliver mail to inter-departments, sort mail, Meter pre-sort and First Class Mail. Fulfillment Department: Stuff envelopes with info far customers and stock inventory. LIBRARY PAGE; 12/01-present^^Chapel Hill Public Library^^^Chapel Hill, NC: Shelve books in all sections, arrange shelves and books, and help patrons out. OFFICE ASSISTANT; 11/01-present ^OPC Area Program Health Services ^^Chapel Hill, NC General office jobs: distribute mail; create labels, shred paper, research, answer phones, clean office area, copying and faxing. DISTRIBUTION MANAGER: 1998,2000- White Pine Press-Northwestern Michigan College Newspaper, Traverse City, MI HOUSEPERSON/LAUNDRY ATTENDANT: 12/00-8/01 ^ ^Days Inn^ ^ ^ ^ ^Traverse City, MI, Strip beds and get linen to laundry. Clean walls, sweep carpet floors, dust, mop storage rooms, inventory and fold laundry. LABORER-PART-TIME 6/00-9/00 ^^Shoreline Container ^^^^Traverse City, MI: Glue cardboard parts together in u- boxes, glue parts, load materials into boxes, count u-boxes, and sweep the area. DISHWASHER-PART-TIME MAINTENANCE 3/1998- 12/1999 ^Stage-Millikens ^^^^Traverse Gity, MI; wash dishes and general cleaning, stook foods, products and inventory, .Maintenance around the store (clean, trash, sweep, fix light bulbs, etc.) and receiving, CONTRIBUTING WRITER: 1996-1996 Broadside Newspaper-Central Oregon Community College^Bend, Oregon WAITER-DISHWASHER: 1/1995-3/1995 ^Carriage Club Retirement Home ^^Charlotte, NC. Wait senior citizens, bussed tables, set up tables, and part-time dishwashing. SKI TECHNICIAN: 12/1994-2/1995 ^Beech Meadows Ski Shop ^^^Beech Mountain, NC: Took care of Paae 2 of 2 B. Patrick McGarry getting boat rentals to customers. DISHWASHER-PREP COOK: 4/1993-6/1994 ^Pizza Hut ^^^^^Charlotte, NC: Wash dishes, clean floors and around equipment, remove trash, prepare lough, make pizzas. ASSISTANT LIFEGUARD: 6/1992-7/1992 ^Harris YMCA Day Camp ^^^Charlotte, NC: Watah children, clean pooh Lifeguard pool. OFFICE ASSISTANT^TEACCH^^^^^^Charlotte, NC: 6/1992-7/1992 General office duties (file records (client records), type letters,etc,), Learned Word Perfect, Volunteer Experience: 1997,1998,2000^Oryana Food Co-op.^Traverse City, MI: ^Herbs and vitamin research §^Contributed to information to newsletter§^Food Service§^Stocking, 2000^Northern Michigan Environmental Association~~NMEAC^Traverse City MI Washed plates and dishes far NMEAC's recycling booth at the Cherry Festival. Education: ASSOCIATE OF ARTS-LIBERAL ARTS AND SCIENCES: 1/1997-5/2000 ^^Northwestern Michigan College ^^Traverse City, MI, COMPUTER APPLICATIONS TECHNOLOGY: 1998-1999 TBA Career-Tech Center ^^^Traverse City, MI Completed program of study in MS Professional Office 97 (Word, Excel, Access, PowerPoint); GENERAL STUDIES -SOCIOLOGY MA.IOR: 1996 ^Central Oregon Community College ^^Bend, OR; 1993-1995 ^Central Piedmont Community College^Charlotte, NC. CERTIFICATES: 1998 Herbal Remedy Course ^The Herb Shop ^^^Traverse City, MI. 1999 Office 97 Comp. App. ^TBA Career-Tech Center^^Traverse City, MI. Other Comments: STAFF NOTES: Originally applied far Agricultural Center Work Group; Agricultural Preservation Board; and Board of Health. ADDRESS VERIFICATION: 1250 Ephesus Church Road, Chapel Hill, NC is within Chapel Hill City Limits, within Orange County, Chapel Hill Township. Ncg. This application was current on: 6/11/2004 9:00:35 PM Date Printed: 4/26/2006 Page 1 of 2 Steven R, Moore ~~ Volunteer Application Orange County Advisory Boards and Commissions Name: Name Called: Home Address: Phone: (Day) Phone: (Evening) Fax: Email: Place of Employment: Job Title: Township of Residence: Mr. Steven R, Moore 913 Roosevelt Dr, Chapel Hill NC 27514 919-530-6289 steve_moore@unc.edu Ghapel Hill Zone of Residence: C,H. Twnshp; C,H,Cty,Lmts. Sex: Male Ethnic Background: Caucasian Date of Birth: 2/12/1947 Boards/Commissions applied for: Board of Health Work Experience: Spent career with US Public Health Service, served in diverse areas such as on personal staff of 4 Surgeons General, DHHS Office of Minority Health, DHHS Office of Disease Prevention and Health Promotion, HRSA (Bureau of Primary Health Care), Food and Drug Administration, Indian Health Service, National Institutes of Health, with work experiences targeted in health promotion materials for consumers, geriatric health promotion, disaster preparedness and emergency response. Place of emp.: USPHS, Sheps center; Job Title:(current 05/03/99) Pharmacist/Research Fellow; Work exp: career officer with US Public Health Senr,, having been assigned to a wide variety of areas related to public health incl. staff assignments with 4 Surgeons General, work with Indian Health Serv., FDA, DHHS, Office of Minority Health, now with Bur, of Primary Health Care, Volunteer Experience: Have served on a wide variety of professinal in a variety of administrative positions, Education: B5 Pharmacy - UNC-GH, 1970 MPH - UNC-CH 1978 and governmental non-profit groups, serving ASHP Clinical Residency -Duke University Medical Center- 1977 Post-Masters Specialization Certificate in Health Policy - VPI-SU - 1980 Page 2 of 2 Steven R. Moore ~h Other Comments: Renewed his Application for At-Large Board of Health Position currently being advertised, 10/30/03, Originally applied 5/99 for Board of Health pharmacist); HSAC (Public Health Professional); Adv. Board on Aging; Address Verification: 913 Roosevelt Drive is within C.H, Gity Limits. Ncg.Moad.and O.C, GIS, This application was current on: 10/30/2003 Date Printed: 4/26/2006 Page 1 of 2 Swarna Reddy ~~ Volunteer Application Orange County Advisory Boards and Commissions Name: Name Called: Home Address: Phone: (Day) Phone: (Evening) Fax: Email: Place of Employment: Job Title: Township of Residence Zone of Residence: Sex: Ethnic Background: Mrs. Swarna Reddy 338 Standish Drive Chapel Hill NC 27517 338-2618 Swarna 1955@yahoo.com UNC, graduate student Chapel Hill C.H. City limits Female Asian American Date of Birth: 9/14/1955 Boards/Commissions applied for: Advisory Board on Aging Board of Health Work Experience: Worked in India as a bank officer, Interned at the Department of Social services, worked as an educational assisant and raised funds for news papers. Volunteer Experience: Advisory committee member for adult care homes (Burke County), volunteer at Autumn Care Nursing Home from 2003-2005,Allocation of funds for United Way, wrote grant proposal to acquire funds far eldercare,volunteered at local community schools in Burke County adn a Master Gardener and worked with minority populations, Education: 1.Graduate student in Gerontology at UNC, graduating in May,2oo6 2. Master's in Science from India 3. Associate Degree in Business Computer Programming from WPCC, Morganton, NC Other Comments: Interested in aging issues and would like to promote active aging, encourage elders to stay mentally. and physically active, be productive and encourage a healthy aging with less disabilities, provide services to the elders to age at home independently. STAFF COMMENTS: Originally applied for Advisory Board on Aging, Board of Health, and central Orange Senior Center Design Committee 9/28/2005. ADDRESS VERIFICATION: 338 Standish Dr is in Orange County in Chapel Hill city limits. Page 1 of 1 Gregory B. Summerville ~j~ Volunteer Application Orange County Advisory Boards and Commissions Name: Name Called: Home Address: Phone: (Day) Phone: (Evening) Fax: Email: Place of Employment: Job Title: Township of Residence: Zone of Residence: Sex: Ethnic Background Date of Birth: Mr Gregory B. Summerville 213 East Franklin Street Unit 13 Chapel Hill NC 27514 240-687-3606 919-338-8133 gsummer@email.unc.edu UNC-CH student Chapel Hill C.H. City Limits Male Caucasian 4/19/1984 Boards/Commissions applied for: Board of Health Orange-Person-Chatham Area Programs Board Work Experience: Swimming PoDI Manager/Operator 2001, 2003; IT Technical Support Technician Oct 2002-May 2003; Sales Associate Dec. 2002-.lanuary 2003; Clerk, Pharmacist Technician May 2000-November 2000; Technical Assistant June 1999-August 1999; Sales Associate, Landscaper, Computer Technician June 1997~~May 1999 Volunteer Experience: Education: August 1998-2002 Gecrgetown Prep School; August 2002-May 2003 Emory University; August 2003- Present UNC-Ch B.S. Public Health May 2004-.luly 2004 Wake 'T'ech-EMT Basic Training; Continuing Ed UNC-CH School of Public Health June 2004 Other Comments: STAFF COMMENTS: Originally applied for Board of Health and OPC Mental Board. ADDRESS VERIFICATION: 213 East Franklin Street is in Chapel Hill Township inside the Chapel Hill Gity Limits. This application was current on: 8/19/2004 Date Printed: 4/26/2006 Page 1 of 1 Patti Thompson ~~ Volunteer Application Orange County Advisory Boards and Commissions Name: Name Called: Home Address: Phone: (Day) Phone: (Evening) Fax: Email: Place of Employment: Job Title: Township of Residence: Zone of Residence: Sex: Ethnic Background: Date of Birth: Boards/Commissions of Commission for Women Board of Health Dr. Patti Thompson 501 .Jericho Road Hillsborough NC 27278 644-1111 732-4860 644-2111 drpattipod@aol.com Hillsborough Podiatry Podiatrist Cedar Grove At-Large Female African American plied for: Hillsborough Planning Board Work Experience: Hillsborough Podiatry (august'04-present), Main Podiatry Buffalo, New York Volunteer Experience: MAP Taskforce-Severely Impaired Seniors, Fit Feet Program. Education: NCCU, BS- Chemistry 1992, Temple lJniversity School of Podiatric Medicine DPM 1999. Other Comments: As a podiatrist, I have serviced many residents of Nursing Homes and Assisted Living Centers. I understand that each senior needs his or her individual care and people who will help them receive the care they need. . STAFF COMMENTS: Reapplied for CfW, Board of Health and Hillsborough Planning Board 4/17/2006, Originally applied for Master Aging Plan. ADDRESS VERIFICATION: 501 Jericho Rd is in Cedar Grove township in Orange County. This application was current on: 10/7/2005 Date Printed: 4/26/2006 Page 1 of 2 r Kim Walsh Volunteer Application Orange County Advisory Boards and Commissions Name: Name Called: Home Address: Phone: (Day) Phone: (Evening) Fax: Email: Place of Employment: Job Title: Township of Residence: Zone of Residence: Sex: Ms. Kim Walsh 3522 Bluestone Court Chapel Hill NC; 27514 919-765-3145 919-732-4607 kwalsh6@earthlilnk,net B.C.B.S. Asst.St.Plan Medical Director Eno Eno Twnsp Female Ethnic Background: Caucasian Date of Birth: 4/16/1960 Boards/Commissions applied for: Board of Health Work Experience: Volunteer Experience: Education: Other Comments: Applied 6/11/03 for Board of Health, Job Title: Assistant State Health Plan Medical Director, Blue Cross and Blue Shield of NC. WORK EXPERIENCE: 05/27/03-08/31/03 Independent Contractor, writing local public health bioterrorism response plan Alamance County Health Department Burlington, NC, 9/2002-Present Assistant State Health Plan Medical Director Blue Crass and Blue Shield of North Carolina Durham, NC. 8/2002- Present Faculty Member/Small Group Leader,The Practice Course Duke University Medical Center Durham, NC, 3/2001-12/2001 Medical Director Durham County Health Department Durham, NC. 6/1992-2/2001 Medical Director Alamance County Health Department Burlington, NC 6/91-6/92 Public Health Physician Wake County Department of Health Raleigh, NC. 6/91-9/91 Contract Physician Alamance County Health Department Burlington, NC. 6/91-8/91 Per Diem Physician Kaiser Permanente Durham, NC. VOLUNTEER EXPERIENCE: Participated in following groups as representative of Alamance County Health Department: Member, Executive Cancer Committee 5/94-2/01; Alamance Regional Medical Center Member, Advisory Board 5/96-1998; Alamance Minority Cancer Awareness Program Member, Health Advisory Council 1/97-2/01; Alamance-Burlington School System Co-chair, Alamance Child Asthma Coalition 4/99- 2/01. EDUCATION: 1988-1991 Family Medicine Residency Training Duke-Watts Family ~G Page 2 of 2 Kim Walsh Medicine Program Durham, NC, 1983-1987 Doctor of Medicine (MD 12/87) Duke University School of Medicine Durham, NC, 1985-1986 Masters of Public Health (MPH 09/86) University of North Carolina School of Public Health Department of Maternal and Child Health Chapel Hill, NC, 1978-1982 Bachelor of Arts, English Literature (AB 06/82) Dartmouth College Hanover, NH, OTHER COMMENTS: Full, unrestricted North Carolina Medical license, Diplomate of American Board of Family Practice. Participant at Cunty Board of Health meetings as Health Department representative: Alamance County 1992-2001 and Durham County 2001. This application was current on: 2/6/2004 Date Printed: 4/26/2006 Page 1 of 3 Thomas Wiedemann ~~ Volunteer Application Orange County Advisory Boards and Commissions Name: Name Called: Home Address: Phone: (Day) Phone: (Evening) Fax: Email: Place of Employment: Job Title: Mr, Thomas Wiedemann 159 Hamilton Rd Chapel Hill NC 27517 919-923-0126 919-933-5668 olycoyote@hotmaihcom University of North Carolina Graduate Student in Public Health Township of Residence: Chapel Hill Zone of Residence: Does not apply Sex: Male Ethnic Background: Caucasian Date of Birth: 9/29/1958 Boards/Commissions applied for: Human Relations Oommission Board of Health Transportation Services Board Orange Unified Transportation Advisory Board Work Experience: Washington State Department of Health, Olympia, WA -September, 1999 to July 2QQ5 Policy & Enforcement Coordinator & Contract Manager: Responsible for yotath access programs, management of aver $4 million in contracts, retailer education campaign, and social source programs. Managed the secondhand smoke component, establishing the Secondhand Smoke Community Assistance project supporting local community policy action, Served as liaison between state agencies coordinating the annual state prevention summit, resource sharing, goal development, information networking and evaluation partnerships. Provided policy analysis on legislative isstaes. Managed local health jurisdiction contracts far tobacco prevention activities, Provided training and technical assistance in budgeting, workplan development, evaluation, and community advocacy. Facilitated community meetings and trainings for local and state level contractors. United States Navy Reserve, Oak Harbor, WA -October 1996 to Present Operations Chief Petty Officer: Provide intelligence analysis work for naval reserve units in the Pacific Fleet, Supervised twelve unit members directing enlisted & officer staff in project work, military requirement completion, training, evaluation and mentoring for career success. Page 2 of 3 Thomas Wiedemann `( v~- Snohomish Health District, Everett, WA - .January 1998 to September 1999 Health Educator0: Conducted health education in classroom and group settings for youth, adults, teaching and health professionals, juvenile justice participants and staff, policy makers and parents. Worked with the program team to develop and implement a comprehensive county tobacco prevention and control program. Served as the president of Tobacco Free Washington, the statewide anti-tobacco coalition, guiding the organization in promoting tobacco prevention advocacy and state action organization. Skagit County Health Department, Mount Vernon, WA -October 1994 to December 1998 Administrative Assistant & Health Educator: Provided administrative support to public health nurse and environmental health staff working on tobacco prevention, injury prevention, teen pregnancy prevention and food safety programs. Scheduled and facilitated meetings and developed and supported Skagit tobaccc prevention coaliticn. Implemented public education and program visibility activities. Developed the Skagit youth coalition, partnered with local high and middle schools in implementing tobacco prevention curriculum activities. Swinomish Indian Bingo & Casino, Anacortes, WA -September 1993 to October 1994 Personnel Manager: Provided personnel management services including recruitment, screening, hiring, and training for Native American bingo operations. S.L. Start & Associates, Bothell, WA -August 1990 to September 1993 Training Department Manager: Developed and implemented new employee training academy program, onsite training and technical assistance for staff working with developmentally disabled adults, case management; employee wellness program, and branch newsletter production. Volunteer Experience: -My Sister's Pantry Food Bank: providing food, clothing and counseling resources to inner city individuals, primarily eastern European immigrants. Tacoma, WA 2002 to 2005 -Seattle Pride Committee: served as liaison for the Department of Health to the committee conducting the annual Gay & Lesbian Pride march and festival. Seattle, WA 1999 to 2005 Master Gardener Program: providing residential gardening and organic pest management support to local home-owners. Mount Vernon, WA 1994 to 2004 -American Cancer Society Snohomish County Chapter: served as board member on the executive committee for planning and fund raising events. Everett, WA 1998 to 1999 -St. Meinrad Peace & Justice Committee: student and faculty organization dedicated to social justice issue awareness and support activities specifically oriented towards Central American refugee support and political change. St Meinrad, IN 1988-1990 ~{ 3 Page 3 of 3 Thomas Wiedemann -Harvest House Soup Kitchen; providing daily meals and safe haven environment for homeless and low income individuals. Tell City, IN 1988-1990 •~Patrick Luther House: Transitional Residential Facility for men moving from street life/drug addiction to reestablishing themselves through employment and stable residential living, 1986-1988 _Chicken Soup Brigade: private non-profit agency community conducting fundraising events and providing in-home support for persons living with AIDS/HIV. 1984-1988 Education: Masters of Science in Public Health (MSPH), University of North Carolina at Chapel Hill, Chapel Hill, NC expected 2007 Masters of Theology (MTS), St, Meinrad School of Theology, St. Meinrad, IN 1991 Bachelor of Arts in Sociology (BA), University of Washington, Seattle, WA 1986 Other Comments: I have a great interst in supporting community efforts to improve the environment for diverse individuals. In both employment and volunteer positions, i have worked with community organizations representing diverse communities and have made inclusion of such activities an important part of my career and personal focus. I believe in the fundamental right of all people to have full access to public services, employment and living opportunities, and individual dignity, I also believe it takes individuals dedicated to ensuring there is a safe place for those who experience discrimination to turn to in order to help resolve specific situations and to create a broader community climate of acceptance. I am also very intersted in participating on the Orange County Board of Health. Although the current vacant position is for a veterinarian, should a position for an at-large member arise, I would be happy to discuss such a position with you, I have extensive experience in working with local public health at both the local (county) and state levels as both an employee and as a contract manager, STAFF COMMENTS: Originally applied for Human Relations Commission; Board of Health, and Transportation Advisory Board and Unified Transportation Adv, Board 9/7/2005, ADDRESS VERIFICATION: 159 Hamilton Rd is in Chapel Hill City Limits in Orange County. This application was current on: 9/3/2005 11:21:18 AM Date Printed: 4/26/2006