HomeMy WebLinkAboutAgenda - 06-13-2006-5b4ORANGE COUNTY
BOARD OF COMMISSIONERS
ACTION AGENDA ITEM ABSTRACT
Meeting Date: June 13, 2006
Action Agenda
Item No. 5- ~j- ~'
SUBJECT: Nursing Home Community Advisory Committee- Reappointments
DEPARTMENT: Board of Commissioners
PUBLIC HEARING: (YIN) No
ATTACHMENT(S): Under Separate Cover
Membership Roster
Letter of Recommendation
Application(s)/Resume(s) of Person(s)
Recommended
Interest List
INFORMATION CONTACT:
Clerk's Office, 245-2130
PURPOSE: To consider making reappointments to the Nursing Home Community Advisory
Committee,
BACKGROUND: The terms of Arthur St, John and Dawn Pickett have expired. They are
willing and eligible for reappointment. If reappointed, Mr. St, John and Ms, Pickett will be
serving first full terms, which will end 6/30/2009.
FINANCIAL IMPACT: None.
RECOMMENDATION(S): Consider making reappointments to the Nursing Home Community Advisory
Committee.
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Page 1 of 1
Fallow up 5
Attachments can contain viruses that may harm your computer. Attachments may not display correctly. ~~
Monica Evans
From: JMPASSMORE@aol.com [JMPASSMORE@aol.comj Sent: Tue 5/9/2006 12:43 PM
To: Monica Evans
Cc:
Subject: Fwd: I need attendance records and consent emails--REPLY REQUESTED
Attachments: ~ Re: I need attendance records and consent emails--REPLY REQUESTED(24KB1
Monica,
Re: the Nursing Home Community Advisory Committee,
Both Art St. John and Dawn Pickett have attended at least 75% of all meetings, are members in good
standing, and would like to be reappointed.
The committee chair is in the process of writing some nominations for 2 new members I will get those to you
once I receive them.
Thanks!
Jill
Jill V. Passmore
Region J Lead LTC Ombudsman
Triangle J Area Agency on Aging
Triangle J Council of Governments
PO Box 12276
RTP, NC 27709
Voicemail: 558.9401
httpsa/10.253 0.7/exchange/MEvansllnbox/Appointments/Fwd:%201%20need%20attendance%20records%20... 6/1/2006
Page 1 of 1
Arthur St, John
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. Arthur St. John
101 Hayworth Drive
Chapel Hill NC 27517
919-968-3003
919-968-3003
st1299@bellsouth.net
Retired
Township of Residence: Chapel Hill
Zone of Residence: C.H. City Limits
Sex: Male
Ethnic Background: Caucasian
Date of Birth: 1/17/1932
Boards/Commissions applied for:
Work Experience:
Real esatate appraiser
Volunteer Experience:
Education:
BS Marine Engineering, US Coast Guard Academy
MBA Wharton School. U of PA
Other Comments:
STAFF COMMENTS: Reapplied 7/20/2005 for the Board of Equalization and Review
2006. Originally applied for Nursing Home CAC 9/24/2004. ADDRESS VERIFICATION:
101 Hayworth Drive Chapel Hill, NC 27517 is in the Chapel Hill Township in the Chapel
Hill City Limits.
This application was current on: 9/22/2004 4:41:30 PM Date Printed: 6/1/2006
Page 1 of 1
Dawn C. Pickett I
Volunteer Application
Orange County Advisory Boards and Commissions
Name:
Name Called:
Home Address:
Phone: (Day)
Phone: (Evening)
Fax:
Email:
Place of Employment:
Job Title:
Ms. Dawn C. Pickett
212 B Simpson Street
Carrboro NC 27510
919-929-8965
919-929-8965
pickettdawn@hotmail.com
Township of Residence: Chapel Hill
Zone of Residence: Carrboro City Limits
Sex: Female
Ethnic Background: Caucasian
Date of Birth: 11/2/1945
Boards/Commissions applied for:
Master Aging Plan Taskforce-Steering Committee
Work Experience:
Medical Review of N.C., Senior Assoc; OVP Projects.
Volunteer Experience:
Wake County Nursing Home Advisory Committee; N.C. Health Access Coalition (see
attached letter)
Education:
B,A. Industrial Relations, UNC-Chapel Hill, Masters in Public Administration 1993
Other Comments:
Reapplied MAP Taskforce 10/06/2005. On 10/23/03, she updated her application with
staff at CFE; she is still interested in CFE but primarily in NHCAC, 11/25/02 renewed her
app. for Nursing Home Community Adv, Committee, 1 st choice; CFE, 2nd choice.
Applied 2/19/02 for Nursing Home Community Advisory Committee; Adult Care Home
Community Advisory Committee; Commission for the Environment. ADDRESS
VERIFICATION: OLD Address: 107 Jones Street is in C.H. city IimitsNEW Address 212
B Simpson Street Carrboro 27510-Carrboro City Limits„
This application was current on: 10/6/2005 Date Printed: 6/1/2Q06
Applicant Interest Listing
by Board Name and by Applicant Name
Contact Person: Vibeke Talley, OTR/L
NursirzgHo~neCommunityAdvisoryConunittee Contact Phone: 919-968-2085
MS. Jeanette Ciark Day Phone: 919-620-8662 Sex: Female
221 Rencher St Apt 3 Evening Phone: 732-7856 Race: African American
Hillsborough NC 27276 FAX: 6208662 Tovmship: Hillsborough
E-mail: Date Applied: 02/23/2005
Skills: Nursing Home Experience Atso Serves On: Adult Care Home Community Advisory Committee
Ms. Peggy Cohn
10 Bayswater Place
Chapel Hill NC 27517
Skills: Geriatric Care
Day Phone: 9191189-6624 Sex: Female
Evening Phone: same Race: Caucasian
FAX: Township: Chapel Hill
E-mail: peggycohnl@earthlink net Date Applied: 10/10/2005
Also Serves On: Adult Care Home Community Advisory Committee
MS.. ELIZABETH CRONER
1605 N GREENBOROUGH ROAD
CARRBORO NC 27110
Skills: Retired
Ms. Patricia Koch
1540 Ferrell Rd
Chapel Hill NC 27517
Skills: Retired
Skills: School Volunteer
Skills: Teacher
Mr. ,Ionghoon Lee
111 Howell SL Apt B
Chapel Hill NC 27514
Skills: Habitat for Flumanity
Day Phone: 919 933.862 Sex: Female
Evening Phone: Race: African American
FAX: Township: Chapel Flill
E-mail: Date Applied: 11/05/2005
Also Serves On:
Day Phone: 942-6637 Sex: Female
Evening Phone: same Race: Caucasian
FAX: Township: Chapel Hill
E-mail: pkoch@mindspring com Date Applied: 07/IZ/2005
Also Serves On:
Also Serves On:
Also Serves On:
Day Phone: 919-360-1422 Sex: Mate
Evening Phone: Race: Asian American
FAX: Township: Chapel Hitt
E-mail: jlee5@emailunc edu Date Applied: 12/27/2003
Also Serves On:
Ms, Katina Nichols
5656 Preston Loop
Mebane NC 27302
Skills: Non-Profit Agency
Day Phone: 979-563-4373
Evening Phone: 336-266-9993
FAX: 919-563-9681
E-mail: nichols@mebtel net
Also Serves On:
Sex: Female
Race: African American
Township: Cheeks
Date Applied: 07/18/2005
Thursday, June Ol, 2006 Page t of 2
Applicant Interest Listing byBoazdNameandbyApplicantName
Contact Person:
Nursing HomeCornmunityAdvisoryCommittee Vibeke Talley, OTR/L
Contact Phone: 919-968-2085
Skills: Registered Nurse Atso Serves On:
Ms. Jane Powell Day Phone: 910474-9063 Sex: Female
656 Craige Dorm Evening Phone: 919-914-0924 Race: African American
UNC Chapel Hill FAX: Township: Chapel Hitl
Chapel Hill NC 27514 E-mail: japo@emailunc edu Date Applied: 09/30/2004
Skills: Cashier Also Serves On:
Skills: Community Service Volunteer Also Serves On:
Skills: Customer Service Also Serves On;
MS. Z'8.111I11}r Z'}13CICOI' Day Phone: 638-4387 Sex: Female
517 N Hill Street Evening Phone: Race: African American
Hillsborough NC 27278 FAX: Township: Fillsborough
E-mail: gr8tpay@yahoo com Date Applied: 02/14/2006
Skills: Certified Nurses Aide Atso Serves On:
Thursday, June Ot, 2006 Page 2 of 2