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Home My WebLink AboutAgenda- 05-15-2018 11-b - Board of Health - Appointments ORANGE COUNTY BOARD OF COMMISSIONERS ACTION AGENDA ITEM ABSTRACT Meeting Date: May 15, 2018 Action Agenda Item No. 11-b SUBJECT: Board of Health - Appointments DEPARTMENT: Board of Commissioners ATTACHMENT(S): Membership Roster Recommendations Applications of the Persons Recommended Attendance Records Applicant Interest List Applications of Persons on the Interest List INFORMATION CONTACT: Clerk’s Office, 919-245-2130 PURPOSE: To consider making appointments to the Board of Health. BACKGROUND: The following information is for Board consideration: • Appointment to a first full term (Position #5) “Optometrist” representative for Dr. Bruce Baldwin expiring 06/30/2021. • Appointment to a second full term (Position #6) “Citizen/Commissioner Appointment” representative for Barbara Chavious expiring 06/30/2021. • Appointment to a second full term (Position #7) “At-Large Professional Engineer” representative for Timothy Smith expiring 06/30/2021. • Appointment to a first full term (Position #8) “At-Large Physician” representative for Dr. Johanna Birckmayer expiring 06/30/2018. POSITION NO. NAME SPECIAL REPRESENTATIVE EXPIRATION DATE 5 Dr. Bruce Baldwin Optometrist 06/30/2021 6 Barbara Chavious Citizen/Commissioner Appointment 06/30/2021 7 Timothy Smith At-Large Professional Engineer 06/30/2021 8 Dr. Johanna Birckmayer At-Large Physician 06/30/2021 NOTE - If individuals are appointed, the following vacancies remain: *None FINANCIAL IMPACT: None. 1 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 Board of Health. 2 Board and Commission Members And Vacant Positions Board of Health Contact Person:LaToya Strange Contact Phone:919-245-2411 Meeting Times:7:00 pm fourth Wednesday of each month Description:The Board of Commissioners appoints representatives of specific health-related professions and the general public to this board. It makes policy and is charged with protecting and promoting the public health in Orange County. To learn more about this Board, go to the following web address: http://www.co.orange.nc.us/health/index.asp Positions:11 Terms:3 Meeting Place:Chapel Hill and Hillsborough Alt. HD Length:3 years Race:white Dr. Susan Elmore 308 Glenwood Drive Chapel Hill NC 27514 919-541-3474 919-967-4172 elmore@niehs.nih.gov Day Phone: Evening Phone: FAX: E-mail: Sex:Female Township:Chapel Hill Resid/Spec Req: Current Appointment:06/20/2017 Expiration:06/30/2020 Number of Terms:3 1 First Appointed:09/21/2010 Special Repr:Veterinarian Chair Race:white Dr Jennifer Deyo 900 Kennesaw Court Hillsborough NC 27278 9199237689 9199237689 jdcjenn@gmail.com Day Phone: Evening Phone: FAX: E-mail: Sex:Female Township:Hillsborough Resid/Spec Req:At-Large Current Appointment:02/07/2017 Expiration:06/30/2019 Number of Terms:1 2 First Appointed:02/07/2017 Special Repr:Pharmacist Race:white Jessica Frega 1511 Park Lane Hillsborough NC 27278 919-426-9465 919-426-9465 jessicalois@gmail.com Day Phone: Evening Phone: FAX: E-mail: Sex:Female Township:Hillsborough Resid/Spec Req:At-Large Current Appointment:06/20/2017 Expiration:06/30/2020 Number of Terms:1 3 First Appointed:06/16/2015 Special Repr:Citizen/Commissioner Appointment Race:white Liska Lackey 507 Oak Ave Carrboro NC 27510 919-968-1450 llackey@email.unc.edu Day Phone: Evening Phone: FAX: E-mail: Sex:Female Township:Chapel Hill Resid/Spec Req:At-Large Current Appointment:06/20/2017 Expiration:06/30/2020 Number of Terms:3 4 First Appointed:06/07/2011 Special Repr:Nurse Race:white Dr Bruce Baldwin 1719 Valley Creek Drive Hillsborough NC 27278 919-428-0698 919-428-0698 uncod@nc.rr.com Day Phone: Evening Phone: FAX: E-mail: Sex:Male Township:Chapel Hill Resid/Spec Req:At-Large Current Appointment:06/20/2017 Expiration:06/30/2018 Number of Terms: 5 First Appointed:06/20/2017 Special Repr:Optometrist Monday, April 30, 2018 Page 1 3 Board and Commission Members And Vacant Positions Board of Health Contact Person:LaToya Strange Contact Phone:919-245-2411 Meeting Times:7:00 pm fourth Wednesday of each month Description:The Board of Commissioners appoints representatives of specific health-related professions and the general public to this board. It makes policy and is charged with protecting and promoting the public health in Orange County. To learn more about this Board, go to the following web address: http://www.co.orange.nc.us/health/index.asp Positions:11 Terms:3 Meeting Place:Chapel Hill and Hillsborough Alt. HD Length:3 years Race:white Barbara Chavious 401 N Nash St Hillsborough NC 27278 919-732-3469 919-732-3469 Barbara_Chavious@unc.edu Day Phone: Evening Phone: FAX: E-mail: Sex:Female Township:Hillsborough Resid/Spec Req:At-Large Current Appointment:09/15/2015 Expiration:06/30/2018 Number of Terms:1 6 First Appointed:09/15/2015 Special Repr:Citizen/commissioner appointment Race:white . Timothy Smith 1107 Tupelo Drive Hillsborough NC 27278 919-616-6491 919-616-6491 tsmith@ppaengineering.com Day Phone: Evening Phone: FAX: E-mail: Sex:Male Township:Hillsborough Resid/Spec Req:At-Large Current Appointment:09/15/2015 Expiration:06/30/2018 Number of Terms:1 7 First Appointed:09/15/2015 Special Repr:Professional Engineer Race:white Dr Johanna Birckmayer 436 W Tryon St Hillsborough NC 27278 9192414739 9192414739 jbirckmayer@msn.com Day Phone: Evening Phone: FAX: E-mail: Sex:Female Township:Hillsborough Resid/Spec Req:At-Large Current Appointment:03/21/2017 Expiration:06/30/2018 Number of Terms: 8 First Appointed:03/21/2017 Special Repr:Citizen/Commissioner Appointment Race:white Dr. Sam Lasris 7020 Caviness Jordan Rd. Cedar Grove NC 27231 919-732-7362 919-732-7362 samlasris@hotmail.com Day Phone: Evening Phone: FAX: E-mail: Sex:Male Township:Cedar Grove Resid/Spec Req:At-Large Current Appointment:06/07/2016 Expiration:06/30/2019 Number of Terms:2 9 First Appointed:03/18/2014 Special Repr:Dentist Race:Other Dr. Paul Chelminski 116 Watters Road Carrboro NC 27510 919-966-0471 919-932-1755 919-966-4507 chelminp@med.unc.edu Day Phone: Evening Phone: FAX: E-mail: Sex:Male Township:Chapel Hill Resid/Spec Req:At-Large Current Appointment:06/07/2016 Expiration:06/30/2019 Number of Terms:3 10 First Appointed:08/19/2009 Special Repr:Physician Monday, April 30, 2018 Page 2 4 Board and Commission Members And Vacant Positions Board of Health Contact Person:LaToya Strange Contact Phone:919-245-2411 Meeting Times:7:00 pm fourth Wednesday of each month Description:The Board of Commissioners appoints representatives of specific health-related professions and the general public to this board. It makes policy and is charged with protecting and promoting the public health in Orange County. To learn more about this Board, go to the following web address: http://www.co.orange.nc.us/health/index.asp Positions:11 Terms:3 Meeting Place:Chapel Hill and Hillsborough Alt. HD Length:3 years Race:white Mia Burroughs 110 Cedar Hills Drive Chapel Hill NC 27514 919-932-6282 919-932-6282 mburroughs@orangecountync.gov Day Phone: Evening Phone: FAX: E-mail: Sex:Female Township:Chapel Hill Resid/Spec Req:At-Large Current Appointment:01/27/2015 Expiration:02/28/2019 Number of Terms: 11 First Appointed:01/27/2015 Special Repr:B.O.C.C. Monday, April 30, 2018 Page 3 5 April 27, 2018 Donna Baker Clerk to the Board of County Commissioners 200 South Cameron Street Hillsborough, NC 27278 RE: Reappointments Dear Donna, This letter is to affirm that on, April 25, 2018, the Board of Health recommended the following reappointments: Bruce Baldwin to his 1st full term; Barbara Chavious to her 2nd full term; Timothy Smith to his 2nd full term; and Johanna Birckmayer to her 1st full term. Let me know if you need anything further. Sincerely, La Toya Strange La Toya Strange Administrative Assistant Cc: Thom Freeman Susan Elmore – Chair Timothy Smith – Co-Chair 6 Volunteer Application Orange County Advisory Boards and Commissions Bruce Baldwin Page 1 of 1 Home Address:1719 Valley Creek Drive Township of Residence: Chapel Hill Zone of Residence: Ethnic Background:Caucasian Sex:Male Phone (Day):919-428-0698 Phone (Evening):919-428-0698 Phone (Cell):919-428-0698 Email:uncod@nc.rr.com Name:Dr Bruce Baldwin Boards/Commissions applied for: Hillsborough NC 27278 Other Comments: Place of Employment: UNC Ophthalmology Job Title:Optometrist, Director, Contact Lens Services Name Called: This application was current on:4/24/2017 5:23:06 PM Date Printed:4/27/2017 Year of OC Residence:2006 Community Activities/Organizational Memberships: Church activities: Creekside Elementary School Landscaping Crew, Music Crew, PORCH Coordinator. UNC Athletics team eye doctor. Past Service on Orange County Advisory Boards: None Supplemental Questions: Boards/Commissions appointments: Board of Health Background, education and experience relevant to this board: I have thirty five years of experience as an optometrist, including working at two Air Force Hospitals, the USAF School of Aerospace Medicine, Air Force Research Laboratory, private practice in Pearson County, and UNC Ophthalmology. Reasons for wanting to serve on this board: I would like to give some of my time and expertise to my local community. Conflict of Interest: 7 Volunteer Application Orange County Advisory Boards and Commissions Barbara Chavious Page 1 of 2 Home Address:401 N Nash St Township of Residence: Hillsborough Zone of Residence: Ethnic Background:Caucasian Sex:Female Phone (Day):919-732-3469 Phone (Evening):919-732-3469 Phone (Cell):919-943-5319 Email:Barbara_Chavious@unc.edu Name:Ms. Barbara Chavious Boards/Commissions applied for: Work Experience: 34 years in public health in NC; 12 as a regional consultant for the State Health Department, working in 8 local health departments; 22 at The UNC School of Public Health as Associate Director of an off-campus MPH, program in Health Administration as the School's alumni Director; as a continuing education specialst; and with the development of the NC Local Health Department Accreditation Program. Hillsborough NC 27278 Place of Employment: NC Institute for Public Health at UNC-CH Job Title:Retired Name Called: Year of OC Residence:1980 Community Activities/Organizational Memberships: Rape Crisis Center Feeding the People Misnistries Past Service on Orange County Advisory Boards: Supplemental Questions: Board of Health Background, education and experience relevant to this board: During the past ten years in retirement, I have served as a site visitor for the NC Local Health Department Accreditation Program in 30 counties. Reasons for wanting to serve on this board: As a 40-year resident of Orange County, I am very much invested in promoting, protecting, and perserving the health of our citizens and our communities, and I would like to contribute to doing so, at a policy level, thorugh service on the Board of Health. Conflict of Interest: 8 Page 2 of 2 Barbara Chavious Education: 1968 - BA - Psychology, Miami University, Oxford, Ohio; 1985 - MPH - Health Administration - UNC School of Public Health. Volunteer Experience: Former member-at-large on the Orange County Board of Health (1992-2000); Orange County Human Relations Commission member; OCIM volunteer; NC Public Health Assoc (member for 30 plus years; various leadership positions; American Public Health Association - member 30 years and representative from NCPHA on APHA's Governing Council for 9 years. Other Comments: I currently serve as a site visitor, representing Boards of Health for the NC Local Health Department Accreditation Program and during the past six years have served on over 15 site visit teams to other NC county Health Departments. STAFF COMMENTS: Updated application 06/16/2011. Applied for Board of Health. ADDRESS JURISDICTION: 401 Nash Street is HI Township. Updated application 02/06/2015. This application was current on:2/6/2015 Date Printed:2/11/2015 9 Volunteer Application Orange County Advisory Boards and Commissions Timothy Smith Page 1 of 1 Home Address:1107 Tupelo Drive Township of Residence: Hillsborough Zone of Residence:County Ethnic Background:Caucasian Sex:Male Phone (Day):919-616-6491 Phone (Evening):919-616-6491 Phone (Cell):919-616-6491 Email:tsmith@ppaengineering.com Name:Mr. Timothy Smith Boards/Commissions applied for: Hillsborough NC 27278 Other Comments: Place of Employment: Philip Post & Associates Job Title:Senior Engineer Name Called: This application was current on:7/10/2015 3:28:58 PM Date Printed:7/14/2015 Year of OC Residence:1976 Community Activities/Organizational Memberships: New Sharon United Methodist Church National Society of Professional Engineers North Carolina Society of Professional Land Surveyors Past Service on Orange County Advisory Boards: None Supplemental Questions: Board of Health Background, education and experience relevant to this board: I work as a civil engineer and have experience in water and sewer facilities design and installation, as well stormwater facilities design, inspection and maintenance, all of which are done to protect the health, safety and welfare of the public. Reasons for wanting to serve on this board: I would like to be involved in my local community and to help in such a way that would benefit the citizens that I share it with. Conflict of Interest: 10 Volunteer Application Orange County Advisory Boards and Commissions Johanna Birckmayer Page 1 of 2 Home Address:436 W Tryon St Township of Residence: Hillsborough Zone of Residence: Ethnic Background:Caucasian Sex:Female Phone (Day):9192414739 Phone (Evening):9192414739 Phone (Cell):9175927011 Email:jbirckmayer@msn.com Name:Dr Johanna Birckmayer Boards/Commissions applied for: Hillsborough NC 27278 Place of Employment: Vital Strategies, seconded to the Bloomberg Philan Job Title:Research Scientist Name Called: Year of OC Residence:2015 Community Activities/Organizational Memberships: Member American Public Health Association; member Mid Carolina Multi-Sport Past Service on Orange County Advisory Boards: None Board of Health Background, education and experience relevant to this board: I am excited by the opportunity to apply my extensive background and experience in public health to the efforts of the Board of Health in Orange County. I would bring to the Board an understanding of how effective public health policy can shape population- level behavior as well as support effective services and programs to further improve health at the individual level. I have a Masters in Public Health from the Department of Health Behavior at the UNC Gillings School of Global Public Health and a PhD in Health Policy from Harvard University. My work experience has spanned public health topics and projects, domestically and globally, with direct relevance to health issues facing residents of Orange County, North Carolina. I have worked as an evaluator for a county health organization conducting community assessments and evaluating health services, mental health and health promotion programs; directed federal technical assistance projects to assist State substance abuse prevention agencies design evidence-based prevention policies and program; and directed an analytical support contract to monitor State compliance with the SYNAR program, a Federal performance system requiring all States to reduce youth access to tobacco products. Globally, I have designed community health assessments, collaborating with local leaders to interpret and use results to design community health programs and designed, implemented and evaluated vaccination, malaria and diarrheal disease programs. Over the last 8 years I have focused extensively on tobacco control policy. Before moving to North Carolina, I was the research director for a DC based advocacy organization and provided assistance to civil society organizations in low- and middle-income countries to use data and evidence to advocate for effective tobacco control policies. Currently, I 11 Page 2 of 2 Johanna Birckmayer Other Comments: This application was current on:1/4/2017 4:07:02 PM Date Printed:1/5/2017 Supplemental Questions: am coordinating the work of multiple international organizations funded through the Bloomberg Philanthropy to support the enactment of effective tobacco tax policies to reduce tobacco use, again in low- and middle-income countries. In alignment with the Boardâ€™s current focus on substance abuse, I would bring to the Board a deep commitment and extensive technical knowledge and experience in the policy options available to communities to reduce the negative impacts on families and the community affected by substance abuse, including tobacco, alcohol, and illicit drugs. I have evaluated substance abuse programs, conducted research on the impact of alcohol, illicit drugs and tobacco policies, designed tools to assist local communities assess substance abuse issues, conducted reviews of best practices, provided technical assistance on best practices to governments and trained civil society groups to advocate for effective public health policies. My policy interest and expertise is directly applicable to other priority issues for the current Board, including food policy, physical activity, and mental health, among others. From experience, I know that the potential of policies to improve population-level health are often hard for both the public and policy makers to understand and thus support. I would bring the Board a grounded understanding of the positive impacts and a great deal of experience communicating and promoting the importance of such policies. My work experience spans cultures, languages, and political systems in the United States and globally. I would bring this experience and a sincere commitment to understanding and improving the health of all persons in Orange County. Reasons for wanting to serve on this board: I moved with my family to Orange County in 2015, and we plan to make North Carolina our long- term home. I have time and energy available and am actively looking for an opportunity to contribute to our community. I believe my skills and experience are directly applicable to the work of the Board and that I can contribute in a meaningful way to the Boardâ €™s efforts to support and promote the health of all members of our community. After many years working globally to improve health, I am excited by the opportunity to utilize my skills, commitment, and time to contribute locally. Conflict of Interest: 12 BOCC Attendance Report For Advisory Boards Board of Health Apr / 2017 – Apr / 2018 Member Appointed Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr Dr. Bruce Baldwin 06/20/2017 P A P P P A A P Barbara Chavious 09/15/2015 P P P P P P P A P P A Timothy Smith 09/15/2015 A P P P P P P A P P P Dr. Johanna Birckmayer 03/21/2017 A P P P P P P A P P P P: Attended A: Absent Current through – 05/1/2018 13 Applicant Interest Listing by Board Name and by Applicant Name Board of Health Contact Person:LaToya Strange Contact Phone:919-245-2411 Race:African American Keith Bagby 902 Savannah Court Hillsborough NC 27278 919-618-4797 919-618-4797 (919)618-4797 keithsr007@gmail.com Day Phone: Evening Phone: Cell Phone: E-mail: Sex:Male Township:Hillsborough Date Applied:05/01/2018 Res. Eligibility:Hillsborough Town Lim Also Serves On:Alcoholic Beverage Control BoardSkills:Coach Skills:Hillsborough City Limits Skills:Insurance Race:African American Rosalind Barber Hillsborough NC 27278 Per current BOH By-Laws - Not Eligible 401 Dumont Drive 919-614-4898 same 919-614-4898 rrb2r@virginia.edu Day Phone: Evening Phone: Cell Phone: E-mail: Sex:Female Township:Eno Date Applied:05/31/2017 Dr. Res. Eligibility:County Also Serves On:Skills: Race:white Mark Bell 168 W. King St. Hillsborough NC 27278 919-677-4141 919-677-4141 919-260-0731 Mark@TwinChimneys.org Day Phone: Evening Phone: Cell Phone: E-mail: Sex:Male Township:Hillsborough Date Applied:05/31/2017 Res. Eligibility:Hillsborough Town Lim Also Serves On:Skills: Race:white Linda Griffin 321 Mitchell Street Hillsborough NC 27278 919-630-9078 919-630-9078 919-630-9078 lgriffin2@nc.rr.com Day Phone: Evening Phone: Cell Phone: E-mail: Sex:Female Township:Hillsborough Date Applied:05/01/2018 Res. Eligibility: Also Serves On:Skills: Race:Other Daniel Kemp 2007 Starterwood Ln Hillsborough NC 27278 336-406-7871 336-406-7871 3364067871 spartan1999@gmail.com Day Phone: Evening Phone: Cell Phone: E-mail: Sex:Male Township:Bingham Date Applied:06/02/2017 Dr Res. Eligibility: Also Serves On:Skills: Wednesday, May 02, 2018 Page 1 of 3 14 Applicant Interest Listing by Board Name and by Applicant Name Board of Health Contact Person:LaToya Strange Contact Phone:919-245-2411 Race:white Katie Loovis 204 Lake Court Chapel Hill NC 27516 919-696-0781 919-696-0781 919-696-0781 KatieLoovis@gmail.com Day Phone: Evening Phone: Cell Phone: E-mail: Sex:Female Township:Chapel Hill Date Applied:05/01/2018 Res. Eligibility:County Also Serves On:Orange County Parks and Recreation CouncilSkills: Race:white Aimee McHale 122 Nolen Lane Chapel Hill NC 27516 704-813-6807 919-967-1973 704-813-6807 ammchale@email.unc.edu Day Phone: Evening Phone: Cell Phone: E-mail: Sex:Female Township:Chapel Hill Date Applied:05/01/2018 Res. Eligibility:C.H. City Limits Also Serves On:Skills: Race:white Patrick Murphy 1500 Prairie Court Mebane NC 27302 919-304-9759 919-304-9759 919-304-9759 Counseling@PatrickMurphyLPC.com Day Phone: Evening Phone: Cell Phone: E-mail: Sex:Male Township:Cheeks Date Applied:06/01/2017 Res. Eligibility:County Also Serves On:Skills: Race:white Charley Rowe 117 Purefoy #4 Chapel Hill NC 27514 9194917409 9194917409 9194917409 charleyrowe2004@yahoo.co.uk Day Phone: Evening Phone: Cell Phone: E-mail: Sex:Female Township:Chapel Hill Date Applied:04/17/2018 Dr Res. Eligibility:C.H. City Limits Also Serves On:Animal Services Hearing Panel PoolSkills: Race:white Katy Stewart 8407 NC 57 Rougemont NC 27572 9196915555 9196915555 9196915555 katystew1@gmail.com Day Phone: Evening Phone: Cell Phone: E-mail: Sex:Female Township:Hillsborough Date Applied:03/31/2017 Res. Eligibility: Also Serves On:Skills: Wednesday, May 02, 2018 Page 2 of 3 15 Applicant Interest Listing by Board Name and by Applicant Name Board of Health Contact Person:LaToya Strange Contact Phone:919-245-2411 Race:white Edward Stirman 554 E Hatterleigh Ave Hillsborough NC 27278 919-241-4912 919-241-4912 423-677-3295 monty.stirman@gmail.com Day Phone: Evening Phone: Cell Phone: E-mail: Sex:Male Township:Eno Date Applied:04/18/2017 Dr. Res. Eligibility:County Also Serves On:Skills: Race:white Marcy Tucker 5329 Pine Cone Lane Durham NC 27705 919-616-4020 919-419-0997 919-616-4020 marcytucker5@gmail.com Day Phone: Evening Phone: Cell Phone: E-mail: Sex:Female Township:Hillsborough Date Applied:10/02/2017 Dr Res. Eligibility:County Also Serves On:Skills: Race:Other Dennis Williams 209 Lake Manor Road Chapel Hill NC 27516 919-962-7122 919-933-5408 919-602-2440 dwilliams@unc.edu Day Phone: Evening Phone: Cell Phone: E-mail: Sex:Male Township:Chapel Hill Date Applied:05/31/2017 Dr. Res. Eligibility:Carrboro City Limits Also Serves On:Skills: Race:white Geraldene Yagnow 1113 Saluda Ct Chapel Hill NC 27514 919-862-6551 919-862-6551 919-862-6551 geri.yagnow@nc.rr.com Day Phone: Evening Phone: Cell Phone: E-mail: Sex:Female Township:Chapel Hill Date Applied:05/02/2018 Res. Eligibility:Chapel Hill Township Also Serves On:Skills: Wednesday, May 02, 2018 Page 3 of 3 16 Volunteer Application Orange County Advisory Boards and Commissions Keith Bagby Page 1 of 2 Home Address:902 Savannah Court Township of Residence: Hillsborough Zone of Residence:Hillsborough Town Limits Ethnic Background:African American Sex:Male Phone (Day):919-618-4797 Phone (Evening):919-618-4797 Phone (Cell):(919)618-4797 Email:keithsr007@gmail.com Name: Keith Bagby Boards/Commissions applied for: Hillsborough NC 27278 Place of Employment: Retired Blue Cross Blue Shield of North Carolina Job Title:Senior Underwriting Consultant Name Called: Year of OC Residence:2000 Community Activities/Organizational Memberships: Orange County ABC Board, Vice Chair Coalition for the prevention of Teen Age Drug and Alcohol Abuse Past Service on Orange County Advisory Boards: Previously Co-Chair of the Orange County Parks and Recreation Advisory Counsel Supplemental Questions: Boards/Commissions appointments: Board of Health Background, education and experience relevant to this board: I retired this year with 40 years of working in the Insurance Industry including 34 years with Blue Cross Blue Shield Plans. I was an underwriter during this time and worked for the Blues Plans where are Health Insurance Companies. I think by working for a Health Insurance Co I have relevant knowledge about the Health Insurance industry. Also working as an underwriter I know information about the financial aspect of the Health Industry. Reasons for wanting to serve on this board: I m interested on serving on this board because the Health aspect is directly related to my career in the Health Insurance Industry so I think I can contribute to this board. Conflict of Interest: 17 Page 2 of 2 Keith Bagby Other Comments: I referee football and basketball for middle school, high school and recreation and parks departments. STAFF COMMENTS: Originally applied for Recreation and Parks and Hillsborough Planning Board. UPDATE: Applied for Alcoholic Beveerage Control Board 1/20/2011. ADDRESS VERIFICATION: 902 Savannah Court is in Hillsborough Town limits in Hillsborough's planning jurisdiction. UPDATED APPLICATION 03/21/2011. UPDATED APPLICATION FOR ABC BOARD 03/28/2012. 12/23/13 - resubmitted application with additional questions anwsered as requested by the BOCC. This application was current on:4/6/2018 Date Printed:4/11/2018 Alcoholic Beverage Control Board Background, education and experience relevant to this board: I have a BS degree from Virginia State University. I am a business professional working as a Senior Underwriting Consultant for Blue Cross Blue Shield of North Carolina. I have worked in the Insurance industry for over 30 years. My experience previously s Reasons for wanting to serve on this board: I would like to be a part of a group that Mr. Keith Cook is participation becasue I admire him and look to him as a leader inour community. Also serving on the Orance County Parks and Recreation Commission has given me a taste of what it means to serve th Conflict of Interest: Application Date:12/23/2013 18 Volunteer Application Orange County Advisory Boards and Commissions Rosalind Barber Page 1 of 1 Home Address:401 Dumont Drive Township of Residence: Eno Zone of Residence: Ethnic Background:African American Sex:Female Phone (Day):919-614-4898 Phone (Evening):same Phone (Cell):919-614-4898 Email:rrb2r@virginia.edu Name:Dr. Rosalind Barber Boards/Commissions applied for: Hillsborough NC 27278 Other Comments: Place of Employment: Unemployed Job Title:NA Name Called: This application was current on:12/29/2016 2:46:16 AM Date Printed:1/3/2017 Year of OC Residence:1987 Community Activities/Organizational Memberships: Member of the Chamber of Commerce Past Service on Orange County Advisory Boards: None Supplemental Questions: Board of Health Background, education and experience relevant to this board: I have a background in nursing and community public health. I am a former employee of the Orange County Health Department and Orange County Schools, serving as a postpartum nurse and a school nurse respectively. Reasons for wanting to serve on this board: I believe that any community board should be a diverse and equitable body in order to represent its citizens. Because of my educational and experiential background that I should be responsible to serve the community in order in help others. I also believe that I am qualified to sit on the health board and participate in decision making policies that effect the health of Hillsborough s citizens. Conflict of Interest: 19 Volunteer Application Orange County Advisory Boards and Commissions Mark Bell Page 1 of 2 Home Address:168 W. King St. Township of Residence: Hillsborough Zone of Residence:Hillsborough Town Limits Ethnic Background:Caucasian Sex:Male Phone (Day):919-677-4141 Phone (Evening):919-677-4141 Phone (Cell):919-260-0731 Email:Mark@TwinChimneys.org Name: Mark Bell Boards/Commissions applied for: Hillsborough NC 27278 Place of Employment: NC Hospital Association Job Title:VP for Health Information Technology, CIO Name Called: Year of OC Residence:1993 Community Activities/Organizational Memberships: Hillsborough Town Board of Commissioners, Orange County Solid Waste Advisory Group, Chapel Hill-Orange County Visitors Bureau, Hillsborough Water Sewer Advisory Board, East Carolina University College of Allied Health Sciences Board of Advisors Past Service on Orange County Advisory Boards: see above Supplemental Questions: Board of Health Background, education and experience relevant to this board: I am a 19-year employee in the healthcare field as a senior health information technology policy advisor and a co-manager of the statewide North Carolina Hospital Emergency Surveillance System (NCHESS) providing syndromic surveillance and bioterrorism awareness in partnership with NC DPH. I also work in behavioral health in partnership with the North Carolina Statewide Telepsychiatry Program and have participated in several statewide taskforces and workgroups on population health, community health assessments, mental health, Medicaid, and quality improvement. Reasons for wanting to serve on this board: I have a deep appreciation for improving public health and for the citizens of Orange County. Joining the Board of Health has become of more interest to me in the past year or so since I was elected to the Hillsborough Town Board of Commissioners and have become involved with more and more county-level responsibilities as a byproduct of being on the Town Board. I believe my substantial knowledge of health information technology and public and population health could benefit the Orange County Board of Health. Conflict of Interest: 20 Page 2 of 2 Mark Bell Other Comments: This application was current on:5/31/2017 Date Printed:5/31/2017 Boards/Commissions appointments: 21 Page 1 of 2 Volunteer Application Linda Griffin Orange County Advisory Boards and Commissions Name: Linda Griffin Name Called: Home Address: 321 Mitchell Street Hillsborough NC 27278 Phone (Day): 919-630-9078 Phone (Evening): 919-630-9078 Phone (Cell): 919-630-9078 Email: lgriffin2@nc.rr.com Place of Employment: Duke Health System Job Title: Retried - Health Center Administrator Year of OC Residence: 1981 Township of Residence: Hillsborough Zone of Residence: Sex: Female Ethnic Background: Caucasian Community Activities/Organizational Memberships: Durham Technical Community College Medical Assisting Advisory Committee. I am a Fellow of the American College of Medical Practice Executives, Member of North Carolina Medical Group Managers, former Member and National Treasurer of Neurosurgical Executives Education and Resource Society. Past Service on Orange County Advisory Boards: none Boards/Commissions applied for: Board of Health Background, education and experience relevant to this board: I have been a resident of Orange County for over 30 years. My background in Health Care Administration both in Private Practice and at Duke will be a benefit to the Board Reasons for wanting to serve on this board: I have a great desire to make sure all residents of Orange County have good quality health care and am willing to help make decisions for our citizens with this in mind. Conflict of Interest: Supplemental Questions: Boards/Commissions appointments: Other Comments: 22 Page 2 of 2 Linda Griffin This application was current on: 5/1/2018 Date Printed: 5/1/2018 23 Volunteer Application Orange County Advisory Boards and Commissions Daniel Kemp Page 1 of 2 Home Address:2007 Starterwood Ln Township of Residence: Bingham Zone of Residence: Ethnic Background:Other Sex:Male Phone (Day):336-406-7871 Phone (Evening):336-406-7871 Phone (Cell):3364067871 Email:spartan1999@gmail.com Name:Dr Daniel Kemp Boards/Commissions applied for: Hillsborough NC 27278 Place of Employment: Quintiles and UNC Job Title:Director of Process Quality Assurance and Director Name Called: Year of OC Residence:2013 Community Activities/Organizational Memberships: As I have recently moved to orange county I do not have any community memberships. However, I am a board certified toxicologist and member of the Society of Toxicologic Pathology, Society of Toxicology (SOT) and the American College of toxicology. As well as vice president of the Drug Discovery Specialty section of SOT. Past Service on Orange County Advisory Boards: none Board of Health Background, education and experience relevant to this board: I have a BS in Biochemistry and a PhD in toxicology from the University of North Carolina at Chapel Hill. I am certified by the American Board of Toxicology and a standing member of all toxicology societies (Society of Toxicology, American College of Toxicology and Society of Toxicologic Pathology). I have experience with the use of both small animals and large animals in terms of drug development, and am vice president of the Drug Discovery Specialty Section of SOT. I am also the past president of the Invitro and alternative animal models specialty section. I have worked in all phases of drug development from early discovery to clinical trials and I feel this experience makes me well suited for this board. Reasons for wanting to serve on this board: I have dedicated my career to the improvement of human health by believing my role in my industry is here to improve the quality of human life by enabling people to do more, feel better and live longer. This board dove-tails nicely with those beliefs and would allow me to give back to the community that I live in. Conflict of Interest: 24 Page 2 of 2 Daniel Kemp Other Comments: This application was current on:6/2/2017 Date Printed:6/2/2017 Supplemental Questions: Boards/Commissions appointments: Animal Services Advisory Board Background, education and experience relevant to this board: I have a BS in Biochemistry and a PhD in toxicology from the University of North Carolina at Chapel Hill. I am certified by the American Board of Toxicology and a standing member of all toxicology societies (Society of Toxicology, American College of Toxicology and Society of Toxicologic Pathology). I have experience with the use of both small animals and large animals in terms of drug development, and am vice president of the Drug Discovery Specialty Section of SOT. I am also the past president of the Invitro and alternative animal models specialty section. I have been responsible for the care treatment and well being of animals throughout my career. I feel this experience makes me well suited for this board. Reasons for wanting to serve on this board: I deeply care for animals that we have been given the luxury to care for and I would like to show this support and give back to my community by serving on this board. Conflict of Interest: 25 Page 1 of 3 Volunteer Application Katie Loovis Orange County Advisory Boards and Commissions Name: Katie Loovis Name Called: Home Address: 204 Lake Court Chapel Hill NC 27516 Phone (Day): 919-696-0781 Phone (Evening): 919-696-0781 Phone (Cell): 919-696-0781 Email: KatieLoovis@gmail.com Place of Employment: GSK Job Title: Director, Corporate Responsibility Year of OC Residence: 2017 Township of Residence: Chapel Hill Zone of Residence: County Sex: Female Ethnic Background: Caucasian Community Activities/Organizational Memberships: 1) Member, Junior League of Durham and Orange Counties 2) Member, East Chapel Hill Rotary Club 3) Secretary of the Board, 9/11 Day of Service and Remembrance 4) Advisory Board Member, US Chamber of Commerce Foundation Corporate Citizenship Center Past Service on Orange County Advisory Boards: N/A Boards/Commissions applied for: Durham T echnical Community College Board of Trustees Background, education and experience relevant to this board: 1) Director, corporate responsibility, for global healthcare company, GSK, which has a presence in the region and a strong focus on developing our future workforce. 2) Previous Chief Operating Officer for Achieving the Dream - the nation s most comprehensive, non-governmental reform network for community college student success. 3) Master of Public Administration (UNC, 2002) Reasons for wanting to serve on this board: I have admired DTCC for m any years, especially their commitment to help students of color and low-income students succeed. Now a resident of the community, I would like to use my time and talent to help DT CC thrive in these changing times. Conflict of Interest: I believe my company (GSK) and/or our foundation (GSK Foundation for NC) has funded DTCC in the past, but I am not aware of a current financial relationship. 26 Page 2 of 3 Katie Loovis Orange County Parks and Recreation Council Background, education and experience relevant to this board: 1) Former Master Gardener in W ashington, DC (2015-2016) through the University of the District of Columbia - I am passionate about the production of and access to fresh local produce. 2) Master of Public Administration (UNC, 2002) - I would bring a balanced, civil society perspective to the council. 3) Former Executive Director of Take Pride in America - a national service initiative that engaged 400,000 volunteers on America s public lands (2008-2009). 4) Director of Corporate Responsibility for GSK, a global healthcare company committed to building healthier communities throughout the region. 5) Form er Captain of the NCAA Division I UNC Women s Lacrosse Team (1999) - I am an enthusiast for outdoor activities that promote health and well-being. Reasons for wanting to serve on this board: I recently moved back to Chapel Hill after 15 years in Washington, DC advancing global and national policies. I am eager to get involved locally. As a new Orange County resident who is passionate about public lands and outdoor health and wellness, and given my background in public administration and ability to develop public-private-nonprofit partnerships, I can offer the Council some new perspectives and a sincere commitment. Conflict of Interest: Board of Health Background, education and experience relevant to this board: 1) Director, Corporate Responsibility, GSK - a global healthcare company. 2) Master of Public Administration (UNC, 2002) 3) Form er White House employee (2003-2008) Reasons for wanting to serve on this board: I recently moved back to Chapel Hill after 15 years in Washington, DC advancing global and national program s and policies. I am eager to get involved locally. As a new Orange County resident who works for a global healthcare company and who is passionate about improving public health, I can offer the Board my sincere commitment. Further, my background in public administration and history of developing meaningful and lasting public-private-nonprofit partnerships means I would bring a well-balanced civi l society perspective to the work of the Board. Conflict of Interest: My company, GSK, likely has products being prescribed at some of the hospitals, m edical centers, and health clinics in the region. I would certainly recuse myself from any Board discussions that related to our products. Supplemental Questions: Durham T echnical Community College Board of Trustees What improvements do you believe can be made so that DTCC better serves the residents of Orange County? Opportunities to better: 1) Engage the business community to co-develop workforce training program s that benefit Orange County businesses. 2) Ensure convenient public transportation and affordable housing to ensure students persist through school and earn their degrees without being saddled with significant debt. 3) Collaborate with UNC officials to ensure smooth student matriculation. Boards/Commissions appointments: 27 Page 3 of 3 Katie Loovis Other Comments: This application was current on: 5/1/2018 2:02:48 PM Date Printed: 5/1/2018 28 Volunteer Application Orange County Advisory Boards and Commissions Aimee McHale Page 1 of 2 Home Address:122 Nolen Lane Township of Residence: Chapel Hill Zone of Residence:C.H. City Limits Ethnic Background:Caucasian Sex:Female Phone (Day):704-813-6807 Phone (Evening):919-967-1973 Phone (Cell):704-813-6807 Email:ammchale@email.unc.edu Name: Aimee McHale Boards/Commissions applied for: Chapel Hill NC 27516 Place of Employment: University of North Carolina Job Title:Lecturer, Department of Public Policy Name Called: Year of OC Residence:2006 Community Activities/Organizational Memberships: A great deal of my engagement with the community has been through my work with the UNC Public Policy Capstone Course, and includes work with the Orange County Board of Health, Piedmont Health Services, Dementia Inclusive Durham. I am active with my daughter s school (Carrboro High School) and am a member of a local political activism group. Past Service on Orange County Advisory Boards: I have not served on any such boards. Board of Health Background, education and experience relevant to this board: I have a law degree with a concentration in health law, and a MSPH in health policy and management. I was also a board member (including three years as president) of a community health center in Gaston County, NC, before I moved to Chapel Hill. I am currently on the faculty of the Gillings School of Global Public Health at UNC, where I teach courses in the US health system and health policy. I have a long-standing commitment to improving the health of underserved communities, including communities of color, immigrants and the LGBT community. I have worked with student teams who have completed projects for the OCBoH, Piedmont Health, and other community organizations, which has given me great insight into the health needs of the county and the active role of the OCBoH in promoting health in our community. As someone who has a background in both law and public health, and who has worked in management, programs and policy, I think that I have a unique skill set that would add to the already strong board. Reasons for wanting to serve on this board: 29 Page 2 of 2 Aimee McHale Other Comments: This application was current on:1/28/2017 8:47:22 AM Date Printed:1/30/2017 Supplemental Questions: Boards/Commissions appointments: Reasons for wanting to serve on this board: I have long wanted to become more involved with community organizations, but have had an extremely heavy teaching load which, combined with my responsibilities as the mother of a teenager, have made it difficult for me to commit additional time. In my new role as a faculty member in the Public Health Leadership Program at UNC, one of my responsibilities is to maintain a connection to the public health community, so when I learned of an upcoming vacancy on the BoH, it seemed like a natural fit. When I have attended BoH meetings in the past, I have been favorably impressed with the board dynamics. As well, with the change in the national administration and ongoing issues within the NC legislature, I believe that my particular skills and experience - in law and public health, programs, policy and advocacy - would be useful as the Board continues to work to secure and improve the health of Orange County residents. Conflict of Interest: 30 Volunteer Application Orange County Advisory Boards and Commissions Patrick Murphy Page 1 of 2 Home Address:1500 Prairie Court Township of Residence: Cheeks Zone of Residence:County Ethnic Background:Caucasian Sex:Male Phone (Day):919-304-9759 Phone (Evening):919-304-9759 Phone (Cell):919-304-9759 Email:Counseling@PatrickMurphyLPC.com Name: Patrick Murphy Boards/Commissions applied for: Mebane NC 27302 Other Comments: Place of Employment: Patrick Murphy MA, LPC Job Title:Licensed Professional Counselor Name Called: Year of OC Residence:2006 Community Activities/Organizational Memberships: None current. Former: National Association of Forensic Counselors Past Service on Orange County Advisory Boards: I am serving on no other advisory boards Supplemental Questions: Boards/Commissions appointments: Board of Health Background, education and experience relevant to this board: I have a BA in psychology and an MA in Counseling Psychology. I am also a Licensed Professional Counselor in North Carolina. I have worked in government agencies, non-profit agencies, and for-profit community clinics. My experience has been primarily with the poor and I am regularly in contact with community and government stakeholders. Reasons for wanting to serve on this board: Mental health is changing, and many have access only through state and county services. The quality of a community s mental health infrastructure can affect the economic stability of its citizens and the services that support them. Inadequate access can put a strain on emergency, law enforcement, and judicial resources. Conflict of Interest: 31 Page 2 of 2 Patrick Murphy This application was current on:6/1/2017 Date Printed:6/1/2017 32 Volunteer Application Orange County Advisory Boards and Commissions Charley Rowe Page 1 of 2 Home Address:117 Purefoy #4 Township of Residence: Chapel Hill Zone of Residence:C.H. City Limits Ethnic Background:Caucasian Sex:Female Phone (Day):9194917409 Phone (Evening):9194917409 Phone (Cell):9194917409 Email:charleyrowe2004@yahoo.co.uk Name:Dr Charley Rowe Boards/Commissions applied for: Chapel Hill NC 27514 Place of Employment: UNC Job Title:Visiting Assistant Professor Name Called: Year of OC Residence:1980 Community Activities/Organizational Memberships: I drive for a visually impaired person. I work with Prison Books Collective. Community gardening (occasional). Driving visually-impaired. Various local cycling advcate groups. Past Service on Orange County Advisory Boards: None so far. Board of Health Background, education and experience relevant to this board: I was content developer for a UNC course called Computing in Medical Care . Much of my research was on public health matters and resources. Much of my time I spent working on reading and reviewing content carefully (including medical literature, journal resources, medical knowledge bases, and public health listservs), and delivering the content and relevant information to the course administrator and enrollees. Reasons for wanting to serve on this board: I have a concern for public health, and have many ideas on implementing ideas toward many or most of the concerns listed under D in the Policy document. I am a concerned and vocal advocate citizen, and have been throughout my residence in Orange County. Conflict of Interest: 33 Page 2 of 2 Charley Rowe Other Comments: This application was current on:8/9/2017 Date Printed:8/9/2017 Supplemental Questions: Boards/Commissions appointments: Commission for the Environment Background, education and experience relevant to this board: I have experience and background as Green Representative as a faculty member at a university where I previously taught. Otherwise, relevant education and background are that I have an advanced degree (PhD), which I hope will support my candidacy. Reasons for wanting to serve on this board: I have a strong concern for the environment, and see this area as a place where I would see a particular consciousness for this issue. But there is much to be done here, so I hope to help put forward ideas and strategies--in terms of outreach in all cases, and policy or incentives where possible--that would be supportive of the environment. Conflict of Interest: I am happy to report that I have no conflicts of interest. Animal Services Hearing Panel Pool Background, education and experience relevant to this board: I have committee experience as an academic in university settings. I also have training in conflict resolution (via workshops),which I feel is beneficial potentially. I have a PhD, have served on several committees, and have some background second-hand on animal protection, policies, outreach, and current governmental suggestions and implementation of local animal Reasons for wanting to serve on this board: I believe that animal and animal control issues are of high priority here, including the idea of no- kill shelters, animal sponsoring and fostering and their outreach, creation of green spaces usable for both animal-owners and non-animal owners, as well as leash laws in public areas, and protection of patrons as well as of animals (almost exclusively dogs) of local establishments such as bars, shops, and other local establishments, etc. Conflict of Interest: 34 Volunteer Application Orange County Advisory Boards and Commissions Katy Stewart Page 1 of 2 Home Address:8407 NC 57 Township of Residence: Hillsborough Zone of Residence: Ethnic Background:Caucasian Sex:Female Phone (Day):9196915555 Phone (Evening):9196915555 Phone (Cell):9196915555 Email:katystew1@gmail.com Name: Katy Stewart Boards/Commissions applied for: Rougemont NC 27572 Place of Employment: Self employed Job Title:RN Name Called: Year of OC Residence:1997 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 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: 35 Page 2 of 2 Katy Stewart Other Comments: This application was current on:3/31/2017 Date Printed:6/9/2017 Supplemental Questions: Boards/Commissions appointments: 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: 36 Volunteer Application Orange County Advisory Boards and Commissions Edward Stirman Page 1 of 2 Home Address:554 E Hatterleigh Ave Township of Residence: Hillsborough Zone of Residence: Ethnic Background:Caucasian Sex:Male Phone (Day):919-241-4912 Phone (Evening):919-241-4912 Phone (Cell):423-677-3295 Email:monty.stirman@gmail.com Name:Dr. Edward Stirman Boards/Commissions applied for: Hillsborough NC 27278 Other Comments: Place of Employment: retired Job Title:retired Name Called: Year of OC Residence:2012 Community Activities/Organizational Memberships: none Past Service on Orange County Advisory Boards: none Supplemental Questions: Board of Health Background, education and experience relevant to this board: family practice physician in practice in TN for 34 years Reasons for wanting to serve on this board: would like to volunteer in area more likely to have some expertise Conflict of Interest: Hillsborough Planning Board Background, education and experience relevant to this board: physician from TN-retired Reasons for wanting to serve on this board: interested in helping Hillsborough improve Conflict of Interest: 37 Page 2 of 2 Edward Stirman This application was current on:3/13/2014 2:40:34 PM Date Printed:3/14/2014 38 Volunteer Application Orange County Advisory Boards and Commissions Marcy Tucker Page 1 of 2 Home Address:5329 Pine Cone Lane Township of Residence: Hillsborough Zone of Residence: Ethnic Background:white Sex:Female Phone (Day):919-616-4020 Phone (Evening):919-419-0997 Phone (Cell):919-616-4020 Email:marcytucker5@gmail.com Name:Dr Marcy Tucker Boards/Commissions applied for: Durham NC 27705 Place of Employment: N/A Job Title:former anesthesiologist at Duke Name Called: Year of OC Residence:2002 Community Activities/Organizational Memberships: former Tutor for LEAP American Medical Association American Society of Anesthesiogy Medical Missions to Honduras x2 Past Service on Orange County Advisory Boards: None Supplemental Questions: Boards/Commissions appointments: Board of Health Background, education and experience relevant to this board: I worked as an anesthesiologist for 15 years at Duke. I have a PhD in neurophysiology and MA in psychology. My background in research and clinical practice can be utilized to improve healthcare for the community and prioritize the areas of need and use of resources. Reasons for wanting to serve on this board: I saw tremendous disparity of healthcare and want to work in the community to make the delivery of healthcare more accessible and more economical to the lower income bracket. I also am passionate about education and the important role that plays in good healthcare. Conflict of Interest: 39 Page 2 of 2 Marcy Tucker Other Comments: This application was current on:10/2/2017 5:21:59 PM Date Printed:10/3/2017 40 Volunteer Application Orange County Advisory Boards and Commissions Dennis Williams Page 1 of 2 Home Address:209 Lake Manor Road Township of Residence: Chapel Hill Zone of Residence:Carrboro City Limits Ethnic Background:Other Sex:Male Phone (Day):919-962-7122 Phone (Evening):919-933-5408 Phone (Cell):919-602-2440 Email:dwilliams@unc.edu Name:Dr. Dennis Williams Boards/Commissions applied for: Chapel Hill NC 27516 Other Comments: STAFF COMMENTS: Applied 05/16/2012 for Board of Health. ADDRESS VERIFICATION: 269 Lake Manor Road is Chapel Hill Township, Carrboro City Limits. Updated application 11/15/2014. Place of Employment: University of North Carolina Job Title:Faculty Name Called: This application was current on:5/31/2017 Date Printed:5/31/2017 Year of OC Residence:1996 Community Activities/Organizational Memberships: Active in the University community including volunteer efforts at the IFC homeless shelter clinic, and a volunteer for the Health Dept Emergency Services response. Past Service on Orange County Advisory Boards: Supplemental Questions: Boards/Commissions appointments: Board of Health Background, education and experience relevant to this board: As a pharmacist, I hope to bring knowledge and insights related to pharmacy related services. Reasons for wanting to serve on this board: I am interested in service to my profession and my community. Conflict of Interest: 41 Page 2 of 2 Dennis Williams 42 Volunteer Application Orange County Advisory Boards and Commissions Geraldene Yagnow Page 1 of 1 Home Address:1113 Saluda Ct Township of Residence: Chapel Hill Zone of Residence:Chapel Hill Township within C.H. city limits Ethnic Background:Caucasian Sex:Female Phone (Day):585-615-6100 Phone (Evening):585-615-6100 Phone (Cell):585-615-6100 Email:geri.yagnow@nc.rr.com Name: Geraldene Yagnow Boards/Commissions applied for: Chapel Hill NC 27514 Other Comments: Place of Employment: Retired Job Title:Registered Nurse Name Called: This application was current on:3/10/2015 9:37:47 AM Date Printed:5/4/2016 Year of OC Residence:2015 Community Activities/Organizational Memberships: New resident in 2015 Past Service on Orange County Advisory Boards: First application for service in Orange County. Supplemental Questions: Board of Health Background, education and experience relevant to this board: Thank you for your review of my volunteer application. My background relevant to the Board of Health as a registered nurse and certified case manager. I have clinical and case management experience at inpatient and outpatient levels of care. Reasons for wanting to serve on this board: New to community,again, thank you again for your review of my application. I would like to serve on the Board of Health to promote the cause that I care most about - health and well-being. Conflict of Interest: 43