HomeMy WebLinkAboutAgenda - 12-01-2003-9f1ORANGE COUNTY
BOARD OF COMMISSIONERS
ACTION AGENDA ITEM ABSTRACT
Meeting Date: December 1, 2003
Action Agenda
Item No. ~~__
SUBJECT: Adult Care Home Community Advisory Committee (ACHCAC)
DEPARTMENT: Board of Commissioners PUBLIC HEARING: (Y/N) No
ATTACHMENT(S): Under Separate Gover
Membership Raster
Recommendation from Chair
Application/Resume of Person Being
Recommended
Interest List
Application(s)/Resume(s) of Persons on
the Interest List
INFORMATION CONTACT:
Clerk's Office, ext. 2130, 2125, 2126, 2129
TELEPHONE NUMBERS:
Hillsborough 245-2130
Chapel Hill 968-4501
Durham 688-7331
Mebane 336-227-2031
PURPOSE: To consider making an appointment to the Adult Care Hame Community Advisory
Committee.
BACKGROUND: In May, the BOCC approved adding four additional seats to this Committee,
bringing it to 12 seats, with three remaining vacant at this time. A recommendation has been
made to appoint Ms. Emily M. Gordon, of 800 Pritchard Ave. Ext. #C10, Chapel Hill, N.C. to an
at-large position. There is an initial one-year training term for appointees to this committee;
therefore, her training term would expire December 31, 2004 (at which time she may become
eligible to be reappointed to a first full term.)
FINANCIAL IMPACT: None.
RECOMMENDATION(S): Consider appointment(s) to the Adult Care Home Community
Advisory Committee as the Board may decide.
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Nancy Glover -ACHCAC -Another nomnation Page 1
From: "Carol Gunther-Mohr" <carolg-m@mindspring.com>
To: "'Nancy Glover"' <ncglover@co.orange.nc.us>
Date: 10/8/03 9:38PM
Subject: ACHCAC -Another nomnation
Dear Nancy,
The Adult Care Home Community Advisory Committee met this afternoon and
approved the nomination of Emily Gordon to fill one of the 3 vacancies
on the committee.. I have verified that she has submitted her
application on the county website and that she is interested in joining
the committee. In addition, she has attended an advisory committee
meeting and participated in a facility visit, Please submit her
nomination to the BQCC at the earliest opportunity and let me know the
progress.
Thank you,
Carol
Carol Gunther-Mohr
Phone: 919-260-0134
Email: carolg-m@mindspring com
CC: "'Pam Tillett"' <ptillett@intrex.net>, "'Pam Tillett"' <ptillet@co.orange nc.us>, "'Jill
Passmore"' <jpassmore@tjcog,org>
Page 1 of 1
Emily M. Gordon
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. Emily M. Gordon
800 Pritchard Ave, Ext, #G10
Chapel Hill NC 27516
919-928-9751
919-928-9751
n/a
justk.dseg@earthlink.net
PrideNC
Mentor
Ghapel Hill
Ghapel Hill Township within C.H. city limits
Female
Caucasian
Boards/Commissions applied for:
Adult Care Home Community Advisory Committee
Work Experience:
Caring Community -NYC HA/ NYC DOH; Just Kinds Foundation: NASW: Pride, NC.;
UNC: Care as Needed: Consultant -See resume for details, not shown, Adult Homes
and N.H. Experience.
Volunteer Experience:
Orange House, CHSL; Community Church Project
Education:
MSW - Univerisity of Michigan
Other Comments:
Since arriving in the Orange County area I have worked privately as a Geriatrics
consultant and I am CNAT. Address verification: 800 Pritchard Ave Ext. is within Chapel
Hill City Limits, MOAD/ncg
This application was current on: 7/3/2003 Date Printed: 11/2D/2DD3
Applicant Interest Listing
by Board Name and by Applicant Name
Contact Person:
Adult Care House Conununity Advisory Couunittee Contact Phone: Pam Tillet
919-968-2084
Ms, Laurin Easthom Day Phone: 919-942-0001 Sex: Female
305 Rowe Road Evening Phone: 919-773-3002 Race:
Chapet Hill NC 27516 FAX: 919-773-8824 Township: Chapel Hilt
E-mail: Date Applied: 10/29/2003
Skips: Dentist Also Serves On:
MS, Exnily M, Gordon Day Phone: 919-928-9751 gex; Female
800 Pritchard Ave. Ext. #C-10 Evening Phone: 919-928-9751 Race: Caucasian
Chapel Hill NC 27516 FAX: n/a Township: Chapel Frill
E-mail: justkdseg@earthtinknet Date Applied: 07/03/2003
Skills: Clinical Social Worker Also Serves On:
Ms, Jerry Ann Gregory
917 Crestwood Lane
Chapel Hill NC 27514
Skins: Public health
Skills: Registered Nurse
Ms Johanna Jensen
2201 Baycourt Tmil
Hillsborough NC 27278
Skills: Medical Technologist
Ms. Frances Kovens
1010 Pinehurs[ Drive
Chapel Hitt NC 27517
Skills: Registered Nurse
Ms. Judith Mitchell
3620 Dairyland Road
Hillsborough NC 27278
Day Phone: 919-933-8481
Evening Phone: 919-933-8481
FAX: 919-968.2013
E-mail: Ikgregory@mindspring com
Also Serves On:
Also Serves On:
Sex: Female
Race: Caucasian
Township: Chapet Hill
Date Applied: 10/03/2003
Skills: Community Service Volunteer
Skills: EMr
Day Phone: 225-1925 Sex: Female
Evening Phone: 245-1637 Race: Caucasian
FAX: Township: Hillsborough
E-mail: jjensenj@mindspring com Date Applied: 11/09/2003
Also Serves On:
Day Phone: 919-602-1301 Sex: Female
Evening Phone: 919-929-7434 Race: Caucasian
FAX: 919-929-7589 Township:
E-mail: tkovens@nc rr com Date Applied: 11/05/2003
Also Serves On:
Day Phone: (919)933-8381 Sex: Female
Evening Phone: 919-933-1651 Race: Caucasian
FAX: 919-933-6623 Township: Bingham
E-mail: jmitche1158@earthlink.net Date Applied: 0]/16/2001
Also Serves On:
Also Serves On:
Thursday, November 20, 2003 Page 1 oft
Applicant Interest Listing
by Board Name and by Applicant Name
Contact Person: Pam Tillet
Adult Care Home Conunae~zityAdvisory Conuniftee GontactPhone: 919-968-2084
Skills: Receptionist Also Serves On:
Thursday, November 20, 2003 Page 2 of 2
9
Page 1 of 1
Laurin Easthom
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, Laurin Easthom
305 Rowe Road
Chapel Hill NC 27516
919-942-0001
919-773-3002
919-773-8824
Medicaid Dental Center
Dentist
Chapel Hill
Female
Boards/Commissions applied for:
Adult Care Home Community Advisory Committee
Work Experience:
Currently I am a dentist (part-time) treating underprivileged children (medicaid) in
Raleigh, I have also been a general dentist treating adults/elderly, I also (before a
dentist) was a case manager in rehabilitation aiding injured workers find adequate
employment.
Volunteer Experience:
In college, I volunteered at nursing homes assisting /entertaining residents. I was a
hospital volunteer in physical therapy for a year in my master's program at USC.
Education:
B,A, History (1986), Davidson College; M.Ed, (1988) (Master of Education) Counseling at
Univ, So. Carolina, D.D.S, & NC Chapel Hill in 1998,
Other Comments:
Original Application submitted on 10/29/03 far Adult Care Home Community Advisory
Committee. I have had friends/family in nursing homes (still do). I deeply care about this
population -they have given their long lives to society and have weathered many a storm
and have so much to tell - we owe them our greatest respect in the world, They deserve
the best and demand our greatest respect and empathy. I want to help them. Address
Verification: 305 Rowe Road is in CH ET,J current 10/30/03,
This application was current on: 10/29/2003 9:49: Date Printed: 11/5/2003
/D
Page 1 of 1
Jerry Ann Gregory
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:
Mrs Jerry Ann Gregory
917 Crestwood Lane
Chapel Hill NC 27517
919-933-8481
919-933-8481
jkgregory@mindspring.com
Retired
Retired Public health Nurse
Chapel Hill
Female
Caucasian
1 /12/1945
Boards/Commissions applied for:
Adult Care Home Community Advisory Committee
Advisory Board on Aging
Work Experience:
32 years as Public Health Nurse with Orange County Health Dept. Part of job
responsibilities was providing services to Senior citizens
Served as Guardian on behalf of Health Director for clients in Community House in
Carrboro and various Rest Homes and Nursing facilities
Volunteer Experience:
PTA Thrift shop
Baker for Meals on Wheels in Chapel Hill
VA Medical Center in Durham doing data entry for Oncology Research nurses
Habitat for Htamanity
Fund raising for Child Abuse Prevention Foundation in Durham
Fund raising for various charities sponsered by my Exchange Club
Education:
H.S.
BS in Nursing
Adult Health Assestment-UNC
Various workshops on Wellness,disease prevention,couseling,etc
Other Comments:
This application was current on: 11/2/2003 10:26: Date Printed: t 1!20/2003
r~
Page 1 of 1
Johanna Jensen
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 Johanna Jensen
2201 Baycourt Trail
Hillsborough NC 27278
225-1925
245-1637
jjensenj@mindspring,com
Medical Technologist
Hillsborough
Female
Caucasian
9/19/1963
Boards/Commissions applied for:
Commission for Women
Adult Care Home Community Advisory Committee
Work Experience:
Duke University Hospital, Medical Technologist, 5/1990- present
Volunteer Experience:
Education:
BS in Medical Technology, Medical College of Virginia
Other Comments:
STAFF NOTES: 10/03 Originanl appl. For CFW; ACHCAC. ADDRESS VERIFICATION:
2201 Baycourt Trail, Hillsborough is in Beckett's Ridge Subd, in Hillsborough City Limits,
In Hillsborough Township. Ncg/MOAD.
This application was current on: 11/9/2003 Date Printed: 11/20/2003
l~
Page 1 of 1
Frances Kovens
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, Frances Kovens
1010 Pinehurst Drive
Chapel Hill NC 27517
919-602-1301
919-929-7434
919-929-7589
fkovens@nc.rr.com
Duke Medical Center
RN - Pt. Resource Mgr.
Female
Caucasian
6/17/1957
Boards/Commissions applied for:
Adult Care Home Community Advisory Committee
Advisory Board on Aging
Work Experience:
RN 6 yrs. @ DUMC ; prior to that short term construction, UNC Hospitals
Volunteer Experience:
Hadassah, various school activities in Chapel Hill School System
Education:
BSN
Other Comments:
Due to the nature of my position @ Duke -largely discharge planning - co-ordination and
care - I feel I have knowledge of the aging population health care needs and social
network supports. Would very much want to interface with the Chapel Hill Community
efforts to provide support and resources to this group of citizens. Qriginally applied
11/5/03 for ACHCAC and ADV. Board on Aging. Address Verification:
This application was current on: t 1/5/2003 Date Printed: 11/5!2003
/..~
Page 1 of 1
Judith Mitchell
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..ludith Mitchell
3620 Dairyland Road
Hillsborough NC 27278
(919)933-8381
919-933-1851
919-933-6623
jmitchell58@earthlink.net
Retired
Bingham
Female
Caucasian
6/20/1940
Boards/Commissions applied for:
Adult Care Home Community Advisory Committee
Work Experience:
Currently (11/03) I am working for Home Health Solution. Was retired from as
receptionist for Carrboro Peds. And Internal Medicine, Prior to that I worked as UNC
Student Health as a receptionist in Women's Health,
Volunteer Experience:
Department of Social Service; Orange County Fire Department -EMT -First Responder,
Education:
High School; Few courses at Community College, 18 credit hours; Adult Education
Courses.
Other Comments:
Applied 1/16/2001 for Adult Care Home Community Advisory Committee. OTHER
COMMENTS: Very interested in helping the adult mentally alert but physcially
challenged live on their own, There is nothing for them in this county. I also beleive that
Senior Citizens should have better care both physically and mentally, There are a lot of
lonely seniors in just this county alone, You may check with Chris Nutter or Heather
Barrow for references, Or with any of the Doctors at Carrboro Peds. And Internal
Medicine,
This application was current on: 1/16/2001 Date Printed: 11!10/2003