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HomeMy WebLinkAboutAgenda - 11-15-2005-9f3ORANGE COUNTY BOARD OF COMMISSIONERS ACTION AGENDA ITEM ABSTRACT Meeting Date: November 15, 2005 Action Agenda Item No. 9-~~" ~ SUBJECT: Central Orange Senior Center Design Committee- Appointments and Charge DEPARTMENT: Board of Commissioners PUBLIC HEARING: (Y/N) No ATTACHMENT(S): Membership Roster Interest List Applications(s)/Resumes of Person(s) on the Interest List INFORMATION CONTACT: Clerk's Office 245-2130 Jerry Passmore 245-2000 PtJRPASE: To consider appointments to the Central Orange Senior Center Design Committee including its charge, timeline and composition, BACKGROUND: Charge: The Committee will assist county staff in interpreting and prioritizing the needs assessment information collected by the Department on Aging prior to the commencement of the design process, The Committee will assist as may be needed in public information initiatives that may occur during the design/construction process; and it will recommend the final plan for the Southern Orange Senior Center to the County Commissioners for approval prior to bidding of the project. In addition, the Committee will assist in planning an event celebrating the ground breaking and the opening of the Center in 2006, . Timeline: The Southern Orange Senior Center Design Committee will be engaged in the project at various times throughout the project, pursuant to the scope of work outlined in the charge, Composition: The composition of the Design Committee follows the same pattern and size as was approved by the BOCC for the Southern Orange Senior Center Design Committee. The following categories produce a balance of interests and perspectives from senior center users and supporters across the Central/Northern service area. Aging Advisory Board -One Member (1) Friends of the Central Orange Senior Center -Three Members (3) Central Orange Senior Center Program Participant -Three Members (3) 4. At-Large Members -Five Members (5) 5. Hillsborough Town Council Representative -One Member (1) 6. Board of County Commissioners -Two Members (2) Total - 15 Aging Board Members (Choose One) Cary Cornette Jerry Kruter Mariah McPherson (also a Sr. Center Participant) Janice Wassel Friends of the Senior Center (Choose Three) Leo Allison (also a Sc. Center Participant) Beverly Blythe (also a Sr. Center Participant) Peter Langan (also a Sr. Center Participant) Richard LesperanCe (also a Sr. Center Participant) Helen Miller (also a Sr. Center Participant) Senior Center Participant (Choose Three) Constance Gary Leda Hardesty Hugh Landis Lavonda Landis Gloria Marsosurdiro Haryo Marsosudiro A. P. Ruston At-Large (Choose Five) Francis Coyle Ann Holtzman Patricia Kiffney Heather MacDonald Brenda Pattison Albert Peloquin 5warna Reddy Vicki Tille Hillsborou h Board of Commissioners Will be forthcomin Oran e Count Board of Commissioners Choose Two County Staff to the Senior Center Design Committee: John Link, County Manager Gwen Harvey, Assistant County Manager Jerry Passmore, Director, Department on Aging Janice Tyler, Senior Centers Administrator Paul Thames, County Engineer Pam .Jones, Purchasing and Central Services Director Jeff Thompson, Project Manager FINANCIAL IMPACT: None, RECOMMENDATION(S): The Manager recommends that the Board approve appointments to the Central Orange Senior Center Design Committee including its charge, composition and timeline. m ~~ __ G V in o ~ U V U D G ~ E ~F 3 c o ~ n J n ~ • ~ ~ E c E vv t o U = o ~ ~ U V G ~_ C V pp (] U 6 oo O aw O O V V E ~ ~o~ v+ ~ E n ~ ~' U N b f ' ~, G U c l ~ ~ G v ~ ~ ~ w , c U u GO ~ n V ^ ~ u P 4a, r pp ~ n n U C C v ~ ~° O U O V C o U o m o G. o ~ ~ a. ~ H ~ o 1 " d G O U] ~ C -~ .'..r ,o EF„y C/J o '~ ° ~ G ~ ~ o C r.+ H n .-1 € ~ F _ - E ~ O ~} O N h U !' 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' o w _ ~O F IU V Q !, / N ~, O G °o 0 `u E "> z° O Applicant Interest Listing Central Orange Senior Center Design: Committee Mr. Leo Allison 4125 Marvin Lanc Eftand NC 27243 Skills: Community Service volunteer Skills: Orange County Planning Board/Chair/ by Board Name and by Applicant Name Contact Person: Contact Phone: Day Phone: 919-563-9110 Evening Phone: 919-563-9110 FAX: 919-563.9110 E-mail: lele2@mebtel. net Also Serves On: Alcoholic Beverage Control Board Also Serves On: Efland/Mebane Small Area Plan Taskforce Also Serves On: Also Serves On: Mrs Beverly Blythe 1208 Cam Stare Road Cedar Grove NC 27237 Skills: Friend of [he Senior Center Skills: Retired Orange County Employee Day Phone: 732-8315 Evening Phone: 732-8315 FAX; 732-3710 E-mail: bblythe@visionet org Also Serves On: Also Serves On: terry Passmore, Director, Depar 919-245-2009 Sex: Male Race: African American Township: Cheeks Date Applied: 12/04/2003 Sex: Female Race: Caucasian Township: Cedar Grove Date Applied: 08/15/2004 Mr Cary Cornette Day Phone: 919-452-2424 Sex: Male 1022 Lakeview Drive Evening Phone: Race: Caucasian Cedar Grove NC 27231 FAX: 877-644-6251 Township: Cedar Grove E-mail: ecomette@investorscapital com Date Applied: 08/I6/20D4 Skills: Certified Senior Advisor Also Serves On: Adult Care Home Community Advisory Committee Also Serves On: Advisory Board on Aging Stcills: North Carolina lfiempeutic Riding Pro Also Serves On: I I Atso Serves On: Skins: Raritan Club Also Serves On: Also Serves On: Mr'. Francis Coyle Day Phone: 919-408-0530 Sex: Male 7220 Sunrise Rd Evening Phone: Race: Caucasian Chapel Hill NC 27514 FAX: Township: Chapel Hill E-mail: panchoncl@hotmail com Date Applied: 11/19/2003 Skins: Computer Programmer Also Serves On: Stcills: SeniorNet Also Serves On: Monday, November 07, 2005 Page I of 1 q Applicant Interest Listing by Board Name and by Applicant Name Contact Person: Passmore, Jerry Duector, Depar Cente•al Orange Senior Center Design Conzmittee Contact Phone: , 919-245-2009 Ms. Constance Gary Day Phone: 919-697-1560 Sex: Female 393 to Max Rd Evening Phone: Race: African American Hillsborough NC 27278 FAX: Township: Hillsborough E-mail: Date Applied: 07/07/2005 Skills: Community Service Volunteer Also Serves On: Skills: Senior Center Activites Pariicipnn[ Also Serves On: Skills: leacher Also Serves On: MS. LedaKa7d0St}r Day Phone: 643-2944 Sex: Female 304 County Seal Drive Evening Phone: same Race: Hispanic Hillsborough NC 27278 FAX: Township: Hillsborough E-mail: elehar@nc trcom Date Applied: 07/07/2005 Skills: Also Serves On: MIS AIlR HOItZTRan Day Phone: 919-357-7095 Sex: Undesignat 306 Old Franklin Grove Drive Evening Phone: Race: Undesignated Chapel Hitl NC 27514 FAX: Township: Chapel Hill E-mail: Date Applied: 04/11/2005 Skills: Administrative Assistant Also Serves On: Skills: Chapel Hill City Limits Also Serves On: Skills: Fitness Snswctor Also Serves On: MS PatrlCla l{lffIle}r Day Phone: 979-929-6009 Sex: Female 6319 Dodson Crossroad Evening Phone: same Race: Caucasian Hillsborough NC 27278 FAX: Township: Bingham E-mail: Date Applied: 08/20/2004 Skins: Art Teacher Also Serves On: Agricultural Center Work Group Skills: Fanner Skills: Horse Breeder Skills: North Carolina Therapeutic Riding Pro Monday, November 07, 2005 Page 2 of 7 lp Applicant Interest Listing by Board Name and by Applicant Name Contact Person: Terry Passmore, Drrector, Depaz L'C71t1YZZ O1YZl1gC SC11Z01" G'CiZt~l' nCS6b12 (,'011E11tltlCB Contact Phone: 919-245-2009 Mr. .Terry L. Kruter Day Phone: 979-967-95]3 Sex: Male 322 Sunset Creek Circle Evening Phone: 919-967-9513 Race: Caucasinn Chapel Hill NC 27516 FAX: 919-968-8922 Township: Chapel Hill E-mail: jldruter@bellsouth net Date Applied: 09/16/2005 Sldtts: Advisory Board on Aging Also Serves On: Advisory Boazd on Aging Also Serves On: Master Aging Plan Taskforce-Steering Committee Skills: Computer Science Atso Serves On: Also Serves On: Skills: Memllurgicat Engineer Also Serves On: Also Serves On: Mr. Hugh D. Landis Day Phone: 979-644-7292 Sex: Mate t30 N Wake Street Evening Phone: Race: Caucasian Hillsborough NC 27278 FAX: Township: Hillsborough E-mail: Date Applied: 01/06/2004 Skills: Church Volunteer Work Also Serves On: Skills: Computer Programmer Also Serves On: Skills: Retired Also Serves On: Skins: Ronald McDonald House Volunteer Also Serves On: Skills: Teacher Also Serves On: Ms . Lavonda Rowe Landis Day Phone: 919-644-7292 Sex: Female 130 N. Wake Street Evening Phone: Race: Caucasian Hillsborough NC 27278 FAX: Township: Hillsborough E-mail: Date Applied: 01/06/2004 Skills: Ball Room Dance Instructor Also Serves On: Skills; Church Volunteer Work Also Serves On: Skills: Licensed Practical Nurse Also Serves On: Skills: O C Recreation and Parlcs Volunteer Also Serves On: Slcills: School Volunteer Also Serves On: Skills: Substitute Teacher Atso Serves On: Monday, November 07, 2005 Page 3 of 7 ~/ Applicant Interest Listing Central Orazzge Sezzior Center Design Corzunittee Mr'. Peter A. Langan 1020 Alexander Stewart Drive Hillsborough NC 27278 Skills: Home Owners Association Member Skills: Railroad Conductor by Boazd Name and by Applicant Name Contact Person: Contact Phone: Day Phone: 919-732-6876 Evening Phone: 919-732-6876 FAX: E-mail: langana@earthlink net Also Serves On: Also Serves On: Jerry Passmore, Duector, Depar 919-245-2009 Sex: Male Race: Caucasian Township: Hillsborough Date Applied: 10/21/2005 Mr. Richard Lesperance Day Phone: 919-215-6634 Sex: Male 100 Cheshire Drive Evening Phone: 732-8743 Race: Caucasian Hillsborough NC 27278 FAX: Township: Hillsborough E-mail: joyles68@hotmail com Date Applied: 03/16/2005 S}~-s: Correcfional Officer Also Serves On: Ms Heather MacDonald Day Phone: 919-660-7571 Sex: Female 2714 Fargo Rd Evening Phone: 919-245-0876 Race: Caucasian Hillsborough NC 27276 FAX: 919-684-8569 Township: Hillsborough E-mail: hm@geriduke. edu Date Applied: 03/05/2004 Shills: Computer Specialist Atso Serves On: Commission for the Environment Also Serves On: Fairview Pad<Planning Committee Skills: Environmental Volunteer Also Serves On: ~ Also Serves On: Skills: Fund-Raising Also Serves On: Also Serves On: Ms. GloriaMazsosudiro Day Phone: 919-644-0650 Sex: Female 2613 Sweet Gum Dr Evening Phone: Race: Asian American Hillsborough NC 27278 FAX: Township: Hillsborough E-mail: haryo@marsosudiro com Date Applied: 07/07/2005 Skills: Church Volunteer Work Also Serves On: Skills: School Counselor Also Serves On: Skills: Senior Center Activites Participant Also Serves On: Monday, November 07, 2005 Page 4 of 7 l a, Applicant Interest Listing by Board Name and by Applicant Name Celttl"al ~l'Q71gC Seltiol" CC111C1" Contact Person: DBSlgli COltt)li[ftCC Contact Phone: Jerry Passmore, Director, Depar 919-245-2009 Mr. Haryo Marsosudiro Day Phone: 644-0650 Sex: Male 2613 Sweet Gum Dr Evening Phone: Race: Asian American Hillsborough NC 27278 FAX: Township: Hillsborough E-mail: haryo@marsosudirocom Date Applied: 07/07/2005 Skills: Engineer Also Serves On: Skills: Senior Center Activiies Participant Also Serves On: Ms. Mariah McPherson Day Phone: 919-732-2583 Sex: Female 513 N. Nash Street Evening Phone: 919-732-2583 Race: African American FAX: Township: Hillsborough P O Box 327 Hillsborough NC 27278 E-mail: Mariahp@earthlink net Date Applied: 02/06/2001 Skids: Community Service Volunteer Also Serves On: Advisory Board on Aging Also Serves On: Master Aging Plan Tasktorce-Steering Committce Skills: Cooperative Extension Also Serves On; , Also Serves On: Stills: SENIOR CENTERS Subcmtee (Bond E Also Serves On: Also Serves On: Day Phone: 919-906-5923 SeX: Female MtB Helen Miller 2506 NC-57 Evening Phone: 919-732-2523 Race: Caucasian Hillsborough NC 27276 FAX: Township: Hillsborough E-mail: hmiller@visionet org Date Applied: 01/25/2005 Skins: Friend of the Senior Center Also Serves On: Skills: Retired Orange County Employee Also Serves On: Mrs Brenda Pattison Day Phone: 979-304-5759 Sex: Female 5515 Wagon Farm Rd Evening Phone: Race: Caucasian Efland NC 27243 FAX: Township: Cheeks E-mail: btp@mebtel net Date Applied: 06/06/2005 Skills: Aging Issues Also Serves On: Monday, November 07, 2005 Page 5 of 7 3 Applicant Interest Listing by Boazd Name and by Applicant Name Central Orange Senior Center Design Coninaittee Mr. Albert E, Peloquin 307 N English Hill Lane Hillsborough NC 27276 Skins: Actor Skills: Athletic Skills: ETd Skills: Hair Dresser Shills: Special Populations Activity Assistant Day Phone: 919-956- Evening Phone: 9191169-3660 FAX: E-mail: Also Serves On: Also Serves On: Also Serves On: Also Serves On: Also Serves On: Contact Person: Jerry Passmore, Director, Depar Contact Phone: 919-245-2009 Sex: Male Race: Caucasian Township: Hillsborough Date Applied: 04/t8/2005 Mrs Swama Reddy 336 Standish drive Chapel Hill NC 27517 Skills: Advisory Board Experience Skids: Grant Writer Shills: Nursing Home Experience Day Phone: 338-2618 Sex: Female Evening Phone: Race: Asian American Fp,X; Township: Chapel Hitt E-mail: Swama1965@yahoo com Date Applied: 09/14/2005 Also Serves On: Also Serves On: Also Serves On: Mr A.P. Rushton Jr Day Phone: 979-2453817 Sex: Mate 2304 Redbird Lane Evening Phone: Race: Caucasian Hillsborough NC 27278 FAX: Township: Hillsborough E-mail: mshmil@visionetorg Date Applied: 01/21/2004 Skills: Educational TV Director Also Serves On: Skills: Writer Also Serves On: Ms. Vicki Tilley 3906 ICemvood Drive Hillsborough NC 27278 Skills: American Phys Therapy Assoc. Skills: Board Certified Geriatric Physical Thar Skills: Editor of"Oerinotes" Skills: Lecturer Skills: N.C Physical Therapy Association Skills: Special Olympics - N C Day Phone: 919-614-1923 Sex: Female Evening Phone: 919-644-6646 Race: Caucasian FAX; 252-436-1633 Township: Cedar Grove E-mail: vsNlley@aol com Date Applied: 70/06/20D6 Also Serves On: Master Aging Plan Taskforce-Disabled/Modem[ely Imp Monday, November 07, 2005 Page 6 of 7 /~ Applicant Interest Listing by Board Name and by Applicant Name CCIZIIYll Ol'll7ZgC SB1Z103' CelZter Contact Person: PCSlg12 CO)Ttf?tLIICC Contact Phone: Jerry Passmore, Duector, Depar 919-2A5-2009 Dr.. Janice Wassel Day Phone: 336.256.1020 Se%: Female 5204 Ritey's Ridge Road Evening Phone: 919 942 9397 Race: Caucasian Hillsborough NC 27276 FAX: 336.254.0174 Township: Hillsborough E-mail: jiwassel@uncg. edu Date Applied: 10/06/2005 Stalls: Gerontology Also Serves On: Advisory Board on Aging Also Serves On: Human Services Advisory Commission Also Serves On: Master Aging Plan 7asldorceSteeringComrmttee Monday, November 07, 2005 Page 7 of 7 Paae 1 of 1 Leo Allison Volunteer Application Orange County Advisory Boards and Commissions Name: Mr. Leo Allison Name Called: Home Address: 4125 Marvin Lane Efland NC 27243 Phone: (Day) 919-563-9110 Phone: (Evening) 919-563-9110 Fax: 919-563-9110 Email: lele2@mebtel.net Place of Employment: Job Title: Township of Residence: Cheeks Zone of Residence: Cheeks Twnsp Sex: Male Ethnic Background: African American Date of Birth: 12/28/1932 BoardslCommissions applied for: Central Orange Senior Cen ter Design Committee Master Aging Plan Taskfor ce-Steering Committee Master Aging Plan Taskfor ce-Well-Fit Older Adult Work Experience: Volunteer Experience: I have served on various Orange County taskforces including MAP, Capital Needs, Shaping Orange County's Future, Efland Small Area Plan taskforce. I have seved on various Orange County Boards, includig Board of Social Services, Planning, HRC, I currently serve on Friends of Central Orange Senior Center Board and Orange Congregations in Missions Board. Education: Other Comments: STAFF NOTES: Reapplied 10/31/2005 for Master Aging Taskforce 2005. Updated his application 11/1212004 to apply for Central Senior Center Design Task Force and Efland Mebane Small Area Task Force, Updated his email address 12104/03, Renewed 3/15/03 for Efland -Cheeks Park Conceptual Plan Committee, Renewed app. by pho, 7/18!01 far Bond Ed, Committee. Applied 4/16/1993 for Bond Education Committee. This application was current on: 12/4/2003 Date Printed: 11/7!2005 /~ Page 1 of 1 Beverly Blythe Volunteer Applicafiion 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. Beverly Blythe 1208 Carr Store Road Cedar Grove NC 27231 732-8315 732-8315 732-3710 bblythe@visionet.org Retired Cedar Grove Cedar Grove Twnsp Female Caucasian 3/5/1941 BoardslCommissions applied for: Central Orange Senior Center Design Committee Work Experience: I worked for Orange County from 1983 to my retirement in 2002 and am familiar with the process of locating and designing a facility such as a Senior Center. Volunteer Experience: I have served on the Friends of the Senior Center for Central Orange, Inc, for 2 years and am interested in assuring that the seniors in Central Orange have a center that will provide for the needs of the population in this part of Orange County. Education: Middletown High School, Durham Technical Institute and Miami University with a major in Business Administration Other Comments: I want to volunteer on this committee in an effort to build for the senior citizens a center that will be used by many age groups, not only seniors and provide a safe environment for people to came and enjoy various activities. The design of this building is important to those who will use this facility now and in the future. STAFF COMMENTS: Originally applied for Center Orange Senior Center Design Committee. ADDRESS VERIFICATION: 1208 Carr Store Rd is in Cedar Grove Township in Orange County. This application was current on: 8/15/2004 12:39:11 PM Date Printed: 11/7/2005 ~~ Paae 1 of 1 Cary Cornette 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: Mr Cary Cornette 1022 Lakeview Drive Cedar Grove NC 27231 919-452-2424 877-644-6251 ccornefte@ investorscapital,com Cornette Wealth Management Financial Advisor Cedar Grove Cedar Grove Twnsp Male Ethnic Background: Caucasian Date of Birth: 7/15/1964 Boards/Commissions applied for: Central Orange Senior Center Design Committee Work Experience: Certified Senior Advisor (1+yrs), Financail Advisor (5years), Life and Long Term Care Insurance Agent (5 years) Volunteer Experience: Past VP of the Mount Sylvan Ruritan Club, served on the Durham County Adult Home Care Community Committee and currently volunteer with the North Carolina Therapeutic Riding Program. Education: Bachelor's Degree from Armstrong Atlantic State University Other Comments: I would be glad to work with any group dealing with seniors and aging. I am a Cerified Senior Advisor and I have special training on Senior issues.STAFF COMMENTS: Originally applied for Adult Care Home CAC; Central Orange Senior Center Design and Advisory Board on Aging. ADDRESS VERIFICATION: 1022 Lakeview Drive is in Cedar Grove Township in Orange County, This application was current on: 8/18/2D04 Date Printed: 11/7/20D5 Page 1 of 1 Francis Coyle G o 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: Mr. Francis Coyle 7220 Sunrise Rd. Chapel Hill NC 27514 919-408-0530 panchoncl @hotmail.com Retired Chapel Hill Sex: Male Ethnic Background: Caucasian Date of Birth: 12/12/1926 Boards/Commissions applied for: Central Orange Senior Center Design Committee Work Experience: Computer Programmer Volunteer Experience: Orange County Literacy Council; AARP Chapel Hill Chapter (Secy); Chapel Hill SeniorNet Learning Center. Education: MS Other Comments: Important that SeniorNet be represented on Design Committee. STAFF NOTES: Original application received This application was current on: 11/19/2003 12:21:50 PM Date Printed: 11/7/2005 Page 1 of 1 Constance Gary /~ 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.. Constance Gary 393 Ja Max Rd Hillsborough NC 27278 919-697-1560 CCSA Americorp Teacher Hillsborough Hillsborough Town Limits Female African American 1 /8/1946 Boards/Commissions applied for: Central Orange Senior Center Design Committee Work Experience: Evening manager Arts Center, Carrboro YMCA, desk clerk, Chapel Hill Americorp Teach, CCSA Chapel Hill Volunteer Experience: Abundant Harvest, Hillsborough, Welcome Baby, Durham, Meadowlands Senior Citizen Center, Hillsborough Family Violence Prevention Education: University of Hartford, Fine Arts, West Hardford, Ct, Gr HFTD Community College, Early Childhood Ed. Hartford, Gt, Other Comments: Licenced minister, Kingsway Int'I Fellowship Painted YMCA as volunteer. STAFF COMMENTS: Originally applied for Central Senior Center Design Committee 7/7/2005, ADDRESS VERIFICATION: 393 Ja Max Rd is in Orange County in Hillsborough Town Limits, This application was current on: 7/7/2005 Date Printed: t 1/7/2005 ~~ Paae 1 of 1 Leda Hardesty 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. Leda Hardesty 304 County Seat Drive Hillsborough NC 27278 643-2944 same elehar@narr.com retired Township of Residence: Hillsboraugh Zone of Residence: Hillsborough Town Limits Sex: Female Ethnic Background: Hispanic Uate of Birth: 5/31/1930 Boards/Commissions applied for: Central Orange Senior Center Design Committee Work Experience: Recently retired from Family Health International in RTP. Volunteer Experience: Education: B.A. Humanities Other Comments: STAFF COMMENTS: Originally applied for Central Orange Senior Center Design Committee 717/2005. ADDRESS VERIFICATION: 304 County Seat Dr is in Orange County in the Hillsborough town limits. This application was current on: 7/7/2005 Date Printed: 11/7/2005 Page 1 of 2 Ann Holtzman "L~ Volunteer Application Orange County Advisory Boards and Commissions Name: Mrs. Ann Holtzman Name Called: Home Address: 306 Old Franklin Grove Drive Chapel Hill NC 27514 Phone: (Day) 919-357-7095 Phone: (Evening) Fax: Email: Place of Employment: Job Title: Township of Residence: Chapel Hill Zone of Residence: C.H, City Limits Sex: llndesignate Ethnic Background: Undesignated Date of Birth: Boards/Commissions applied for: Commission for Women Chapel Hill Planning Board Central Orange Senior Center Design Committee Work Experience: Real Estate Office Assistant Senior Adult Fitness Instructor Visitor Services & Volunteer Director at Art Museum Volunteer Experience: Non-profit art organizations Education: 1967 High School Graduate Business courses Fitness seminars Life! Other Comments: My focus far the past several years has been helping senior adults strengthen their bodies, therefore feeling better about themselves. My husband and I just moved here in January, I am anxious to get involved in my new community. STAFF COMMENTS: Originally applied for CfW, Chapel Hill Planning, Central Orange Senior Center Design Committee, ADDRESS VERIFICATION: 306 Old Franklin Grove Rd, Chapel Hill is in the Chapel Hill City Limits in the Chapel Hill Township, Page 1 of 1 Patricia Kiffney °~a'' Volunteer Application Orange County Advisory Boards and Commissions Name: Name Called: Home Address: Phone: (Day) Phone: (Evening) Fax: Ms Patricia Kiffney 6319 Dodson Crossroad Hillsborough NC 27278 919-929-6009 same Email: Place of Employment: Finnabar Farm Job Title: Owner/Mnager Township of Residence: Bingham Zone of Residence: Bingham Twnsp Sex: Female Ethnic Background: Caucasian Date of Birth: 2/6/1933 Boards/Commissions applied for: Commission for the Environment Central Orange Senior Center Design Committee Work Experience: Self-Employed. Breeding/Training Equines, Teaching Equitation and Stable Management, Building Equine Facility from the ground up. Landscape design and installation, including drives, roads, ponds and drain systems. Retaining walls, nursury growing and propagating trees/shrubs perininals using organic methods. Volunteer Experience: Durham Triangle Pony Club. Teaching art in Public and Private Elementary schools and to disabled children. Designing therupeutic riding program for adults and children, Funding member of the Durham Boys Club Later Lakewood YMCA Education: Primary Grades and High School-Vincentian Institute, Albany, NY College of St. and Rose Siena University. Other Comments: Many Ag. Extention Courses sponsored by County and NC. State. 3 years work at NCBG on Botanical Drawing and Illustration. STAFF COMMENTS: Originally applied for Ag, Center Work Group, Commission for the Environment and Central Orange Senior Center. ADDRESS VERIFICATION: 6319 Dodson Crossroads in in Bingham Township in Orange County. This application was current on: 8/20/2004 Date Printed: 11/7/2005 Page 1 of 1 c23 Jerry L. Kruter 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, Jerry L. Kruter 322 Sunset Creek Circle Chapel Hill NC 27516 919-967-9513 919-967-9513 919-968-8922 jldruter@bellsouth.net Patent and Trademark Office Retired Chapel Hill Town of Carrboro Male Caucasian 5/19/1935 BoardslCommissions applied for: Southern Orange Senior Center (New) -Design Co Central Orange Senior Center Design Committee Master Aging Plan Taskforce-Well-Fit Older Adult Work Experience: Retired Patent Examiner (Primary) USPTO, Assisted in the computerization of the patent system, Wash. DC; prev. 17 yrs, Sales Rep., electrical power equip. Volunteer Experience: NC Consumer Council, Advisor to President. Education: BS Metallurgical Eng. -Extractive. Retrieval and reclamation of metals. Univ. of Wisconsin. Other Comments: 9/16/2005 Master Aging Plan Taskforce, 03/10/03 Updated application for EDC; E&R Board; Advisory Board on Aging. 10/8!01 Interest letter update-no reply-made app inactive, Renewed application 7/17/00 for I&E Committee; EDC; Cable TV Advisory. Orig.app.11/30/99 for SOlid Waste Advisory Board, Address Verification: 322 Sunset Creek Circle is in Carrboro City Limits. MOAD, ncg Clerk's office This application was current on: 9/16/2005 Date Printed: 11/7/2005 Page 1 of 1 Hugh D, Landis °2~ 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, Hugh D. Landis 130 N, Wake Street Hillsborough NC 27278 919-644-7292 Lowes Consumer Rep Township of Residence: Hillsborough Zone of Residence: Does not apply Sex: Male Ethnic Background: Caucasian Date of Birth: 8/19/1933 Boards/Commissions applied for: Central Orange Senior Center Design Committee Work Experience: .Jc, Sr„ College Teacher, Duke Univ. and SAS -Computer Programmer, Volunteer Experience: Volunteer, First Baptist Church; Ball Room Dance Instructor; Ronald McDonald House. Education: Harrison Nigh School; Ark St, Tea, Col. BS; Kan, St. Tea. Col. LSU M.A. Other Comments: STAFF NOTES: Originally applied 1/5/04 for Central Orange Sr. Cntr, (New) Design Committee, ADDRESS VERIFICATION: 130 N. Wake Street, Hillsborough, is in Hillsborough City Limits, Hillsborough Township MOAD/ncg This application was current on: 1/6/2004 9:30:15 AM Date Printed: 11/7/2005 Page 1 of 1 Lavonda Rowe Landis o2S 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. Lavonda Rowe Landis 130 N. Wake Street Hillsborough NC 27278 919-644-7292 Orange Co. Bd. of Education Substitute Teacher Hillsborough Does not apply Female Caucasian 8/18!1937 Boards/Commissions applied for: Central Orange Senior Center Design Oommittee Work Experience: Substitute teacher; Licensed Practical Nurse; Hospital and office nursing, Clinical and Private Duty; Teacher Assistant; Reading tutor, Volunteer Experience: Ronald McDonald House; Eno River Assoc,; Pathways Elementary School Senior Volunteer Program; First Baptist Church; Ballroom Dance Instructor and Practice Facilitator- Hillsborough Recreation Dept. Education: Graduate Watts Nursing School; Durham High; Courses at Wake Tech. Community College and Durham Tech. Community College. Other Comments: STAFF NOTES: Originally applied 1/5/04 for Central Orange Sr. Center (New) Design Comm. ADDRESS VERIFICATION: 130 N. Wake Street, Hillsborough, is in Hillsborough City Limits, Hillsborough Township MOAD/ncg This application was current on: 1/8/2004 9:22:28 AM Date Printed: 11/7/2005 Page 1 of 1 Peter A. Langan ^~~ 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, Peter A. Langan 1020 Alexander Stewart Drive Hillsborough NC 27278 919-732-6876 919-732-6876 langana@earthlink.net Retired Railroad Conductor Hillsborough Near Hillsb.City Limits Not ETJ Male Caucasian 6/3/1930 Boards/Commissions applied for: Central Orange Senior Center Design Committee Master Aging Plan Taskforce-Well-Fit Older Aduit Master Aging Plan Taskforce-Steering Committee Work Experience: Retired Railroad Conductor. Volunteer Experience: Central Orange Senior Center Friends Board; Meals on Wheels; Dept, on Aging Committees; Lions Club; Home Owners Association. Education: Two years of college. Other Comments: STAFF NOTES: Renewed Application 10/21/2005 for Master Aging Plan Taskforce. Renewed volunteer application 12/30/03 for Central Orannge Senior Center (New) Design Committee, Renewed his app on 9/13/01. Applied 02/06/01 for Captial Needs Advisory Task Force. ADDRESS VERIFICATION: Current 12/30/03, 1020 Alexander Stewart Drive, Hillsborough, NC is not in City Limits and Not ETJ (Hillsb.Planning Dept./ncg) This application was current on: 10/21/2005 Date Printed: 11/7/2D05 Page 1 of 1 Richard Lesperance °27 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. Richard Lesperance 100 Cheshire Drive Hillsborough NC 27278 919-215-6634 732-8743 joyles88@hotmail.com Federal Government retired Physician Assistant Hillsborough Hillsborough Town Limits Male Caucasian 8/2/1939 Boards/Commissions applied for: Central Qrange Senior Center Design Committee Work Experience: Lab Technician, Correctional Officeri and BOP Physician Assistant Volunteer Experience: Central Orange Assisant Treasurer, Secretary and Board member (at-large) Education: B,S. P.A. Diploma Other Comments: Let's expediate the progress of the New Central Orange Senior Center. STAFF COMMENTS: Originally applied for Central Orange Senior Center 3/16/2005. ADDRESS VERIFICATION: 100 Cheshire Drive, Hillsborough is in Hillsborough township in the Hillsborough town limits. This application was current on: 3/16/2005 Date Printed: 11/7/2005 Page 1 of 2 Heather MacDonald ~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 Zone of Residence: Sex: Ms Heather MacDonald 2714 Fargo Rd Hillsborough NC 27278 919-660-7571 919-245-0816 919-684-8569 hm@geri.duke.edu Duke University Computer Specialist Hillsborough Hillsborough Twnshp -Outside city Imts Female Ethnic Background: Caucasian Date of Birth: 5/11/1963 Boards/Commissions applied for: Orange County Board of Adjustment Central Orange Senior Center Design Committee Work Experience: Computer Issues for last 7 years including databases, websites, Word document help and computer repair and set up, Customer service prior to that as an underwriter for marine insurance and a manager for Kroger's before that, People skills and computer skills. Volunteer Experience: Erio River cleanup; more experience while in Blacksburg, VA (Tech) cleaning up the New River, volunteereing on Appalachian Trail Search and Rescue, many races (both bicycle and running) flagging, water, and eventually helping to setup, and managing many fundraisers for various small groups, Education: Va Tech BA, Economics; Computer Classes at Duke, Durham Tech and NC State, Other Comments: Found out about Fairview Park Planning through Commission for the Environment. -- I've been taught and believe that serving the community is a vital part of belonging to a community. I've lived in Orange County for 10 years now and am very concerned about how quickly the environment has changed in such a short period of time. I'd like to be with a group that can review that impact and look for ways to make less of a farce on the environment in the future. STAFF NOTES: Reapplied for Fairview Park Planning Committee 5/9/2005, Originally applied 3/8/2004 for CFE; OC Board of Adjustment; and ~~ Page 2 of 2 Heather MacDonald Central Orange Sr. Center (New) Design Committee. ADDRESS VERIFICATION: 2714 Fargo Road, Hillsborough, NC 27278 is adjacent to but not within Hillsborough City Limits; not in its ET.I; in Hillsborough Twnsp per Map prep, by MC - OCPD, and per Margaret Hauth, phone call, ncg, This application was current on: 3/5/20Q4 1:23:Q1 PM Date Printed: 11/7/2Q05 ~30 Page 1 of 1 Gloria Marsosudiro 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. Gloria Marsosudiro 2613 Sweet Gum Dr Hillsborough NC 27278 919-644-0650 haryo@marsosudiro.com retired Township of Residence: Hillsborough Zone of Residence: Hillsborough Town Limits Sex: Female Ethnic Background: Asian American Date of Birth: 12/1/1931 Boards/Commissions applied for: Central Orange Senior Center Design Committee Work Experience: School Counseling, Sr. High English Teacher, Manager of a SPA Center. Volunteer Experience: Church Ministries, Senior Center Vol., Theatre Usher Education: BSE, M.A., Ed.D dropout! Other Comments: I'd like very much to be of service to this committee which offers us so many benefits. STAFF COMMENTS: Originally applied for Central Orange Senior Center Design Committee 7/7/2005. ADDRESS VERIFICATION: 2613 Sweet Gum Dr is in Hillsborough Town Limits in Orange County. This application was current on: 7/7/2005 Hate Printed: 11/7/2005 Page 1 of 1 Ha ,rya Marsosudiro 3' Volunteer Application Orange County Advisory Boards and Commissions Name: Name Called: Home Address: Phone: (Day) Phone: (Evening) Fax: Mr. Haryo Marsosudiro 2613 Sweet Gum Dr Hillsborough NC 27278 644-0650 Email: haryo@marsosudiro.com Place of Employment: Retired Job Title: Township of Residence: Hillsborough Zone of Residence: Hillsborough Town Limits Sex: Male Ethnic Background: Asian American Date of Birth: 6/10/1937 Boards/Commissions applied for: Central Orange Senior Center Design Committee Work Experience: Mechanical Engineer, Facility Enginnering, Language Teacher Volunteer Experience: Church Lector, minister of Communion Operator) Education: B.S. M.S. Mechanical Engineering Usher at Carolina Theatre, RSVP (Movie Other Comments: Active Participation in Senior Center Activites, STAFF COMMENTS: Originally applied for Central Senior Center Design Committee 7/7/2005. ADDRESS VERIFICATION: 2613 Sweet Gum Dr is in Hillsborugh Town Limits in Orange County, This application was current on: 7/7/2005 Date Printed: 11/7/2005 Page 1 of 1 Mariah McPherson `3°Z 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, Mariah McPherson 513 N, Nash Street P 0 Box 327 Hillsborough NC 27278 919-732-2583 919-732-2583 Mariahp@earthlink.net Hillsborough Hillsborough Town Limits Female African American Boards/Commissions applied for: Central Orange Senior Center Design Committee Master Aging Plan Taskforce-Severely Impaired/In Master Aging Plan Taskforce-DisabledlModerately Work Experience: Current 2/6/01 Retired. Previious: Worked 2 years for Judge W.G. Pearson; Worked 47 years for Cooperative Extension Services of Orange County. Volunteer Experience: Multiple agencies in Orange Gaunty from 1950 to present, Education: BS in Business Administration from NC Central UniversityAdditional computer coursework. Other Comments: Reapplied for MAP 2005,Renewed application 2/6/01 for Capital Needs Advisory Task Force, Renewed application 9/2/99 for Advisory Board on Aging; Work Exp. North Carolina Cooperative Extension, Apptd. to Adv. Board on Aging, 9/29/99Applied 8/8/99 for "where needed"; put on Census 2000 Complete County Committee, OTHER COMMENTS: Willing to help educate citizens of Orange County on why we should pass the Bond, ADDRESS VERIFICATION: 513 N Nash Street is in Hgillsborough city limits, This application was current on: 2/6/2001 Date Printed: 11/7/2005 Page 1 of 1 Helen Miller Volunteer Application Orange County Advisory Boards and Commissions Name: Name Called: Home Address: Phone: (Day) Phone: (Evening) Fax: Email: Place of Employment: .Job Title: Mrs. Helen Miller 2506 NC-57 Hillsborough NC 27278 919-906-5923 919-732-2523 hmiller@visionet.org Retired Township of Residence: Hillsborough Zone of Residence: Hillsborough Twnshp -Outside city Imts Sex: Female Ethnic Background: Caucasian Date of Birth: 3/8/2027 Boards/Commissions applied for: Central Orange Senior Center Design Committee Work Experience: 40 years -- NC Cooperative Extension Service, Orange County Center, as Administrative Assistant/Secretary 4 years -- Temporary Employee -Orange County Finance Dept. Volunteer Experience: Member -- Friends of Central Orange Senior Center Board currently President of Friends of Central Orange Senior Ctr. Board Education: Graduate -- Hillsboro High School Additional Training -- Croft's Business School, Durham, NC Other Comments: STAFF COMMENTS: Originally applied for Central Orange Senior Center Design Committee 1/25/2005, ADDRESS VERIFICATION: 2506 NC 57 is in the Hillsborough Township in Orange County. This application was current on: 1/25/2005 11:01:54 AM Date Printed: 11/7/2005 Page 1 of 1 Brenda Pattison ,j~ Voltanteer Application Orange County Advisory Boards and Commissions Name: Mrs. Brenda Patkison Name Called: Home Address: 5515 Wagon Farm Rd Efland NC 27243 Phone: (Day) 919-304-5759 Phone: (Evening) Fax: Email: btp@mebtel.net Place of Employment: Student Job Title: Township of Residence: Cheeks Zone of Residence: At-Large Sex: Female Ethnic Background: Caucasian Date of Birth: 4/13/1970 Boards/Commissions applied for: Central Orange Senior Center Design Committee Work Experience: Senior Center National Accreditation Volunteer Experience: Education: BS Pennsylvania State University UNC - CH Certificate in Aging Guilford Technical Community College -Dental Hygeine Other Comments: I have been involved in aging issues since a summerjob working in a nusing home during college and wish to continue to advocate for seniors and for my own future. Currently I am a stay at home parent preparing for a career in which I hope to work with a mobile dental clinic serving seniors. STAFF COMMENTS: Originally applied far Central Orange Center Design Committee 8/07/2005. ADDRESS VERIFICATION: 5515 Wagon Farm Rd is in Orange Cotanty in Cheeks township. This application was current on: 818/2005 3:50:49 PM Date Printed: 71/7/2005 Page 1 of 2 Albert E. Peloquin Volunteer Application Orange County Advisory Boards and Commissions Name: Name Galled: 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. Albert E. Peloquin 307 N. English Hill Lane Hillsborough NC 27278 919-956- 919-489-3660 Hillsborough Hillsborough ETJ Male Caucasian 5/27!1958 Boards/Commissions applied for: Recreation and Parks Advisory Council Central Qrange Senior Center Design Committee Arts Commission Commission for the Environment Affordable Housing Advisory Board Human Relations Commission Work Experience: Public Speaking, Beautician, cashier, Restaurant cook, manufacturing, construction assistant. WORK EXPERIENCE: Place of employment: Sunbelt Systems, Installer; Hairdresser, Chapel Hill, 10 yrs; Furniture Sales, Durham 5 yrs., Construction, 5 yrs.. , Actor, 2 yrs. in NC. Volunteer Experience: Special populations coach, stand up comedian, gardening, help older people, first aid. VOLUNTEER EXPERIENCE: Special populations activity assistant; church speaker; health consulting, actor. Education: EDUCATIONAL EXPERIENCE: CHHS, Durham Tech., Atlantic Beauty College; Newport News Ship and Dry Dock Co;, Apprentice Program, Cape Fear Tech, Marine Science, UNC, Geography. Chapel Hill High, Durham Tech, Atlantic Beauty School, UNC Cape Fear Tech, Newpaort News Ship and Dry dock Schools, Va 3~v Page 2 of 2 Albert E, Peloquin Other Comments: Applicant comments- Wide variety of experience, very friendly to others, Industrial Arts, very Athletic. STAFF COMMENTS: Called to renew application 4/18/2005. Renewed application 1/20/2005 to apply for Recreation and Parks, Arts Commission and Commission for the Environment. Renewed application to apply for Central Orange Senior Center. Applied 8/20/2001 for the Bond Ed. Committee. ADDRESS VERIFICATION: 307 N English Hill Lane is in Hillsborough Township in the Hillsborough ETJ in Orange County. This application was current on: 4/18/20D5 Date Printed: 11/7/2005 Page 1 of 2 Swarm Reddy 37 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 Swarm 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 Central Orange Senior Center Design Committee Work Experience: Worked in India as a bank officer, Interned at the Department of Social services, worked as an educational assisant and raised fronds 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, NG 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. Page 2 of 2 Swarna Reddy ~~ ADDRESS VERIFICATION: 338 Standish Dr is in Orange County in Chapel Hill city limits, This application was current on: 9/14/2005 8:08:46 PM Date Printed: 11/7!2005 Page 1 of 1 A.P, Rushton .Jr ~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: Mr A.P. Rushton Jr 2304 Redbird Lane Hillsborough NC 27278 919-245-3817 rushrail@visionet,org retired Hillsborough Hillsborough Twnsp Male Ethnic Background: Caucasian Date of Birth: 2!25/1928 Boards/Commissions applied for: Central Orange Senior Center Design Committee Work Experience: 1955-1965: Director, Atlanta TV Station, 1966-1988 Writer/Director, Educational TV Director, U.S, Army Aviation Center Volunteer Experience: Founder and Past President Wiregrass Heritage Chapter, National Railway Historical Society, Presently Office Assistant Unitarian Universalist Congregation of Hillsborough Education: 1950 ABJ, University of Georgia-Henry Grady School of Journalism, 1973, MS Foundations of Education Troy State University at Fort Rucker, 1981 PHD Instructional Systems Florida State University Other Comments: Would appreciate an opportunty to discuss benefits of meltimedia classroom/meeting room in new Senior Centeras well as provision for displaying collections or areas of interests for seniors, visitors, and local citizens whose speciality would be of interest to seniors. STAFF COMMENTS: Originally applied for Central Orange Senior Center Design Commission. ADDRESS VERIFICATION: 2304 Redbird Ln is in Hillsborough Township. This application was current on: t/21/2004 Date Printed: t t/7/2005 Page 1 of 2 Vicki Tilley 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. Vicki Tilley 3906 Kenwood Drive Hillsbarcugh NC 27278 919-614-1923 919-644-6646 252-436~~ 1633 vstilley@aol.com ElderFt in home Rehab Cedar Grove At-Large Female Caucasian 5/23/1962 Boards/Commissions applied for: Central Orange Senior Center Design Committee Master Aging Plan Taskforce-Well-Fit Older Adult Work Experience: Reapplied 8/5/2004 I have been a physical therapist for 20 years working in a variety of settings including ~n in-patient rehabilitation, long-term care, out- patient physical therapy and home health, I am currently the owner of a practice that focuses on caring for senoirs in their homes and attemptng to connect them into community resources, Lead physical Therapist, Maria Parham Hospitah Physical Therapist for 15 years, Board Certified Specialist in Geriatric Physical Therapy. Have worked in multiple settings with caseload predominently older adults, Provided clinical and administrative services in long term care facilities across the state for 5 years, Have lectured locally and nationally an the effects of the balanced budget act on long term care and how to provide effective therapy services. Have also lectured on the OBRA standards and how therapy fits into improve the quality of care and quality of life for the long term care resident Volunteer Experience: 8/5/2004 I currently volunteer with the NC Special Olympics. 1 have served on the O,C. Adv. Bd. on Aging, and the long-term Care Advisory Panel. I also hold offices in the NC Physical Therapy Association and the American Physical Therapy Association -Member of the North Carolina Physical Therapy Association and the American Physical Therapy Association.- Member of the Geriatric Section of the APTA-Member of the Advisory Panel on Reimbursement to the Board of Page 2 of 2 Vicki Tilley Directors of the American Physical Therapy Ass, with expertise in long-term care reimbursement and provision of services.-Coordinator of NCPTA's involvement in NC Special Olympics' Healthy Athlete initiative providing fitness screens to special oympic athletes during the NC Special Olympic State Games.-On editorial board of Gerinotes, the publication of the Geriatric Section of the APTA-Past member of the Geriatric Section Task Force on the effects of the Balanced Budget Acton services for seniors,-Author of several articles on Reimbursement and OBRA guidelines for therapists working in long term care.-Guest lecturer at University of North Carolina's Physical Therapy Program. Education: B.S, in Physical Therapy from the U, of Delaware, Board Certified Geriatric Clinical Specialist Other Comments: STAFF COMMENTS: Reapplied 10/06/2005 for MAP Taskforce, Applied 10/24!2000 for Advisory Board an Aging, Nursing Hame Community Advisory Committee, Adult Care Home Community Advisory Committee, Applied in 8/2004 Central Orange Senior Center Design Committee. ADDRESS VERIFICATION: 3906 Kenwood Dr, Hillsborough 27278 is in Cedar Grove Township, in Orange County. This application was current on: 10/6/2005 Date Printed: 11/7/2005 Page 1 of 3 Janice Wassel ~02 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. Janice Wassel 5204 Riley's Ridge Road Hillsborough NC 27278 336.256,1020 919.942.,9397 336.254.0174 jiwassel@uncg.edu University of North Carolina at Greensboro Director of Gerontology Hillsborough Bingham Twnsp Female Caucasian 2/6/1951 Boards/Commissions applied for: Central orange Senior Center Design Committee Work Experience: 2001-present Director of Gerontology Program and Assistant Professor of Sociology, University of North Carolina at Greensboro 1998-2001 Assistant Professor, Division of Social Science and Education, Pennsylvania State University-Delaware County 1996-1998 Research Associate and Instructor, Department of Sociology, Duke University 1997-1998 Managing Editor, Research on Aging, Duke University 1997-1998 Adjunct Assistant Professor, Department of Sociology, Elon College 1994-1997 Postdoctoral research at Duke University, Durham, NC. Projects: Retirement and Fringe Benefits of Women at Midlife, Interaction of Garegiving and Life Course Events, and Intergenerational Exchanges. 1990-1994 Research Assistant for Dr, Dennis Hogan, Project: Intergenerational Exchanges in Families with Children, Population Research Institute, The Pennsylvania State University, University Park, PA. 1993 Summer Research Intern at the National Institutes of Health in the National Institute of Aging working with Dr. Rose Li. Project: The Contribution of Surgical Procedures to Page 2 of 3 Janice Wassel r3 Improved Physical Functioning of the Elderly. Volunteer Experience: North Carolina Gerontology Consortium, Consortium Committee, 2001-present, Statewide Aging Advisory Committee ISAAC) for The Institute of Aging in North Carolina at UNCCH, 2001-present. Education Subcommittee, Statewide Aging Advisory Committee ISAAC) for The Institute of Aging in North Carolina at UNCCH, 2001-present Board of Directors, Western Carolina Chapter of the AlzheimerfEs Association, 2003- 2006 Committee, Western Carolina Chapter of the Alzheimer~Es Association, Public Policy and Advocacy Committee, 2003-2006 Committee, Western Carolina Chapter of the AlzheimerfEs Association, Development Committee, 2003-2006 Committee, BSS Public Policy Committee, 2002-2005, Gerontological Association of America Committee, BSS Program Committee, 2002-2005, Gerontological Association of America Committee, ACHE Public Policy Committee, 2003-2005, Association for Gerontology in Higher Education Chair, BSS Student Awards Committee, 2000-2001, Gerontology Association of America Committee, Red Cross Caregiving Committee, 2003-present Chair, Writing Survey Committee, UNCG, 2002-2003 Chair, Active Retirement Committee, Survey Research, 2001-2002, UNCG Oftice of the Vice-Chancellor Sigma Phi Omega, Chapter Advisor, 2001- present, UNCG Guilford County AlzheimerfEs Memory Walk Committee, 2002-present Advisory Committee, RSVP, Greensboro, NC 2002-present Education: Doctor of Philosophy Sociology and Demography with a Minor in Gerontology from The Pennsylvania State University, 1994, Masters of Arts Sociology and Demography from Pennsylvania State University, 1991. Page 3 of 3 Janice Wassel Bachelor of Arts Sociology with a concentration in Organizations, Pacific Lutheran University, Tacoma, WA. 1989, Other Comments: In addition to the volunteer experience listed above, I served on multiple PTA committees and positions including president while living in WA. I feel that it is time for me to return to serving at the community level and I believe my expertise and training are applicable to the above positions, STAFF NOTES: Reapplied for MAP 2005 Originally applied 02/12/04 for the Adv, Bd. On Aging and the Central Orange Sr. Ctr Design Committee. ADDRESS VERIFICATION: 5204 Riley's Ridge Road, Hillsborough, NC 27278 (current 1/26/04) is located in Bingham Township. MOAD/ncg, This application was current on: 10/6/2005 Date Printed: 11/7/2005