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HomeMy WebLinkAboutAgenda - 12-05-2005-9d3A as ( 'CP ORANGE COUNTY BOARD OF COMMISSIONERS ACTION AGENDA ITEM ABSTRACT Meeting Date: December 5, 2005 Action Agenda Item No. 9- cl -3 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 PURPOSE: 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. 1.. Aging Advisory Board — One Member (1) 2. Friends of the Central Orange Senior Center— Three Members (3) 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 Corvette Jerry Kruter Marlah McPherson (also a Sr. Center Participant) Janice Wassel Friends of the Senior Center (Choose Three) Leo Allison (also a Sr. 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 Marsosudirc, A. P. Ruston At -Large (Choose Five) Francis Coyle Ann Holtzman Patricia Kiffney Heather MacDonald Brenda Pattison Albert Peloquin Swarna Reddy Vicki Tilley Hillsborough Board of Commissioners Will be forthcoming Orange County 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. Page 1 of 1 Mary Ann Peter Volunteer Application Orange County Advisory Boards and Commissions Name: Ms. Mary Ann Peter Name Called: Home Address: 118 W. Tryon Street Hillsborough NC 27278 Phone: (Day) 919- 732 -6073 Phone: (Evening) 919- 732 -6073 Fax: Email: maryannpeter @earthlink.net Place of Employment: Job Title: Township of Residence: Hillsborough Zone of Residence: Hillsborough Twnshp - In City Limits Sex: Female Ethnic Background: Caucasian Date of Birth: Boards /Commissions applied for: Master Aging Plan Taskforce- Steering Committee Central Orange Senior Center Design Committee Work Experience: WORK EXPERIENCE: Place of employment (current 1/30/03): Adjunct Professor - UNC- CHAPEL HILL School of Nursing. Volunteer Experience: VOLUNTEER EXPERIENCE: Durham Technical Community College Board of Trustees, 15 years to present. American Heart Association - 10 years; Orange County Historical Museum Board of Directors, 1 yrs.; Walkable Hillsborough Coalition -'1 year. Education: EDUCATIONAL EXPERIENCE: BSN, MSN - Duke University, PhD, UNC - Chapel Hill. Other Comments: Originally Applied 01/30/03 for Adult Care Home Community Advisory Committee. This application was current on: 1/30/2003 Date Printed: 12/5/2005 Applicant Interest Listing by Board Name and by Applicant Name Contact Person: Jerry Passmore, Director, Depar Central Orange Senior Center Design: Committee Contact Phone: 919- 245 - 2009 MI Leo Allison Day Phone: 919 -563 -9110 Sex: Male 4125 Marvin Lane Evening Phone: 919 -563 -9110 Race: African American Efland NC 27243 FAX: 919 -563 -9110 Township: Cheeks E -mail: lele2 @mebtel net Date Applied: 12/04/20031 Shills: Community Service Volunteer Also Serves On: Alcoholic Beverage Control Board Also Serves On: Etland /Mebane Small Area Plan Iaskfarce Shills: Orange County Planning Board/Chair/ Also Serves On: Alcoholic Beverage Control Board Also Serves On: Etland /Mebane Small Area Plan Taskforce Mrs Beveily Blythe Day Phone: 732 -8315 Sex: Female 1208 Carr Store Road Evening Phone: 732 -8315 Race: Caucasian'. Cedar Grove NC 27231 FAX: 732 -3710 Township: Cedar Grove E -mail: bblythe @visionet org Date Applied:` 08/15/2004 Skills: Friend of the Senior Center Also Serves On: Skills: Retired Orange County Employee Also Serves On: 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: ccomette @investorseapital cam Date Applied: 08/18/2004 Skills: Certified Senior Advisor Also Serves On: Adult Care Home Community Advisory Committee Also Serves On: Advisory Board on Aging Skills: North Carolina Therapeutic Riding Pro Also Serves On: Adult Care Home Community Advisory Committee Also Serves On: Advisory Board on Aging Shills: Raritan Club Also Serves On: Adult Care Home Community Advisory Committee Also Serves On: Advisory Board on Aging Mr. F anCls 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: panchonc I @hotmail cam Date Applied`: 11/19/2003: Shills: Computer Programmer Also Serves On: Skills: SemorNet Also Serves On: Monday, December 05, 2005 Pagel of 7 Applicant Interest Listing Central Orange Senior Center Design Committee Ms Constance Gary 393 in Max Rd Hillsborough NC 27278 Shills: Community Service Volunteer Shills: Senior Center Activiles Participant Skills: Teacher Ms. Leda Hardesty 304 County Seat Drive Hillsborough NC 27278 Skills: Mrs AnD Holtzman 306 Old Franklin Grove Drive Chapel Hill NC 27514 Shills: Administrative Assistant Shills: Chapel Hill City Limits Shills: Fitness Instructor Ms Patricia Kiffhey 6319 Dodson Crossroad Hillsborough NC 27278 Shills: Art Teacher Skills: Farmer Skills: Horse Breeder Shills: North Carolina Therapeutic Riding Pro Day Phone: 919 -697 -1560 Evening Phone: FAX: E -mail: Also Serves On: Also Serves On: Also Serves On: Day Phone: 643 -2944 Evening Phone: same FAX: E -mail: elehar a nc or earn Also Serves On: Day Phone: 919- 357 -7095 Evening Phone: FAX: E -mail: Also Serves On: Also Serves On: Also Serves On: by Board Name and by Applicant Name Contact Person: Jerry Passmore, Director, Depar Contact Phone: 919 -245 -2009 Day Phone: 919- 929 -6009 Evening Phone: same FAX: E -mail: Also Serves On: Agricultural Center Work Group Sex: Fcmale Race: African American Township: Hillsborough Date Applied: 07/07/2005 Sex: Female Race: Hispanic Township: Hillsborough Date Applied: 07/07/2005 Sex: Undesignat Race: Undesignated Township: Chapel Hill Date Applied: 04/11/2005 Sex: Female Race: Caucasian Township: Bingham Date Applied: 08/20/2004 Monday, December 05, 2005 Page 2 of 7 Applicant Interest Listing by Board Name and by Applicant Name Contact Person: Jerry Passmore, Director, Depar C2IZfl'!2l OYll11aC S2J2L0J' CBJ2fCJ' %7BSlgJt C'OJJtJttiffee Contact Phone: 919- 245 -2009 Mr', Jerry L. Kruter Day Phone: 919- 967 -9513 Sex: Male 322 Sunset Creek Circle Evening Phone: 919- 967 -9513 Race: Caucasian Chapel Hill NC 27516 FAX: 919- 968 -8922 Township: Chapel Hill' E -mail: jldruter a bellsouth net Date Applied: 09/16/2005: Skills: Advisory Board on Aging Also Serves On: Advisory Board on Aging Also Serves On: Master Aging Plan T'askforceStecring Committee Shills: Computer Science Also Serves On: Advisory Board on Aging Also Serves On: Master Aging Plan I askforce- Steering Committee Skills: Metallurgical Engineer Also Serves On: Advisory Board on Aging Also Serves On: Master Aging Plan I'askforce- Steering Committee Mr". HUgb D. Landis Day Phone: 919 -644 -7292 Sex: Male 130 N Wake Street Evening Phone: Race: Caucasian: Hillsborough NC 27278 FAX: Iownshipt. Hillsborough E -mail: Date Applied: 01/06/2004 Skills: Church Volunteer Work Also Serves On: Shills: Computer Programmer Also Serves On: Shills: Retired Also Serves On: Skills: Ronald McDonald House Volunteer Also Serves On: Skills: Teacher Also Serves On: MS, LaVOnda Rowe Landis Day Phone: 919- 644 -7292 Sex: Female 130N Wake Street Evening Phone: Racer` 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: 0 Recreation and Parks Volunteer Also Serves On: Skills: School Volunteer Also Serves On: Skills: Substitute Teacher Also Serves On: Monday, December 05, 2005 Page 3 of 7 Applicant Interest Fisting by Board Name and by Applicant Name utral Orange Senior Cente)- Design Committee Peter A. Langan 'Day Phone: 919-732 -6876 Contact Person: Jerry Passmore, Director, Depar Contact Phone: 919 -245 -2009 Sex: Male 1020 Alexander Stewart Drive Evening Phone: 919 -732 -6876 Race: Caucasian Hillsborough NC 27278 FAX: Township: Hillsborough E -mail: langana @earthlink net Date Applied: 10/21 /2005 Shills: Home Owners Association Member ` Also Serves On: Skills: '' :Railroad Conductor Also Serves On: VIr. Richard Lesperance Day Phone: 919 -215 -6634 Sex: Male 100 Cheshire Drive '. Evening Phone: 732 -8743 Race: Caucasian Pillsborough NC 27278 FAX: Township: Hillsborough E -mail: joyles88 @hotmail cam Date Applied: 03/16/2005 Skills: ! Correctional Officer Also Serves On: Ms Heather MacDonald Day Phone: 919 - 660-7571 Sex: Female 2714 Fargo Rd Evening Phone: 919 -245 -0816 Race: Caucasian Hillsborough NC 27278 FAX: 919 -684 -8569 Township: Hillsborough E -mail: hm @geri duke edu Date Applied: 03105/2004 Shills: Computer Specialist Also Serves On: Commission for the Environment Also Serves On: Fairview Park Planning Committee Skills: ': Environmental Volunteer. Also Serves On: Commission for the Environment Also Serves On: Fairview Park Planning Committee Skills.: Fund- Raising Also Serves On: Commission for the Environment Also Serves On: Fairview Park Planning Committee VIs. Gloria MarSosudiro .Day Phone: 919 -644 -0650 Sex: Female 2613 Sweet Gum or `. Evening Phone: Race: Asian American Hillsborough NC 27278 FAX: Township: Hillsborough E -mail: haryo @marsosudiro com Date Applied: 07/07/2005 Stalls: ' Church Volunteer Work Also Serves On: Skills. < School Counselor Also Serves On: Stalls: Senior Center Activites Participant Also Serves On: y, December 05, 2005 Page 4 of 7 Applicant Interest Listing by Board Name and by Applicant Name Contact Person: Jerry Passmore, Director, Depar Central Orange.S'eizior Cewei- Design Committee Contact Phone: 919 -245 -2009 MT', Haryo Mar'sosudlro Day Phone: 644 -0650 Sex: Male 2613 Sweet Gum Or Evening Phone: Race: Asian American Hillsborough NC 27278 FAX: Township: Hillsborough Hillsborough NC 27278 E -mail: haryo @marsosudiro com Date Applied: 07/07/2005 Skills: Engineer Also Serves On: Advisory Board on Aging Shills: Senior Center Activiles Participant Also Serves On: Master Aging Plan Taskforce- Steering Committee Ms Marian McPherson Day Phone: 919- 732 -2583 Sex: Female 513 N Nash Street Evening Phone: 919 -732 -2583 Race: African American P O Box 327 FAX: Township: Hillsborough Hillsborough NC 27278 E -mail: Mariahp @earthlink net Date Applied: 02/06/2001 Shills: Community Service Volunteer Also Serves On: Advisory Board on Aging Also Serves On: Master Aging Plan Taskforce- Steering Committee Skills: Cooperative Extension Also Serves On: Advisory Board on Aging Also Serves On: Master Aging Plan Taskforce- Steering Committee Skills: SENIOR CENTERS Subcmtee (Bond E Also Serves On: Advisory Board on Aging Also Serves On: Master Aging Plan Iaskforce- Steering Committee Mrs Helen Miller 2506 NC -57 Hillsborough NC 27278 Skills: Friend or the Senior Center Skills: Retired Orange County Employee Mrs Brenda Pattison 5515 Wagon Farm Rd Eiland NC 27243 Skills: Aging Issues Day Phone: 919- 906 -5923 Evening Phone: 919- 732 -2523 FAX: E -mail: hmiller @visionet org Also Serves On: Also Serves On: Day Phone: 919 -304 -5759 Evening Phone: FAX: E -mail: btp @mebtel net Also Serves On: Sex: Female Race: Caucasian Pownship: Hillsborough Date Applied: 01/25/2005 Sex: Female Race: Caucasian Township: Cheeks Date Applied: 08/08/2005 Monday, December 05, 2005 Page 5 of 7 Applicant Interest Listing Central Orange Senior Center Design Committee Mr'. Albert E. Peloquin 307 N English Hill Lane F illsborough NC 27278 Shills: Actor Skills: Athletic Skills: ELI Skills: Hair Dresser Skills: Special Populations Activity Assistant Ms. Mary Alm Peter 118 W Tryon Street Hillsboough NC 27278 Shills: Professor Shills: Registered Nurse Mrs Swarna Reddy 338 Standish drive Chapel Hill NC 27517 Skills: Advisory Board Experience Skills: Grant Writer Skills: Nursing Home Experience Mr A.P. Rushton Jr 2304 Redbird Lane Hillsborough NC 27278 Skills: Educational TV Director Skills: Writer Day Phone: 919-956- Evening Phone: 919 -489 -3660 FAX: E -mail: Also Serves On: Also Serves On: Also Serves On: Also Serves On: Also Serves On: by Board Name and by Applicant Name Contact Person: Jerry PaSSMOTe, Director, Depar Contact Phone: 919 -245 -2009 Female Sex: Male Race: Caucasian Township: Hillsborough Date Applied: 04/18/2005 Day Phone: 919 -732 -6073 Sex: Female Evening Phone: 919- 732 -6073 Race: Caucasian FAX: Township: Hillsborough E-mail: maryannpeter @earthlink. net Date Applied: 01/30/2003 Also Serves On: Advisory Board on Aging Also Serves On: Master Aging Plan Taskrorce- Severely Impaired /Institut Also Serves On: Nursing Home Community Advisory Committee Also Serves On: Also Serves On: Advisory Board on Aging Also Serves On: Master Aging Plan Taskforce - Severely Impaired /Institut Sex: Also Serves On: Nursing Home Community Advisory Committee Day Phone: 338 -2618 Sex: Female Evening Phone: Race: Asian American FAX: Township: Chapel Hill E -mail: Swama 1955 @yahoocom Date Applied: 09/14/2005 Also Serves On: Also Serves On: Also Serves On: Day Phone: 919- 245 -3817 Sex: Male Evening Phone: Race: Caucasian FAX: Township: Hillsborough E -mail: rushrail @visionet org Date Applied: 01/21/2004 Also Serves On: Also Serves On: Monday, December 05, 2005 Page 6 of 7 Applicant Interest Listing Central Orange Senior Center Design Committee by Board Name and by Applicant Name Contact Person: Jerry Passmore, Director, Depar Contact Phone: 919- 245 -2009 MS. V1clG Tilley Day Phone: 919 -614 -1923 Sex: Female 3906 Kenwood Drive Evening Phone: 919- 644 -6646 Race: Caucasian Hillsborough NC 27278 FAX: 252 436 -1633 Iownship: Cedar Grove E -mail: vstilley@aol earn Date Applied: 10 /06 /2005 Shills: American Phys Therapy Assoc Also Serves On: Master Aging Plan Taskforce- Disabled /Moderately Imp Skills: Board Certified Geriatric Physical Ther Skills: Editor of "Gerinotes" Skills: Lecturer Shills: N C Physical therapy Association Skills: Special Olympics - NC Dr Janice Wassel Day Phone: 3362561020 Sex: Female 5204 Rileys Ridge Road Evening Phone: 919.942.9397 Race: Caucasian Hillsborough NC 27278 FAX: 336254.0174 Township: Hillsborough E -mail: jiwassel @uncg edu Date Applied: 10/0612005 Skills: Gerontology Also Serves On: Advisory Board on Aging Also Serves On: Human Services Advisory Commission Also Serves On: Master Aging Plan taskforce- Steering Committee Monday, December 05, 2005 Page 7 of 7 ORANGE COUNTY BOARD OF COMMISSIONERS ACTION AGENDA ITEM ABSTRACT Meeting Date: December 5, 2005 Action Agenda Item No. 9 SUBJECT: Central Orange Senior Center Design Committee- Appointments and Charge DEPARTMENT: Board of Commissioners PUBLIC HEARING: (YIN) 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 PURPOSE: 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. 1. Aging Advisory Board — One Member (1) 2. Friends of the Central Orange Senior Center — Three Members (3) 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 Sr. 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 Swarna Reddy Vicki Tilley Hillsborough Board of Commissioners Will be forthcoming Orange County Board of Commissioners I Choose Two County Staff to the Senior Center Design Committee: John Link, County Manager Gwen Harvey, Assistant County Manager Jerry Passrnore, 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. 1�1 � 1'x'1 • 1—vJi 0.1 m tTO � V ct v mct 3 m G ! m Q I 6 C C ! o N O u U � C OG F G p p v C p G D C o U.no 'I d a�W d ., I d aW d qW d aW I p°IW w w w w w g � z z z z II z U rn w o O G c t C C C 0 P D U QI '9 G i C i '.Cl i ads RJ o 0 0 0 o U _ G � � •_ •= C r. UC u� v m v u4 � moo/. p M W P4 y° P4 �r . ' �': N C a — n III vaCi w ° v � li "0v N y U p .D. 0 ° vJ V W =_ a x E E s ' E g .°c w° .c° w j .°G .°c w .n .c° w .°c .°c w •� � I Q d � Q Q Q Q rii v 6 y � Y I N W 3S ua � W W I W W I W A U a 3 � _D E p i � roy o V V � v •y o Vj .. 0 I U y�j D U U IU U U o U VI I� o • Vj o ct C� W m � v c w o � � 3 W _ 4 Ew GO C fL N .0 y W a_. 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W FE U o 3 u O0 1! m U � I U „ =a0 I .y � E w�Eg I I O E i Z I Z eU� C c c U CS \U I> \U ✓ ✓ I� A O O 0 m � b vi COO M0 W m o� o nom ° U A C C V E opF q U c j E °' E 0 0 o u o N N y m U o a w E" c 0 U U c,o eo ° V N m O O C C E vEi � =E � v N � o; U ° O N �O A pCp w E c C a m U ❑ o u y Ee_d 4 »ew A 3$� d ti Oq � c m n a Q u .ti s U ° 4> 3 E 4 V � y diFU3� CY �C+ aHC� G dj G G Q U _y W N Q P u z 2 k U ° U m n U O h V N � E as w � C A C W 2 c E F ° C 0. o K o N ¢ E k F+ V U q Q 0 v E `d A W Na E Q H � a y � C C ri a a w w h � Q W i H a W d a ¢ E Lu c o � z o U Q v U `o rn N � O � O N � �i G C •3 0 0 4 N M Ga C W Q wv ° V -2 � q H a y Q N E w c � r z U u c W e U 3 � N H � �i C C a a w w tV � A C tt1 Q a ❑ 0 W v u+ c t z U c c 0 0 A � Q C W N q m c S e a pN 3 °1 [Y a ° � V F � a 8 v O N N N d E 0 m u H . / ./ co > ct 0 � \�) .s =.. \�) {( � ) u j / \ \\ E(\) F, 2 2 o. o. 0 Z \ \) }{ � go ��\ ���� mu /))\ �ƒ , Applicant Interest Listing by Board Name and by Applicant Name Contact Person: Central orange Senior Center Design Committee Contact Phone: Mr. Leo Allison 4125 Marvin Lane Efland NC 27243 Skills: Community Service Volunteer Skills: Orange County Planning Board/Chair/ Mrs Beverly Blythe 1208 Can Store ]toad Cedar Grove NC 27231 Skills: Friend of the Senior Center Skills: Retired Orange County Employee Jerry Passmore, Director, Depar 919 - 245 -2009 Evening Phone: Sex: Male Race: African American Township: Cheeks Date Applied: 12/04/2003 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 Tasldorce Also Serves On: Alcoholic Beverage Control Board Also Serves On: Efland/Ivlebme Small Area Plan T'asldorce Day Phone: 732 -8315 Evening Phone: 732.8315 FAX: 732 -3710 E -mail: bblythe@visionet org Also Serves On: Caucasian Also Serves On: FAX: Sex: Female Race: Caucasian Township: Cedar Grove Date Applied: 08/15/2004 Mr Cary Cornette Day Phone: 919452 -2424 Sex: Male 1022 Lakeview Drive Evening Phone: Race: Caucasian Cedar Grove NC 27231 FAX: 877 - 6446251 Township: Cedar Grove E -mail: ccomette @investorscapital corn Date Applied: 08/18/2004 Skills: Certified Senior Advisor Also Serves On: Adult Cue Home Community Advisory Cormnittee Skills: SeniorNet Also Serves On: Advisory Board on Aging Skills: North Carolina 'Therapeutic Riding Pro Also Serves On: Adult Care Home Community Advisory Committee Also Serves On: Advisory Board on Aging Skills: Ruritan Club Also Serves On: Adult Care Home Community Advisory Committee Also Serves On: Advisory Board on Aging Mr. Francis Coyle Day Phone: 919408 -0530 Sex: Male 7220 Sunrise Rd. Evening Phone: Race: Caucasian Chapel Hill NC 27514 FAX: Township: Chapel Hill E -mail: panchoncl @hotmail.Conn Date Applied: 11/19/2003 Skills: Computer Programmer Also Serves On: Skills: SeniorNet Also Smes On: Tuesday, November 22, 2005 Page 1 of 7 9 Applicant Interest Listing by Board Name and by Applicant Name Chapel Hill City Limits Skills: Contact Person: Jerry PasSIDDre, Director, Depar Central Orange Senior Center Design Committee North Carolina Therapeutic Riding Pro Bingham E -mail: Contact Phone: 919- 245 -2009 Ms. Constance Gary Day Phone: 919- 697 -1560 Sex: Female 393 Ja 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 Participant Also Serves On: Skills: Teacher Also Serves On: Ms. Leda Hardesty 304 County Seat Drive Hillsborough NC 27278 Skills: MIS Ann Holtzman 306 Old Franklin Grove Drive Chapel Hill NC 27514 Skills: Administrative Assistant Skills: Chapel Hill City Limits Skills: Fitness instructor Ms PatriciaKiffiey 6319 Dodson Crossroad Hillsborough NC 27278 Skills: Art Teacher Skills: Farmer Skills: Horse Breeder Skills: North Carolina Therapeutic Riding Pro Day Phone: 643.2944 Evening Phone: same FAX: E -mail: elehar@nc rr com Also Serves On: Day Phone: 919- 357 -7095 Evening Phone: FAX: E -mail: Also Serves On: Also Serves On: Also Serves On: Sex: Female Race: Hispanic Township: Hillsborough Date Applied: 07/072005 Sex: Undesignat Race: Undesignated Township: Chapel Hill Date Applied: 04/11/2005 Day Phone: 919- 929 -6009 Sex: Female Evening Phone: same Race: Caucasian FAX: Township: Bingham E -mail: Date Applied: 08/20/2004 Also Serves On: Agricultural Center Work Group Tuesday, November 22, 2005 Page 2 of 7 to Applicant Interest Listing by Bow d Name and by Applicant Name Church Volunteer Work Skills: Contact Person: Jerry Passmore, Director, Depar Central Orange Senior Center Design Committee Contact Phone: 919- 245 -2009 0 . Recreation and Parks Volunteer Mr. Jerry L. Krater Day Phone: 919- 967 -9513 Sex: Male 322 Sunset Creek Circle Evening Phone: 919 - 967.9513 Race: Caucasian Chapel Hill NC 27516 FAX: 919- 968 -8922 Township: Chapel Hill E -mail: jldmteT@bellsouth.net Date Applied: 09/16/2005 Skills: Advisory Board on Aging Also Serves On: Advisory Board on Aging Also Serves On: Master Aging Plan'Taskforce- Steering Committee Skills: Computer Science Also Serves On: Advisory Board on Aging Also Serves On: Master Aging Plan Taskforce- Steering Committee Skills: Metallurgical Engineer Also Serves On: Advisory Board on Aging Also Serves On: Master Aging Plan Tuldorce- Steering Committee Mr, Hugh D. Landis Day Phone: 919 - 6447292 Sex: Male 130 N. Wake Street Evening Phone: Race: Caucasian Hillsborough NC 27278 FAX: Township: Hillsbomugb 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: Skills: Ronald McDonald House Volunteer Also Serves On: Skills: Teacher Also Serves On: Ms. Lavonda Rowe Landis 130 N Wake Street Hillsborough NC 27278 Skills: Ball Room Dance Instructor Skills: Church Volunteer Work Skills: Licensed Practical Nurse Skills: 0 . Recreation and Parks Volunteer Skills: School Volunteer Skills: Substitute Teacher Day Phone: 919 - 6447292 Evening Phone: FAX: E -mail: Also Serves On: Also Serves On: Also Serves On: Also Serves On: Also Serves On: Also Serves On: Sex: Female Race: Caucasian Township: Hillsborough Date Applied: 01/06/2004 Tuesday, November 22, 2005 Page 3 of 7 Applicant Interest Listing Central Orange Senior Center Design Committee by Board Name and by Applicant Name Contact Person: Jerry Passmore, Director, Depar Contact Phone: 919- 245 -2009 Mr, Peter A. Langan Day Phone: 919- 732 -6876 Sex: Male 1020 Alexander Stewart Drive Evening Phone: 919- 732 -6876 Race: Caucasian Hillsborough NC 27278 FAX: Township: Hillsborough Also Serves On: E- trail: )angana @earthlink net Date Applied: 10/21/2005 Skills: Home Owners Association Member Also Serves On: Also Serves On: Fairview Park Planning Committee Skills: Railroad Conductor Also Serves On: Mr. Richard Lesperance 100 Cheshire Drive Hillsborough NC 27278 Skills: Correctional Officer Ms Heather MacDonald 2714 Fargo Rd Hillsborough NC 27278 Skills: Computer Specialist Skills: Environmental Volunteer Skills: Fund - Raising Ms. Gloria Marsosudiro 2613 Sweet Gum Dr Hillsborough NC 27278 Skills: Church Volunteer Work Skills: School Counselor Skills: Senior Center Activites Participant Day Phone: 919- 215.6634 Evening Phone: 732.8743 FAX: E-mail: joyles88 @hotmail corn Also Serves On: Day Phone: 919 -660 -7571 Evening Phone: 919 -245 -0816 FAX: 919- 684 -8569 E -mail: hm @geri duke. edu Also Serves On: Commission for the Environment Also Serves On: Fairview Park Planning Committee Also Serves On: Commission for the Environment Also Serves On: Fairview Park Planning Committee Also Serves On: Commission for the Environment Also Serves On: Fairview Park Planning Committee Day Phone: 919 - 644 -0650 Evening Phone: FAX: E -mail: haryo@marsosudiro com Also Serves On: Also Serves On: Also Serves On: Sex: Male Race: Caucasian Township: Hillsborough Date Applied: 03/16/2005 Sex: Female Race: Caucasian Township: Hillsborough Date Applied: 03/0512004 Sex: Female Race: Asian American Township: Hillsborough Date Applied: 07/0712005 Tuesday, November 22, 2005 Page 4 of 7 Applicant Interest Listing by Board Name and by Applicant Name Female 513 N Nash Street Contact Person: Jerry Passmore, Director, Depar Central Orange Senior Center Design Committee Contact Phone: 919 -245 -2009 Mr. Haryo Marsoslldlro Day Phone: 644 -0650 Sex: Male 2613 Sweet Gum or Evening Phone: Race: Asian American Hillsborough NC 27278 FAX: Township: Hillsborough Also Serves On: E -mail: haryo @marsosudiro cam Date Applied: 07/07/2005 Skills: Engineer Also Serves On: Also Serves On: Skills: Senior Center Activites Participant Also Serves On: Skills: Cooperative Extension Ms. Mariah McPherson Day Phone: 919432 -2583 Sex: Female 513 N Nash Street Evening Phone: 919- 732 -2583 Race: African American P O Box 327 FAX: Township: Hillsborough Hillsborough NC 27278 E -mail: Mariahp @earthlinknet Date Applied: 02/0612001 Skills: Community Service Volunteer Also Serves On: Advisory Board on Aging Also Serves On: Master Aging Plan Tasldorce- Steering Committee Skills: Cooperative Extension Also Serves On: Advisory Board on Aging Also Serves On: Master Aging Plan Tasldorce- Steering Committee Skills: SENIOR CENTERS Subcmtee (Bond E Also Serves On: Advisory Board on Aging Also Serves On: Master Aging Plan Taskforce- Steering Committee Mrs Helen Miller 2506 NC -57 Hillsborough NC 27278 Skills: Friend of the Senior Center Sltills: Retired Orange County Employee Mrs Brenda Pattison 5515 Wagon Farm Rd Efland NC 27243 Skills: Aging Issues Day Phone: 919- 906.5923 Evening Phone: 919- 732 -2523 FAX: E -mail: hmilier@visionet org Also Serves On: Also Serves On: Day Phone: 919 - 304 -5759 Evening Phone: FAX: E -mail: btp@mebtel.net Also Serves On: Sex: Female Race: Caucasian Township: Hillsborough Data Applied: 01/25/2005 Sex: Female Race: Caucasian Township: Cheeks Date Applied: 08/08/2005 Tuesday, November 22, 2005 Page 5 of 7 Applicant Interest Listing M by Board Name and by Applicant Name Contact Person: Jerry Passmore, Director, Depar Central Orange Senior Center Design Committee Contact Phone: 919 - 245.2009 Mr. Albert E. Peloquin 307 N English Hill Lane Hillsborough NC 27278 Skills: Actor Skills: Athletic Skills: Er7 Skills: Hair Dresser Skills: Special Populations Activity Assistant Mrs Swarna Reddy 339 Standish drive Chapel Hill NC 27517 Skills: Advisory Board Experience Shills: Grant Writer Skills: Nursing Home Experience Mr A.P. Rushton Jr 2304 Redbird Lane Hillsborough NC 27278 Skills: Educational TV Director Skills: Writer Ms, Vicki Tilley 3906 Kenwood Drive Hillsborough NC 27278 Skills: American Phys Therapy Assoc. Skills: Board Certified Geriatric Physical Thor Skills: Editor of "Gerinotes" Skills: Lecturer Skills: N C. Physical Therapy Association Skills: Special Olympics - N. C. Day Phone: 919 -956- Sex: Male Evening Phone: 919489 -3660 Race: Caucasian FAX: Township: Hillsborough E -mail: Date Applied: 04/1812005 Also Serves On: Swamal955 @yahoo cam Date Applied: Also Serves On: Also Serves On: Master Aging Plan Taskfone- Disabled/Modemtely Imp Also Serves On: Also Serves On: Also Serves On: Also Serves On: Day Phone: 338 -2618 Sex: Female Evening Phone: 919- 644 -6646 Race: Asian American FAX: 252436.1633 Township: Chapel Hill E -mail: Swamal955 @yahoo cam Date Applied: 09/14/2005 Also Serves On: Master Aging Plan Taskfone- Disabled/Modemtely Imp Also Serves On: Also Serves On: Day Phone: 919 - 245 -3817 Sex: Male Evening Phone: Race: Caucasian FAX: Township: Hillsborough E -mail: rushrail@visionelorg Date Applied: 01/21/2004 Also Serves On: Also Serves On: Day Phone: 919 -614 -1923 Sex: Female Evening Phone: 919- 644 -6646 Race: Caucasian FAX: 252436.1633 Township: Cedar Grove E -mail: vstilley@aol cam Date Applied: 10/06/2005 Also Serves On: Master Aging Plan Taskfone- Disabled/Modemtely Imp Tuesday, November 22, 2005 Page 6 of 7 /I Applicant Interest Listing by Board Name and by Applicant Name Contact Person: Jerry Passmore, Director, Depar Central Orange Senior Center Design Committee Contact Phone: 919- 245 -2009 Dr. Janke wassel Day Phone: 336.2561020 Sex: Female 5204 Riley's Ridge Road Evening Phone: 919.942.9397 Race: Caucasian Hillsborough NC 27278 FAX: 336.254.0174 Townsbip: Hillsborough E -mail: jiwassel@uncg, edu Date Applied: 10/06/2005 Skills: Gerontology Also Serves On: Advisory Board on Aging Also Serves On: Human Services Advisory Commission Also Serves On: Master Aging Plan I'askforceSteering Cortnnittee Tuesday, November 22, 2005 Page 7 of 7 is- Page 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 Boards /Commissions applied for: Central Orange Senior Center Design Committee Master Aging Plan Taskforce- Steering Committee Master Aging Plan Taskforce -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 11/12/2004 to apply for Central Senior Center Design Task Force and Efland Mebane Small Area Task Force. Updated his email address 12/04/03. Renewed 3/15/03 for Efland - Cheeks Park Conceptual Plan Committee. Renewed app. by pho. 7/18/01 for Bond Ed. Committee. Applied 4/16/1993 for Bond Education Committee. This application was current on: 12/4/2003 Date Printed: 11/22/2005 lu Page 1 of 1 Beverly Blythe 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. Beverly Blythe 1208 Carr Store Road Cedar Grove NC 27231 732 -8315 732 -8315 732 -3710 bblythe @visio,net.org Retired Cedar Grove Cedar Grove Twnsp Female Caucasian 3/5/1941 Boards /Commissions 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 come 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: 11/22/2005 11 Page 1 of 1 Cary Corvette 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 Corvette 1022 Lakeview Drive Cedar Grove NC 27231 919 -452 -2424 877 - 644 -6251 ccornefte@investorscapital.com Corvette 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: 8/18/2004 Date Printed: 11/2212005 Page 1 of 1 Constance Gary 1� Volunteer Application Orange County Advisory Boards and Commissions Name: Name Called: Home Address: Phone: (Day) Phone: (Evening) Fax: 1=11M Place of Employment: Job Title: Ms. Constance Gary 393 Ja Max Rd Hillsborough NC 27278 919 - 697 -1560 CCSA Americorp Teacher Township of Residence: Hillsborough Zone of Residence: Hillsborough Town Limits Sex: Ethnic Background: Date of Birth: 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, Ct. 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: 11/22/2005 Page 1 of 1 Leda Hardesty 11 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 @nc.rr,com retired Township of Residence: Hillsborough Zone of Residence: Hillsborough Town Limits Sex: Female Ethnic Background: Hispanic Date 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 7/7/2005. ADDRESS VERIFICATION: 304 County Seat Dr is in Orange County in the Hillsborough town limits. This application was current on: 717/2005 Date Printed: 11/22/2005 Page 1 of 2 �0 Ann Holtzman 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, Ann Holtzman 306 Old Franklin Grove Drive Chapel Hill NC 27514 919- 357 -7095 Chapel Hill C.H. City Limits Undesignate Undesiqnated 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 for 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. a( Page 1 of 1 Patricia Kiffney 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 Patricia Kiffney 6319 Dodson Crossroad Hillsborough NC 27278 919- 929 -6009 same Finnabar Farm Owner /Mnager Bingham Bingham Twnsp 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: 11/22/2005 Page 1 of 1 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: Mr. Jerry L. Kruter 322 Sunset Creek Circle Chapel Hill NC 27516 919 - 967 -9513 919- 967 -9513 919- 968 -8922 jid ruter@ bellsouth. net Patent and Trademark Office Retired Township of Residence: Chapel Hill Zone of Residence: Town of Carrboro Sex: Male Ethnic Background: Caucasian Date of Birth: 5/19/1935 Boards /Commissions 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. 1018/01 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: 11/22/2005 Page 1 of 1 Hugh D. Landis a21 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: Jr., Sr., College Teacher; Duke Univ. and SAS - Computer Programmer. Volunteer Experience: Volunteer, First Baptist Church; Ball Room Dance Instructor; Ronald McDonald House. Education: Harrison High 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: 11/22/2005 Page 1 of 1 Lavonda Rowe Landis A Volunteer Application Orange County Advisory Boards and Commissions Name: Name Called: Horne Address: Phone: (Day) Phone: (Evening) Fax: Email: Place of Employment: Job Title: Ms, Lavonda Rowe Landis 130 N. Wake Street Hillsborough NC 27278 919 - 644 -7292 Orange Co. Bd. of Education Substitute Teacher Township of Residence: Hillsborough Zone of Residence: Does not apply Sex: Female Ethnic Background: Caucasian Date of Birth: 8/18/1937 Boards /Commissions applied for: Central Orange Senior Center Design Committee 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: 1/6/2004 9:22:28 AM Date Printed: 11/22/2005 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: Mr, Peter A. Langan 1020 Alexander Stewart Drive Hillsborough NC 27278 919- 732 -6876 919 - 732 -6876 langana @earthlink.net Retired Railroad Conductor Township of Residence: Hillsborough Zone of Residence: Near Hillsb.City Limits Not ETJ Sex: Male Ethnic Background: Caucasian Date of Birth: 6/3/1930 Boards /Commissions applied for: Central Orange Senior Center Design Committee Master Aging Plan Taskforce -Well -Fit Older Adult Master Aging Plan Taskfo�ce- 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: 10121/2005 Date Printed: 11/22/2005 Pape 1 of 1 Richard Lesperance d tP Volunteer Application Orange County Advisory Boards and Commissions Name: Narne Called: Home Address: Phone: (Day) Phone: (Evening) Fax: Email: Place of Employment: Job Title: Township of Residence: Zone of Residence: Mr. Richard Lesperance 100 Cheshire Drive Hillsborough NC 27278 919- 215 -6634 732 -8743 joyles88@ hotmall .corn Federal Government retired Physician Assistant Hillsborough Hillsborough Town Limits Sex: Male Ethnic Background: Caucasian Date of Birth: 8/2/1939 Boards /Commissions applied for: Central Orange 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: 11/22/2005 Page 1 of 2 Heather MacDonald °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: 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 Zone of Residence: Hillsborough Twnshp - Outside city Imts Sex: 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: Eno 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 force 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 ETJ; in Hillsborough Twnsp per Map prep. by MC - OCPD, and per Margaret Hauth, phone call, ncg. This application was current on: 3/5/2004 1:23:01 PM Date Printed: 11/22/2005 ,2 % 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 Date Printed: 11/22/2005 do Page 1 of 1 Haryo Marsosudiro Volunteer Application Orange County Advisory Boards and Commissions Name: Name Called: Horne 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, Usher at Carolina Theatre, RSVP (Movie Operator) Education: B.S. M.S. Mechanical Engineering 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: 717/2005 Date Printed: 11/2212005 Page 1 of 1 Mariah McPherson 3 Volunteer Application Orange County Advisory Boards and Commissions Name: Name Called: Home Address: Phone: (Day) Phone: (Evening) Fax: Email: Place of Employment: Job Title: Ms, Mariah McPherson 513 N. Nash Street P O Box 327 Hillsborough NC 27278 919- 7322583 919- 732 -2583 Mariahp @earthlink.net Township of Residence: Hillsborough Zone of Residence: Hillsborough Town Limits Sex: Ethnic Background: Date of Birth: Female African American Boards /Commissions applied for: Central Orange Senior Center Design Committee Master Aging Plan Taskforce - Severely Impaired /In Master Aging Plan Taskforce - Disabled /Moderately 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 County 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: 11122/2005 Page 1 of 1 Helen Miller p 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: 1/25/200511:01:54 AM Date Printed: 11/2212005 33 Page 1 of 1 Brenda Pattison 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. Brenda Pattison 5515 Wagon Farm Rd Etland NC 27243 919 - 304 -5759 btp @mebtel.net Student Cheeks At -Large Female Caucasian 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 summer job 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 for Central Orange Center Design Committee 8/07/2005. ADDRESS VERIFICATION: 5515 Wagon Farm Rd is in Orange County in Cheeks township. This application was current on: 6/6/2005 3:5D:49 PM Date Printed: 11/22/2005 Paqe 1 of 2 Albert E. Peloquin 344 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, 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 Orange 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 Page 2 of 2 Other Comments: Albert E. Peloquins 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: 4/18/2005 Date Printed: 11/2212005 Page 1 of 2 Swarna Reddy 3(� Volunteer Application Orange County Advisory Boards and Commissions Name: Name Called: Home Address: Phone: (Day) Phone: (Evening) Fax: Email: Place of Employment: Job Title: Township of Residence: Zone of Residence: Sex: Ethnic Background: Mrs. Swarna Reddy 338 Standish drive Chapel Hill NC 27517 338 -2618 Swamal955@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 funds for news papers. Volunteer Experience: Advisory committee member for adult care homes (Burke County), volunteer, at Autumn Care Nursing Home from 2003- 2005,Allocation of funds for United Way, wrote grant proposal to acquire funds for eldercare,volunteered at local community schools in Burke County adn a Master Gardener and worked with minority populations. Education: 1.Graduate student in Gerontology at UNC, graduating in May,2oo6 2. Master's in Science from India 3. Associate Degree in Business Computer Programming from WPCC, Morganton, NC Other Comments: Interested in aging issues and would like to promote active aging, encourage elders to stay mentally and physically active, be productive and encourage a healthy aging with less disabilities, provide services to the elders to age at home independently. STAFF COMMENTS: Originally applied for Advisory Board on Aging, Board of Health, and central Orange Senior Center Design Committee 9/28/2005. 3 `7 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: 11/22/2005 Page 1 of 1 A.P. Rushton Jr gs Volunteer Application Orange County Advisory Boards and Commissions Name: Name Called: Home Address: Phone: (Day) Phone: (Evening) Fax: r�tm Place of Employment: Job Title: Township of Residence: Zone of Residence: Sex: Ethnic Background: Date of Birth: Mr A.P. Rushton Jr 2304 Redbird Lane Hillsborough NC 27278 919- 245 -3817 rushrail@visionet.org retired Hillsborough Hillsborough Twnsp Male Caucasian 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 rneltimedia 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: 1/21/2004 Date Printed: 11/22/2005 Page 1 of 2 Vicki Tilley 39 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 Hillsborough NC 27278 919 - 614 -1923 919- 644 -6646 252 -436 -1633 vstilley @aol.com Elderfit 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 1 have been a physical therapist for 20 years working in a variety of settings including an 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 in to community resources. Lead physical Therapist, Maria Parham Hospital. Physical Therapist for 15 years. Board Certified Specialist in Geriatric Physical Therapy. Have worked in multiple settings with caseload predominantly older adults. Provided clinical and administrative services in long term care facilities across the state for 5 years. Have lectured locally and nationally on 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 in to improve the quality of care and quality of life for the long term care resident Volunteer Experience: 815/2004 1 currently volunteer with the NC Special Olympics, I 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 LV 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 olympic 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 Act on 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 10106/2005 for MAP Taskforce. Applied 10124/2000 for Advisory Board on Aging, Nursing Home 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: 11/2212005 q1 Page 1 of 3 Janice Wassel 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: Dr. Janice Wassel 5204 Riley's Ridge Road Hillsborough NC 27278 336.256.1020 919.942,9397 336254.0174 jiwassel @uncg.edu University of North Carolina at Greensboro Director of Gerontology Hillsborough Bingham Twnsp Sex: Female Ethnic Background: Caucasian Date of Birth: 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 Caregiving 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 q� Page 2 of 3 Improved Physical Functioning of the Elderly. Janice Wassel Volunteer Experience: North Carolina Gerontology Consortium, Consortium Committee, 2001 - present. Statewide Aging Advisory Committee (SAAC) for The Institute of Aging in North Carolina at UNCCH, 2001 - present. Education Subcommittee, Statewide Aging Advisory Committee (SAAC) for The Institute of Aging in North Carolina at UNCCH, 2001- present Board of Directors, Western Carolina Chapter of the Alzheimer/Es 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 Alzheirner/Es 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, AGHE 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 Office of the Vice - Chancellor Sigma Phi Omega, Chapter Advisor, 2001- present, UNCG Guilford County Alzheirner/Es 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 3 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: 11/22/2005