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HomeMy WebLinkAboutAgenda - 06-26-2003-9E2ORANGE COUNTY BOARD OF COMMISSIONERS ACTION AGENDA ITEM ABSTRACT Meeting Date: June 26, 2003 Action Agenda Item No. 9- ~-'off SUBJECT• Alcoholic Beverage Control Board (ABC Board) -Reappointment DEPARTMENT: Board of Commissioners PUBLIC HEARING: (Y/N) No ATTACHMENT(S): Under Separate Cover Membership Roster Notice of Reappointment Request Application of Member Requesting Reappointment Interest List INFORMATION CONTACT: Clerk's Office, ext. 2130, 2125, 2126, 2129 TELEPHONE NUMBERS: Hillsborough 245-2130 Applications/Resumes of Those on the Chapel Hill 968-4501 Interest List Durham 688-7331 Mebane 336-227-2031 PURPOSE: To consider the reappointment of one member to the Alcoholic Beverage Control Board (ABC Board). BACKGROUND: Ms. Janet L. Cain has been serving a partial term on the ABC Board since she was appointed last September. Her term will expire June 30, 2003. She is eligible for and wishes to be reappointed. FINANCIAL IMPACT: None. RECOMMENDATION(S): Consider appointing Ms. Janet L. Cain to a first full term on the ABC Board for a term to expire June 30, 2006. ~ l~ O~ ~ O O O O O N O O N O O ` ~ _ ', '. N O O N v~ O O O O ',, N O O N ~/'1 O O O O p O N N N N N _ N N N '. N ~I N ',. 0 7 O °+ O N O M M O M O _ O M ~ l~ N r p N !~'~ ^' M O M O O ~ ^ O y O --~ O O O O O O O O O O O ~y a ?? o ~ ~ ~ aoi a ~ ~ aoi o ~ °~ aoi c ~ ~ .. ~ . o ~ ~ .. aoi . ~ 'vi 0 w ~ ~ ~ id ~ ~ , ~ ~ ~ ' G ~ ~ ~ .o ~ ~ Fy •~ ~ ~ ~ o. ' a ' o ro ~ .c d °a. W ~ Q o, ~ j ~ d °a r j ° d a W a ~ ¢ a w i ~ >~~ ~ Q ~ ~ a Q a~ ~ ~, ~ a Q ~ ~ ., ~ d ~ ~ ~ ¢ a f„ ~ ~ k„ ~ ~~. Lt. ~ ~ Lzr ~ ~~. [s. p .~ k+ ~ a z ~ ~ .o ~ ~ z ~ z ~ ~, ~ 2 ~ ~ / V M C ~, ~~ U U G U N M ~ G ~/~ Vl ~ ~ ~ N N ~ ti b '.. cy U cd Q o, a a ,~ ' ai ~ 'v ° ~ ro ~ = ~ x d ~ en ~ ~ _ ~ ~ ° ~ ° ~ f'~1 Gam. p-~ °a ~ °' ~ ~ ,~ ~ ~ ~ ,~ ~ ~ ~ a ~ .~ a°i U ` .a a Q y~~ ~ U U d w U x ¢ w U u d ~ ~ Q C Q ~^ v; iG O O. i0„ p, k p A, ~0, O, k O ~' ~ ~. k ~~ A, ~ ' A. y U ~" ~ ~ G. 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N y ,b ~ N rn y 00 n ^ V t V N ~ rj~ ti ~ M ~ ~ .-. ~ ¢ a a ~' w ~"'~ o Y Q °~ ° ? . ~ O '~ Y c ~ > W M ~ o ~ £ ~o ~ ~ ~ W O ,~ oa °' c v w ~ b O ~, ~ w~ - ~ o ti ~ ~ o ~ . ~ ~ o a c ~ ~ • ~ .D U ,o ~ -o , , ~ y ~ o ~-~ ~ 1-i ~ V pU~ y m ~ CCS x N ~ Q ~ ? ° ~; ~ ~ x '~ 'w , on x" ~ ;~, H a ° ~ 0 ~ ~ .G. .Y L~ U ~ N x r i\ !. ~ Q /'~ Q 3 N b~A 0.~ M O N ,r. C ti .b N 7 F.. . __ _ __ _ _~.. Nancy Glover - Re OC ABC Board _ ~' From: "Dan Sykes" <dsykesl@mindspring.com> To: "Nancy Glover" <ncglover@co.orange.nc.us> Date: 5/15/03 12:59PM Subject: Re: OC ABC Board Hi Nancy, In regards to Jan Cairn. I do not have an opinion on why she preferred to contact you directly. To the best of my knowledge her attendance has been satisfactory. According to the Board meeting minutes, Jan Cain's first board meeting was September 17, 2002 and there are no absences reflected in the minutes through the April, 2003 meeting. During this period we had a meeting once a month plus a retreat in January and a special meeting in March of this year. Please let me know if I can be of further assistance. Dan ~« ~ ~ ~ ~ ,~ ~°'" C FOR OFFICE USE ONLY -o~-c~z ~P. I ~~~ .~c~n C~~ n VOLUNTEERAPPLICATION ORANGECOUNTYADVISORYBOARDSANDCOMMIS SIONS IfyouareanOrangeCountyresident,atleastl8yearsold,andwillingtovolunteeryourtimeand expertisetoyourcommunity,pleasecompletethisapplicationandreturnto: OrangeCountyCommissioners'Office D -" P.O.Box8181 m~f Hillsborough,NC27278 ~ "' S tout Phone(919)245-2125;245-2129;245-2130;732.8181 Fax:(919)644-0246•Email:npacigaQco.orange.nc. NAME: Janet L. Cain HOMEADDRESS: 521 William Hooper Circle CITY: Hillsborough PHONE:(Day) 919-732-8126 (Evening/late) 919-644-2601 _(Fax) EMAIL: _ PLACEOFEMPLOYMENT: Orange Co. Schools JOB`I'ITLE: Administrative Assoc. to Assoc -----Supt . HR I N O RD E RTOAS S U RE C O O N TYyyI D E R E P RE S E N TAT I O N P L EA S E 1 N D l C AT EY0 U RTO W N S H I P OFRESlDENCE: O Bingham OCheeks ®Hillsborough O Eno ^ ChapelHill O LittleRiver OCedarGrove INADDITION,PLEASEINDICATEIFYOU LIVEIN ON EOFTH EFOLLOWINGAREAS: O JointPlanningArea O ExtraterritorialArea O TransitionArea WEASKYOURHELPINASSURINGD(VERSITYOFMEMBERSHIPBYAGE,GENDERANDRACE, BYANSWERINGTHEFOLLOWINGQUESTIONS: OMale C~IFemale ETHNICBACKGROUND: O AfricanAmerican ®Caucasian O Hispanic O NativeAmerican O Other DATEOFBIRTH: __ 7-29-52 ___ PLEASELIST(INORDEROFPREFERENCE)THEBOARDSlCOMMISSIONSONWHICHYOU WOULDBEWILLINGTOSERVE. ~~r hQ~~ch. ~dJ~ say ~jrnmi e 1. 0 . C . ABC Board 2. ma ra rn n~ re S 3. ~~~~ WORKEXPERIENCE: 2002-Present Orange County Schools-Board of Education - 1996-2002 Orange County ABC Board Office Manager 1991-1996 Orange County fichools Stanford Middle SIMS Data Manager 1991 ..Cheshire & Parker, Attys. Legal Secretary -~ 1 Dept. o La r sr. Prgm. Green um ice Hager VOLUNTEEREXPERIENCE: Numerous school related volunteer o_rEaniszations OHS Marching Band 8 yrs Band parent, Secretary; Treas., chaperone, fund raise: f Qh~ Mi a sc ool site base coirnnittee, techno ogy training ~'C • -- )~, Parent volunteer: classroom, field trips, clerical assistance, orientation C,L~~~ graduation committees. a~w Recreation Dept - Tee Ball coach 3 years Softball coach 3 years i+~ f assistant coach ZipCode: 27278 a ~ 3 c~ FOR OFFICE USE ONLY EDUCATION: _May 1984 Elon College Magna Cum Laude N.C.S. U. McKimmon Center Cont. Ed technology and mgmt. courses. Institute of I;oyerrnnent stress mgmt, management, team building course: OTHERCOMMENTS: see attachment ~~ _ HowdidyoubecomeawareofOrangeCountyvolunteeropportunities?(Pteasecheckal Ithat aoplvl: O Newspaper ~7CountyWebPage OCurrentOrangeCountyVolunteer O Radio O T.V. OOther ETHICSGUIDELINESFOR COUNTYADVISORYBOARDSANDCOMMISSIONS I agreebymysignaturebelowthat, ifappointed, I pledgetocomplywiththefollowi ngeth icsguidel i nes foradvisoryboardsandcommissionsasadoptedbytheOrangeCounryBoardofCommissioners. Membersofadvisoryboardsandcommissionsshallnotdiscuss,advocate,orvoteonanymatterin ' whichtheyhaveaconflictorpotentialconflictoflnterestoraninterestwhichreasonablymight appeartobeinconflictwiththeconceptoffaimessindeal i ngwithpubl icbusiness.Aconflictof i nterestorapotentialconflidoccursifamemberhasaseparate,private, ormonetaryinten3st,either d ireetorindirect, inanyissueortransacti on underconsideration.Anymemberwhoviolatesthis provisionmaybesubjecttoremovalfromtheboardorcomrnission. , Ifanadvisoryboardorcommissionmemberbelieveshe/shehasaconflictorpotentialconflictof interestonaparticularissue,thenthatmembershoufdstatethisbeFeftotheothermembersof his/herrespectiveadvisoryboardorcommissionduringtheboardorcommission'spublicmeeting. Themembershouldstatethenatu reoftheconflict, detai I i ngthath a/shah asaseparate,private, or monetaryinterest,eitherdirectori ndirect,intheissueortransaction underconsid eration.The membershouldthenexcusehimself/herselffromconsideri ngandvotingonthematter.Incases whereanadvisoryboardorcommissionmem berdecla resaconflictorpotentialconfl ictofinterest, themembershallexcusehimself/herselffromtheboardtablelvotingareauntilalldlscussion, consideration,andvotingiscomplatedonthematterinquestion. Anyadvisoryboardorcommissionmemberhavingquestionsorneedingassistanceregardingthe interpretationoftheseethicsguidelinesorothercanfl ictofi nterestmattersshould contactthe administrativestafffortherespectiveboardorcommission. Staffwil las sistthememberwith questionsandinterpretationsandmayprovidearecomm endationonwhetheromottheadvisory boardorcommissionmembershouldexcusehimself/herselffromvoting.Themembermayrequest thatthestaffrespond inwriting. StaffmaycontacttheCou ntyManagerforanyadd itianal assistance. Ifappointed, I agreetoattendathree-hour L C'a.~ orientationwhichwillgiveanoveiyiewofhowOrangeCounty B.S. Bus. Admin (Finance) ~5-0~ Date v~LDI51c3 : MPICTN; H: \._UOLAPPL. ooC Janet L. Cain 521 William Hooper Circle Hillsborough, NC 27278 919-644-2601 Attachment - Oranage County Volunteer Application Over the years I have made numerous personal and professional commitments to Orange County. During these years I have also developed personal and professional relationships that have allowed me to further serve Orange County as a volunteer and as a local government and school employee. I believe that the combination of my educational and professional backgrounds, volunteer experience and personal contacts have prepared me to further serve the co~raunity. I believe that my experience with the Orange County ABC Board provides me with a strong working knowledge of the operation of the system as well as the impact of the system on the comtmuiity. Based on the work ethics I have demonstrated professionally and as a volunteer, I believe that I would make every effort to ensure that my service to the Orange County ABC Board would be professional, confidential, unbiased and comnited to maintaining the high standards of operation as well as keeping the intersts of local government and the citzens of Orange County of extreme importance. 8 Applicant Interest Listing by Board Name and by Applicant Name Alcoholic Beverage Control Board Mr. Robert F. Bailey 6015 Deerwood Lane Durham NC 27705 Skills: Accountant Skills: Church Officer Mr. Thomas Heffner 103 Porter Place Chapel Hill NC 27514 Skills: Business Owner Skills: Community Service Volunteer Skills: Real Estate Appraiser Day Phone: 919-383-1669 Evening Phone: 919-383-1669 FAX: E-mail: Also Serves On: Also Serves On: Sex: Male Race: Caucasian Township: Eno Date Applied: 05!14/2002 Day Phone: 919-929-0518 Sex: Male Evening Phone: 919-929-4637 Race: Caucasian FAX: 919-929-0758 Township: Chapel Hill E-mail: thheffner@aol.com Date Applied: 05/28/2003 Also Serves On: Equalization and Review Board Mr. William T. Hendrickson 2219 Lawrence Road Hillsborough NC 27278 Skills: Boy Scouts Skills: Employee Benefit Insurance Service Skills: Life Insurance Skills: Owner -Local Farm Skills: Self-Employed Day Phone: 919-644-8636 Evening Phone: 919-644-0677 FAX: E-mail: Also Serves On: Human Relations Commission Sex: Male Race: Caucasian Township: Eno Date Applied: 10/03/2001 Mr. Melvin S. Hurston Day Phone: 919-966423 Sex: Male 731 Saluda Ct. Evening Phone: 919-968-1434 Race: African American Chapel Hill NC 27514 FAX: 919-966-3709 Township: Chapel Hill E-mail: mhurston@unch.unc.edu Date Applied: 05/07/2002 Skills: CPLUC Nominee Also Serves On: Boazd of Health Also Serves On: CPLUC-Comprehensive Plan Land Use Committee Also Serves On: Human Services Advisory Commission Skills: Director/Operations/CTNC Hospitals Also Serves On: Board of Health Also Serves On: CPLUC-Comprehensive Plan Land Use Committee Also Serves On: Human Services Advisory Commission Contact Person: Dan Sykes, General Manager Contact Phone: 919-732-3432 x23 Tuesday, June 17, 2003 Page 1 of 2 Applicant Interest Listing by Board Name and by Applicant Name Contact Person: Dan Sykes, General Manager Alcoholic Beverage Control Board Contact Phone: 919-732-3432 x23 Mr. Leslie A. Johns Day Phone: 919-942-8700 Sex: Male 106 Blue Granite Ct. Evening Phone: 919-967-3037 Race: Caucasian Chapel Hill NC 27514 FAX: Township: Chapel Hill E-mail: les~ohns@msn.com Date Applied: 01/22/2002 Skills: Advisory Board Experience Also Serves On: Skills: CPA Also Serves On: Mr. Charles Lee Day Phone: 919-762-2525 Sex: Male 112 Finley Forest Dr. Evening Phone: 919-969-8136 Race: Caucasian Chapel Hill NC 27517 FAX: Township: Chapel Hill E-mail: cml@nc.rr.com Date Applied: 04/17/2002 Skills: Customer Service Also Serves On: Mr. Steve L. Medlin Day Phone: 919-560-4137 Sex: Male 5904 Hideaway Drive Evening Phone: 919-967-0793 Race: Caucasian Chapel Hill NC 27516 FAX: 919-560-4641 Township: Chape( Hill E-mail: dmedlin2@nc.rr.com Date Applied: 06/07/2002 Skills: Planner -City -County Also Serves On: Skills: Red Cross Disaster Services Volunteer Also Serves On: Mr. John C. Steffens Day Phone: 919-765-5063 Sex: Male 1826 N. Lakeshore Drive Evening Phone: 919-933-2481 Race: Caucasian Chapel Hill NC 27514 FAX: 919-541-8585 Township: Chapel Hill E-mail: john.steffens@syngenta.com Date Applied: 07/21/2002 Skills: Biotechnology Also Serves On: Skills: Homeowner's Association Member Also Serves On: Skills: Professor Also Serves On: Mr. Bill Thorpe Day Phone: 919-967-5813 Sex: Male 709 Tinkerbell Road Evening Phone: 919-740-9180 Race: African American Chapel Hill NC 27514 FAX: Township: Chapel Hill E-mail: Date Applied: 06/12/2003 Skills: ABC Board -Orange County Also Serves On: Skills: Kiwanis Club Also Serves On: Skills: N.C. Dept. of Crime Control Also Serves On: Skills: NAACP Also Serves On: Tuesday, June 17, 2003 Page 2 of 2 la w FOR OFFICE USE ONLY ~/~~/oy Pag e 1 of ~ ~c~erf ~ ~i~ey VOLUNTEER APPLICATION ORANGE COUNTY ADVISORY BOARDS AND COMMISSIONS if you are an Orange County resident, at least 18 years old, and willing to volunteer your time and experEise to your community, please complete this application and re ~ ~ ~ ~n Orange County Commissioners' Office D f P.o. Box 8181 MAY 142002 Hillsborough, NC 27278 Phone (919) 245-2125; 245-2129; 245-2130; 732 Fax: (919) 644-024ta • Email: nmartin~co.oran HOME ADDRESS: 6015 DEERWOOD LANE t ~( ORANGE COUNTY) Zip Code: 27705 CITY- ,,,_. DURHAM, ,1~,,, ,1' PHONE: (Day) 919 383_ 669 (Evening/late) 2sAMwF (Fax) EMAIL: NONE PLACE OF EMPLOYMF~1'C: RETIRED JOB TITLE: IN ORDER TO ASSURE COUNTYWIDE REPRESENTATION PLEASE INDICATE YOUR TOWNSHIP OF RESIDENCE: D Bingham ^ Cheeks ^ Hillsborough ~ Eno ^ Chapel Hi11 ^ Little River ^ Cedar Grove IN ADDITION, PLEASE INDICATE IF YOU LNE IN ONE OF THE FOLLOWING AREAS: ~ Joint Planning Area ^ Extraterritorial Area ^.Transition Area WE ASK YOUR HELP IN ASSURING DNERSITY OF MEMBERSHIP BY AGE, GENDER AND RACE, BY ANSWERING THE FOLLOWING QUt=STIONS: X2: Male ^ Female ETHNIC BACKGROUND: ^ Afrkan American ~Caucasfan ^ Hispanic ©Native American ^ Other DATE OF BIRTH: 6/23(30 PLEASE LIST (IN ORDER OF PREFERENCE) THE ~OARDSICOMMISSIONS ON WHICH YOU WOULD BE WILLING TO SERVE. 1. ABC CONTR[] ,$,D ~RaNr_F nn nF_AL2JLT$TMF*;'~• PF.R~AN'F7:TiL. ATIVTSRR_Y BOA WORK EXPERIENCE: rFRTrrrTFT1 ~rrrstrr+ nr+rnrT~TA~I+ ~I~Inr ~c~ r~ ~ ^~~ mss 4T ~ PARTNER AND ~RINCIPAT,,,,,TK FTRMS STN(`F 1Q"» - ASSOCIATE NEAL BRADSHER AND TA T.OR STNf!F. i oar VOLUNTEER EXPERIENCE' TREASURER ST PHILIPS EPISCOPAL CHURCH s .~ FOR OFFICE USE DNLY 5 ! O Z i~a e_ 2d~ ~- RoJ~e~r-~- ~ ~a i ~e / -~ _~_ EDUCATION: ~,,,D,jntuAr~ uTru ~ruooT (,};AD TA F B ~ TN BUSTNES~„Ij~~,RSITY NORTH CAROLINA CHAPEL HILL OTHER COMMENTS: ABC BOARDS OWNER OF BUSINEES AND KNOWLEDABLE WITH ___ _ PERSONNELL AND MANAGEMENT OF BUSINESS. SOME KNOWLEDGE OF REAL ESTATE AND TAX LAWS. How did you become aware of Orange County volunteer opportunities? (Please check all that apply): Newspaper D County Web Page D Current Orange County Volunteer ^ Radio ^ T.V. ^ Other ETHICS GUIDELINES FOR COUNTY ADVISORY BOARDS AND COMMISSIONS I agree by my signature below that, if appointed, I pledge to comply with the following ethics guidelines for advisory boards and commissions as adapted by the Orange County Board of Commissioners. Members of advisory boards and commissions shall not discuss, advocate, or vote on any matter in which they have a conflict or potential conflict of interest or an interest which reasonably might appear to be in conflict with the concept of fairness in dealing with public business. A conflict of interest ar a potential conflict occurs if a member has a separate, private, or monetary interest, either direct or indirect, in any issue or transaction under consideration. Any member who violates this provision may be subject to removal from the board or commission. If an advisory board ar commission member believes he/she has a conflict or potential conflictof interest on a particular issue, then that member should state this belief io the other members of histher respectNe advisory board or commission during the board or commission's public meeting. The member shauld state the nature of the conflict, detailing that he/she has a separate, .private, or monetary interest, either direct or indirect, in the issue or transaction under consideration. The member should then excuse himsetf/hernelf from considering and voting on the matter. In cases where an advisory board or commission member declares a conflict ar potential conflict of interest, the member shall excuse himselliherselffrorn the board tableNoting area until all discussion, consideration, and voting is completed on the matter in question. Any advisory board or commission member having questians or needing assistance regarding the interpretation of these ethics guidelines or other conflict of interest matters should contact the administrative staff for the respective board or commission. Staff will assist the member with questions and interpretations and may provide a recommendation on whether or not the advisory board or cornmissbn member should excuse himseff/herself from voting. The member may request that the staff respond in writing. Staff may contact the County Manager for any add'rtionai assistance. If appahited, I agree to attend a thne-hour orientation which will give an overview of how Orange County Government operates and its relationship to other governmental units. Signature ~ Date YOLDISK3:APPLCTN; U7\~YOLAPPL.000 T-~ • :_i .'~ A 1VT :M '= r ~~ 2~I A S H E F F N E R Y (~ .^-~_„~ . ~~ ~ ~ ~~9 y ~ ~~~ O~A~T~~ ~~~JI~1TY` ~t)~1~D ~ ~r1D : ~~I-iM I ~ S I C~I~~ Yf you ..are an {?r~:nge County... rasitient, at least i$ years old, and xillin$ volur:tesr.~•:y,-Cur t,ims .and expez`t$se .ta yaus communitF: P1®ase Complete re~tttrn to: Orange County Board of Commiss~.aa~i~9 O~tiae F. 0. Bay $18t Hill.sboraugh, NC 27Z'~8 • • NAMEt Thoatas A. Heffnex _~ HOME ADDRk:SSi }.03 Portex Flace _ ,,..~_..., Chapel Hill, N. C. Zip Cade 27it4 TELEPHONE t (w y 919/929-0518 , (H) o, g Jo?a_«,g7 1~L.4CE bF EKFLOYHEN'1`: Th mas_H. Heffnex Real E-state Avnraiae~.. JpB TII`LE: Owner ,.,~ ~~R_~~VFg5I~,~ LIST JOB, VOLUNTEER AND EDUGATIbNAL EXPERSENCE AI~D~OR SKxI y0U W(7UL3? LIKE FOR US TU CQNSIDER• Sae the attached resume IN ORDER TO ASSURE CQUNTYwIDE REPRE:IENTRTION PLEASE INDYCAT$ YOUR TOWiiSHZF RES IDTzNCE Rit~Sh~m Cheeks ..~.~ H~.1lsborough ,_ Eno ._..~.,.._...r Chapel Hill x~_. Litt~.a Rivsz• ,,,_....,~ Ceda~x Grove _._..,, ._.,.r wE ASR YOUR HELP IN ASSURING DIVERSITY OF MEMBERSFiIF BY AGE, GENAER AND ftAc ~3Y ANSWERY~v'G Z'~IE pOLLOWIN4 QUESTIONS: dale ,,,..~._--- ~emale ~,..,,._..~- DATE OF RIRTH: ETKN I C BACKGR4tJt~ib Axrican American Caucas$an K~st~ve p,meri.caz: Higpt~nia ,,,_..~.~ x ether ._~.. 9/9/46 _,~. -- - - wrww r~~_~~.rr ~w__w.r~.r~~~w~+~~r•~~~.r www•._~~~_www.~r.r ~.~~w~~w~l w..w_w~rw~.w rrrr~ PLEASE L15T {IN pADER Off' PKERFkENCE) THE gaA~n~lca~~x~SxoNS ON T~EixGH ~ WQUL'D DE WILLZNQ TO NERVE. 1 ~ Boazd of Equilizatiert and Revie~,•,. - 3. __ ,_.,._,._._.- .. ~..~.~ .~~....__ (P~,ea,ae co~dplete reverse side ) ._ __..._... _ ._.------ ~ 3 PlQaee Si'st a.ny worrkt volunteer; an47ar $4~-+~~-.-.__....._. _,. tfl'ha•+~ cnrisidcrcd ~n the review of your aaplicution. ~-~--~•--~-_. WpRH EXPERIENCE: - See the attached rea yGLLzhiTEEft EXP R_~~t Sew ttached resume. .,,_ EDUCATX~,Q~`er, .x~R~~NCE: See the attached rasume. .,. tow dfd sou become e+~e,re of oranges county Newspaper _,,,,~„~ Current Orange Caur~ts Volunteer ~_ Radio ~,~,,,,,,~ T.V. .~, Other „_„~.~_~_________ volunteer oppartiuYtf.~,iaS: Cl" appointed r agree to attend g 3 hour orienta~ian which ,verv~.ea of hotr Orange Gauntp Government operntd9 and whet zts is to er g v ramental iinl.ts. .w~ 21?~19~ (:.9ionturo~ (dates a w ~. ~.?, give a:t relationship :APPLC~N ~__tJ~: 2~. ~::3 1 1 ~ 34A=vi >KTIzr~ZviA~ H~FFZ7EF~ /~ ~'' ~ ` ~ EC UA.~.~.~-.AN•--~ -REVI. ~~"' "'g"DARQ...' ~ :A~.S~.~ 26 Rears i . Length of rssi deuce i n Orange Coun'cy 2. ~a you Own prgPerty i n Orange County? Yes If Yee, P1ea5~ indica'~e the tyoe of real property and the number of Parcels. tUse reverse cf pa9g if necessary} 1Q3 Porter Place (sin le ~_s___. 3 . X t1d~ i cote the extent to wh ~ cn you are f ami 1 i ar «i th the value of real property located withi~ti Orange County. I have been active in the real estate brokers a and a rai b s and bxokerage business £or the ast 20 Yeaxs• . .. s...,..r+ 1 ~r1~ rr-!r i x111 ; n rASI ~Qr,,ts'G6 e,ppre.i $i ng? See the attached reaume- ...,_...r, .... Yf yes, Pease give dAtatis. ~, please indicate any other qualificax~ons you would liKs to nave c4naide~ed. See the attached re um E&FcGIUEST . IUN ~.~ ~ ' 9~3 1 1 ~ ;j~A~i %KTHJItiiA~~ HEFFS`1~F=, _°. .. _._.... ._ /~ THor~,S H . HEFFNEA EDUCATION i AB -- University of North Carol:iria ~ Chapel ~~~ Hi7.1 TRAININGs Graduate, Realtors znstituts jGRS) T 1974 Realtors National Marketing Institute Courses 201., 102, 203, 104, 105 _ __ . A:aerican Institute of Real Estate Appraisers Course 8 - 8j12/76 PROFESSIONAL Certified Residential Specialist - CRS DESIGNATIONS AND ACTIV2TIES: Certified Real, Estate Brokerage Manager - C1~,S Nort~:_Caro a _~~ociation cif Realtors President - 1987 President Elect - 1986 Chairman - Education Committee Chairman - Convention Committee President - North Carolina CRH Chapter Director Realtor of the Fear - 1986 ' ~hacel__ Hill &oard of Real ~~rs President - 19'77 Realtor of the Year - 1985 National AssociatiQ~~ Re~2tors Director - 1987-1940 Member - Econom~,cs and Research camsnittse - 1988-1990, State and Municipal Y,egislation Committee - 1994, Strategic P1$rinirig - 1991 Nort Carolina Re~.1 Estate Educ tional Foundation nc. President - 198 and 1985 Dean - Realtors Institute 1982 and ],983 Instructor - Market Analysis, Land Development, Governmental Effects cn Real Estate, Estimating Value, and Communications. North Carolina Real Estate commission Broker's Li.Gense 23926 State-Certified Residential Appraiser A37.0 Unfv~sity of North Carol~~la - Chapel Hill Lecturer - Selected Topics in Real Estate (SA 97) Tntrcduction to Raal Property (sA 126) ,~.~ l~ eCMMUNITY Chairman, orange County Board of Equi3.ization and ACTYVTTTES: Review ~ 2983, x.987 Chairman, Chapel Hill Housing Authority - 1.9.83 anc 1984 Chaixznan, orange County Heart Fund orange County Soy 3caut Chairman Director, Chapel xi~,l Chamber of Commerce Trustee, Triangle Kidney Fouxtdatien Co--Cha~.rman (with Kathie Heffner} Chapel Hill Christmas Tour • i ~.~r/f - VQLUNTEER APPLFCATION ~~ ~RA.N~E CQUNTY BARDS AND COMMIS~ZQN'S • ~• - If you are an Orange Cauatp resident, at least 18 gears old, and willing .to volunteer pour time and expertise to pour community, please complete and return to: NAME: ' HOME ADDRESS: ' Caunty~Commissioners' Office P. 0. Box 8181 ~ Hillsborough NC '27278 C ip Cede TELEPHONE : (~') ~'~ 4 `~C0 ~ (H ) PLACE OF EHPLOYMENT: ~-~ ~~~ ~ ~ ' JOB TITLE : _ ~ C,l}1-LQ/l- --1'VIC~.d ~~ , v ON REVERSE SIDE LIST JOB, VOLUNTEER, AND 'EDUCATIONAL EJ~PERIENCE AND/OR SgILLS YOU WOULD LIRE FOR US TO CONSIDER. ORDER TO ASSURE COUNTYWIDE REPRESENTATxON PLEASE I1~DIGATE YOUR TOWNSHxP OF RESIDENCE: Bingham Cheeks -_.~.-- Hxllsborough Eno ~- ' Chapel Hill Little River. ._~_ Cedar Grave 'WE ASS. YOUR WHELP IN ASSURING DIVERSITY OF t~ERSHIP BY• AGE' GENDER AND RACE; BY ANSWERING THE FOLLOWING QUESTIONS: Male ~ ~._ ETSNIC BACKGROUND : - Sispaaa.c .~_ Female ~^ Africa.a American • - • 'Gaucas~.sn ~ Other _,-_.-.- ~ . Native pmeri.caa ~, DATE OF BIRTB: • -PLEASE LIST. (IN ORDER OF PREFERENCE) T~ ARDS/COMMISSIONS ON W~iICH YOU WOULD BE. SjILLING TO SERVE. (~ L~ c,-~~. 1. C ~ L • 0 1~ C ~Ys G~ f _~ {{ -I..ekll Q. M 1.1 ts'~4s~ ~ ~~K• ~ -- ~ NQU-13-1997 15: ,~1. BCICC~MANRGEP 919" ~ 3 P. ©~rl ~~~~ ~~~~ ~~~~~ ~~ ~~~~~Z~~~ ~• f gau ire an Qraa~t Cauat~ r~sidet:t, at Ieast I.8 g~e~zs ~lrl, aid +~illiag to •ol.unteer •Fovs- t~a~~ amid expex•tisa to Tour camat.ttity, plee~se aamp~~ct~ aid r~ ; ro~ u~p~ss: ~~L~orrE: • Cawxt.~- Camtrtissioaers' office F. 1~. $ex gXgt ~illsbo~avgt~ NC 2TZ't8 ~~di~! S ~u,~s~ iv tWj 9~~ ~-- ~I~ALE t~F £I~PLQY~T 70$ TITX,E: • 1 i~+f ' ip Gcc~e ~~~.. .~a S L~$T JGE, YOL~I'~~, AND EDtTCArrGl~t!rL F~'fiRI~iCE ~LNDlQR S$ILIS Y~Oti X'0~ x Fab VS TO CQKSID~R. ~IR~E$ 1`4 bS5V1~ CatrN~YYS~E R.~gR.E$EN~t~'~~GN BLF.~ISE TNDICtTE Y~it~ ZOwrtSHxF QF' YpI~tG~ 83.aghusti Ch~teks ~ ~._..~-. Hillsb4rvv,~h ~aa . • -~- C~~el H33.3~ ~..~....... L~.ttl.a 6Civtz~ .._,_,.,.~.,..,, Cedar Grars• tl$ ~S ~~ ~ x2i Ik.45TJ~2NG 7pzYk~i.3T1'Y~C~ ~$EFSBIP 1dY AGE ~ Gi~N3?7~t AXD R~ICfi. BY ll~iR~G TSB BOLLOWIP~ Rt1E9?SGN$ : . 2Sa1• ~,.,~, ETEP~ZC ]SACgGRCt,Tl~D: Siaps~fa ~.~.._ Femss~e ..;...r,,,.,..,. Iltr~taa AeaariCs~ .~- D&TE QF SZ~IZ'8: - PL~SE LIST t Z~- CRDER QF P~FtAEt~CLI ~ ~q,AKDS/CO~Z5SxGDt5 4N itSICFI ~U $. . 3. • ` -- NOU-13-199'7 15 ~ X12 BQCCi f•I~-NAGER 9196443 ~rP. ~J .: ~ , ~~ , ~• .,~2 k valuAteer. a.ndJa~ ~edutatiaasl axp~r er~ce Tou vdu Like ,i~~ 1,ist r.Ay vat . viex v~ xov7e' ,~gplicatlQa- - :e Dive ~oasidated in the to ! f ,~•~ .. L. ~ e 1 ~~1 d.r l..~t GG~?~e' r r ~~~~~ ~'~ ~~= y.n1A~"- A • ~~ • • velaa~ser gFpo~am3ties' at assn8e cou~t7 Row did Kati beds aware ~ew~P`per vaiants~tr (please spra~f?1= --- ~xe~C CrsaSe ~eu3st~- Radio • • ~'^ ether --~'~' rieats~'~ ~°s whiel~ v=11 ~ ~,Ye a it ~ypeiated= t Wires cQ attend a 3 baur ° d what its xel~,t},sashi Ccuat7 Ga~erns.~sst e9t='atis t~ artezTf.e~t df b~ ~ raa~~al wits - is to otb~Y ~ Jf} .. s~3P -.~ - ~ ~~' t date ? - ~ . ~turel 2~ This space for office use only 1/22/02 Page 1 of 1 Leslie A. Johns VOLUNTEER APPLICATION ORANGE COUNTY BOARDS AND COMMISSIONS If you are an Orange County resident, at least 18 years old, and willing to volunteer your time and expertise to your community, please complete this application and return to: Orange County Commissioners' Office P.O. Box 8181 Hillsborough, NC 27278 Phone (919) 245-2125; 688-7331; 227-3031 FX (919) 644-0246 NAME: --------------------------------- Leslie A. Johns HOME ADDRESS: ------------- ----- 106 Blue Granite Court CITY: ----------------------------------- Chapel Hill STATE: --------------------------- ----- NC ZIP CODE: ---------------------------- 27514 TELEPHONE: (Home) ------------ 919-967-3037 TELEPHONE: (Work) -------------- 919-942-8700 TELEPHONE: (FAX) --------------- EMAIL: ------------------------------- les^johns@msn.com PLACE OF EMPLOYMENT: ------ Blackman & Sloop, CPAs, P.A. JOB TITLE: -------------------------- CPA TOWNSHIP OF RESIDENCE : ---- Chapel Hill ZONE OF RESIDENCE: ------------ Does not apply SEX: ----------------------------- ----- Male ETHNIC BACKGROUND: --------- Caucasian DATE OF BIRTH: ------------------ 11251946 LIST, IN PREFERENCE, THE BOARDS/COMMISSIONS ON WHICH YOU WOULD BE WILLING TO SERVE: 1. Economic Development Council...2. Board of Health...3.ABC ....4. OWASA Please list work, volunteer and educational experience. WORK EXPERIENCE: CPA VOLUNTEER EXPERIENCE: Chair Finance Committee, Mercy High School, Burlingame, CA 7 years; Chair Building & Quality Committee, Mills-Peninsula Hospitals, Burlingame, CA, 10 years; Chair, Burlingame Community Education Foundation, Burlingame,CA, 3 years. EDUCATIONAL EXPERIENCE: B.S. Accounting, Long Island University, Brooklyn, NY 1969 OTHER COMMENTS: How did you become aware of Orange County volunteer opportunities? List all that apply: County Web Site If other, how? By submitting electronic application, applicant agrees to Ethics Guidelines and agrees to attend three-hour orientation.This form was submitted online, on Tue Jan 22 11:19:50 2002 .- ... D _ ~.~ • FOR OFFICE USE ONLY ;~ • 't VOLUNTEER APPLICATION ORANGE COUNTY ADVISORY BOARDS AND COMMISSIONS !f you are an Orange County resident, at least 18 years old, and willing to volunteer your #me and expertise to your community, please complete this application and return to: . Orange County Commissioners' OtRce P.O. Box 8181 Hillsborough, NC 2T2T8 Phone (919)245-2125; 248-2129; 245-2130; 752.8181 _ Fax: (919) 6/44-0246 • Email: nmartin~co.orange.ncus HoMEADDRESS: ~ I i. a' . Fin (e~ F~or~s-~- ~r cITY• C ba pe I ~ N ~ 1(,L h1 ~ Zip C4de:~?5/ 7 PHONE: (Day) 6 ~ a ` a'S°ZJ (Eveningllate) ~ 6 q - ~ ~ 36 (Fax) cMI ~1 nc.rr,co~ ENAtL. _ - PLACE OF EMPLOYMENT: SQ ° r~S Ev-~{.pytyors 1.r,e, JOg ~• c Hskr~er s~, ~,~e.~ge:~t- . ~ tN ORDi'=R TO ASSURE COUNTYWIDE REPRESENTATION PLEASE INDICATE YOUR TOWNSHIP• OF RESIDENCE: • ^ t3fngham ^ Cheeks D Hillsborough D Eno 6~Chapei Hitt D Little River D Cesar Gro:re IN ADDITION,~PLEASE INDICATE IF YOU LIVE IN ONE OF THE FOLLOWING AREAS: D Joint Planning Area D Extraterrita~rial Area D Transition Area - WB ASK YOUR HELP IN ASSURING DNERSITY OF MEMBERSHIP BY AGE, GENDER AND RACE, BY ANSWERING THE FOLLOWING QUESTIONS: l~tVlale CI Female. ~~ ~ .. • ~ ETHNIC BACKGROLND:~ ^ African American G'1(Caucasian~ fl Hispanic ^ AmsrKan- ~ ~~ ~ - . D Other ~ DATE OF BIRTH: ~1g a9 rj,~ PLEASE UST (W ORDER OF PREFERENCE) THE BOARDSlCOMMISSIONS ON WHICH YOU wouLD BE wt NG TO SERVE. 1, ABC ~o~,r ~ 2. PerSo~hef ~¢dy~SyrcrBoar~S, A9lr;cK/~ra~ Pr~se~„/R~chBv. WDRKEXPERIENCE: ~.SPOrfs ~+-deavors enc. /H;llsdorotiq~,NGlCMS~it~i-Serv.`cP~4~ent • x T ocv(/r-- 7rn~UwN ~ fir, PO t; Lee 1~oWklnd. I ~ 6Ji ng g~ l~nirersi-~-Y Ga ~ ~_ VOLUNTEER EXPERIENCE: ~~r l;`,~ Mo~ris~ifl ,vc Rece fknist 0{~i'ce MRhq _ ~OS-I' Phi fe (Y.~in~q•~PrF ~w :CO ~~O.Q nf71 ~m.o..~-•~ Restrra~rbh 5~ le~s A Bnf Ma rtli aAO/-S • a~~ nc at~o-~ i sb, ac~l Worts S•llnclY lR H 9 l9gsr HqY /997 7~Nic~ l~errq~ -~~il'e venq~ (.AMR*9Y~ ~IV~r~~/~~ 4 ~ Robeson Cd~nfr /ctrl-c pe,Fa1der.; o,A;'re ~t~,~e••t ~ lvc . qn,-~F~e,~ aoa / TN ! -- Nai , I g9~ ti N .Tune- ~`,9~ /9 A v ' zz FOR OFFICE USE ONLY °~~~ o z . a z ~ - CJes L~,~ / P . EDUCATION: ~ ~~9G'Yt~' UhiyQt3~''i ~1.15{~ F p~ p~l~`~i`cgl M911R,~G~Ui~ih,4 B~~c/ VR Maya q~ GI11iYt?iSi~'Sl. BfF fn l~MP~r,'can Sf~aCes' ~W;hga~e,NG OTHER COMMENTS: CoM~?iA~r 5 ki I~5 ~ DaS, W~AdpwS Yj; W~dS' ~g I+~gc,~ h~1~/orcJ A~/ewafK: A-CCesS, EXct~l~ HfMI. Aa9~_Ni~~~, Nd~S'utPe. i~xPlo~er, Wrr1~'Spghi s~ oho.. ~~cw/: A~r~`~~n fled CrvS,S GPR cerfi{ic-a~h`~n ~D00 ~200~. How did y u become.awrare of Orange County volunteer opportunities? (Please check ap that apply): -19"Nevvspaper D County Web Page D Current Orange County Volunteer . D Radio D T.V. d Other ETHICS GUIDELINES FOR COUNTY ADVISORY BOARDS AND COMMISSIONS 1 agree by. my signature below that, if appointed, I pledge to comply with the following ethics guideGnesfor - advisoryboards and comm~sions as adopted by the Orange County Board of Commissioners. Members of advisory boards and commissions shall not discuss, advocate, or vote on any matter in whii:h. they~fiave a conflict ar potential confliict of interest or an interest.which reasonably might appear to be in conflict with the concept of fairness in dealing with public business. A conflict of, interest or a potential wnflict occurs if a•member has a separete, private, or monetary interest, e'~ttrer direct or indirect, in- any issue or transaction underconsideration.- Any member who violafies this provision may be subject tQ removal from the board or commission. if an.advisory board or commission member beCeves he/she has a conflict or potential conflict of - interest on a particular issue, then that member should state this belief to the other members of hismer respective advisory board or commission during ttie board or ~mmission's public meeting. The member should state tt~e nature of the conflict; -detailing that helshe-tias a separate, private, -or ~_ monetary interest, e.'dher direct or indirect, in the issue or transaction under consideration. The member should then excuse himselfherself Pram considering and voting on the matter. !n eases where an advisory board or commission member~declares a conflict or potential conflict of it>tterest, the member shall eia:use h'unself/herself from the board tabielvoting area ur>til all d'rscussfon, consideratign, and voting is compietied on the matter in question: Any advisory board or camrnission member having questions or needing assistance regaitiing the Interpretation of these ethics guidelines or other conflict of IMatest matters should contact the administrative staff for the respective board or commission. Staff Hn'U assist the memberwith - questions and interpretations and may provide a recommendation on whether or~not the advisory - board or commission member should exwse himself/tierielf from voting. The member riiay request that the staff respond In writing. ,:Staff may contact the County Manager fnr any additional assistance. If appointed, I agree to atberid a three-hour orientation which ~nn'll give an overview of how Orange County Government operates and its relationship to other governmental uniffi. ~~~r ~'~ ,~~- o~ r5 oa Signature Data 2-3 This space for office use only 6/7/02 Page 1 of 1 Steve L. Medlin VOLUNTEER APPLICATION ORANGE COUNTY BOARDS AND COMMISSIONS If you are an Orange County resident, at least 18 years old, and willing to volunteer your time and expertise to your community, please complete this application and return to: Orange County Commissioners' Office P.O. Box 8181 Hillsborough, NC 27278 Phone (919) 245-2125; 688-7331; 227-3031 FX (919) 644-0246 NAME: ------------------=-------------- Steven L. Medlin HOME ADDRESS: ------------------ 5904 Hideaway Drive CITY: ----------------------------------- Chapel Hill STATE: -------------------------------- NC ZIP CODE: --------------------------- 27516 TELEPHONE: (Home) -------------- 919-967-0793 TELEPHONE: (Work) --------------- 919-560-4137 TELEPHONE: (FAX) ---------------- 919-560-4641 EMAIL: --------------------------------- dmedlin2@nc.rr.com PLACE OF EMPLOYMENT: ------ City of Durham JOB TITLE: --------------------------- Planning Supervisor -Development Management TOWNSHIP OF RESIDENCE: --- Chapel Hill ZONE OF RESIDENCE: ----------- - SEX: ----------------------------------- Male ETHNIC BACKGROUND: --------- Caucasian DATE OF BIRTH: -------------------- 07/26/1958 LIST, IN PREFERENCE, THE BOARDS/COMMISSIONS ON WHICH YOU WOULD BE WILLING TO SERVE: 1: ---------------------- Orange County Planning Board 2. ------- Commission for the Environment 3. ---------------- Alcoholic Beverage Control Board Please list work, volunteer and educational experience. WORK EXPERIENCE: Durham City-County Planning Department, Planning Supervisor 1988-2002; Durham County Planning Department 1986-1988 -Planner; U.S. Commerce Department, Census Bureau - Geographer 1983-1985; City of Greenville Planning Department -Planner 1982; Regional Development Institute, Greenville -Research Associate 1981. VOLUNTEER EXPERIENCE: Orange County Board of Adjustment 1995-2002 (term expired in June); Habitat for Humanity Association of Retarded Citizens (Pitt County). EDUCATIONAL EXPERIENCE: East Carolina University - B.S. Urban and Regional Planning 1982; Pitt Technical College -Property Surveying 1980; Institute of Government -various planning, land use and management courses. OTHER COMMENTS: Certified Planner (AICP) by the American Planning Association. How did you become aware of Orange County volunteer opportunities? List all that apply: County Web Site If other, how? By submitting electronic application, applicant agrees to Ethics Guidelines and agrees to attend three-hour orientation. This form was submitted online, on Fri Jun 7 13:04:24 2002. 2~ This space for office use only 7/21/02 Page 1 of 1 John C. Steffens VOLUNTEER APPLICATION ORANGE COUNTY BOARDS AND COMMISSIONS If you are an Orange County resident, at least 18 years old, and willing to volunteer your time and expertise to your community, please complete this application and return to: Orange County Commissioners' Office P.O. Box 8181 Hillsborough, NC 27278 Phone (919) 245-2125; 688-7331; 227-3031 FX (919) 644-0246 NAME: -------------------------------- John C. Steffens HOME ADDRESS: ------------------ 1826 N. Lakeshore Dr. CITY: ---------------------------------- Chapel Hill STATE: ------------------------------- NC ZIP CODE: ---------------------------- 27514 TELEPHONE: (Home) --------------.933-2481 TELEPHONE: (Work) ------------ 765-5063 TELEPHONE: (FAX) --------------- 541-8585 EMAIL: ----------------------------- john.steffens@syngenta.com PLACE OF EMPLOYMENT: ------ Syngenta Biotechnology, Inc. JOB TITLE: -------------------------- Global Head of Traits Research TOWNSHIP OF RESIDENCE: --- Chapel Hill ZONE OF RESIDENCE: ----------- Does not apply SEX: -----------------------------------Male ETHNIC BACKGROUND: --------- Caucasian DATE OF BIRTH: ------------------- 5/7/57 LIST, IN PREFERENCE, THE BOARDS/COMMISSIONS ON WHICH YOU WOULD BE WILLING TO SERVE: 1: ---------------------- Alcoholic Beverage Control Board 2. ---------------------- 3. ---------------------- Please list work, volunteer and educational experience. WORK EXPERIENCE: Head of Traits Research, Syngenta Biotechnology (2000-present).Group Leader, Syngenta Biotechnology (1997-2000).Professor, Cornell University (1987-1997). VOLUNTEER EXPERIENCE: Chairman, Lake Forest Association (1999-2002). Led $1.2 MM fundraising and restoration of Eastwood Lake in Chapel Hill.Board member, Lake Forest Association (1997-1999). EDUCATIONAL EXPERIENCE: PhD, Biology and Chemistry, University of Virginia (1983).BA, Biology, University of Virginia, 1979. OTHER COMMENTS: How did you become aware of Orange County volunteer opportunities? List all that apply: Current Orange County Volunteer. If other, how? By submitting electronic application, applicant agrees to Ethics Guidelines and agrees to attend three-hour orientation.This form was submitted online, on Sun Ju121 17:24:57 2002. ~~~ ~ ~ S ` .~ FOR OFFICE USE ONLY , VOLUNTEER APPLICATION ORANGE COUNTY ADVISORY BOARDS AND COMMISSIONS ff you are an Orange County resident, at least 18 years old, and wilting to volunteer your time and expertise to your community, please complete this application and return to:r~ "~ . NAME: , H0~4iE ~- CITY: PHONE: Zip Code: (Evening/1ate~ q~~ ~(J • R~ YD (Fax) , EMAIL: PLACE OF EMPLOYMENT: ! ~ ~Q~~13 '~-E~ ,~i~t~f'Y~,7 ~D~l na IN.ORDER TO RSSURE COUNTYVKIDE REPRESENTATION PLEASE INDICATE YOUR TOWNSHIP- OF RESIDENCE: D Bingham ^ Cheeks D Hillsborough ~ Eno ~ Chapel Hiil O Little River ^ Cedar G1'a~re IN ADDITION, PLEASE INDICATE IF YOU LNE 1N ONE OF.THE FOLLOWING AREAS: ~,loint Planning Area .[7 Extraterritorial Area ^ Transition Area WE ASK YOUR HELP IN ASSURWG DNERSITY OF MEMBERSHIP BY AGE, GENDER AND RACE, BY ANSWERING THE FOLLOWING. QUESTIONS: ~.~Aale ^ Female . ETHNIC BACKGROUND:,'l~African American O Caucasian D Wispanic ~ Native American [] Other DATE OF BIRTH: PLEASE LIST (W ORDER OF PREFERENCE) THE BOARDS/COMMISSIONS ON WHICH YOU WOULD BE WILLI TO SERVE. 7. - - _ 2. ~ ... . _ ~.. _ _ t WORK EXPERIENCE: Orange County Commissioners' Office p,0. Box 8181 Hillsborough, NC 27278 Phone (919) 245-2125; 245-2129; ?45-2130; 732-8181 ~ ~ ~. FaxJ;.~,919) 644-0246 Email: nmartin~co.orange.nc.us VOLUNTEER EXPERIENCE: ' ~ . ~' • i%~ FOR OFFICE USE ONLY t n -I ~ ~b(~ ~ `~ 20~ 2- ~- Il ~horq-~ EDUCA' How did you become aware of Orange County volunteer opportunities? (Please check all that apply): D Newspaper D Ck We Page Current Orange County Volunteer Q Radio D T.V. j~l Other /~(( ~-!' ~~ ETHICS GUIDELINES FOR COUNTY ADVISORY BOARDS AND COMMISSIONS 1 agree by my signature below that, if appointed, I pledge to comply with the fo0owing ethics guidelines for advisory boards and commissions as adopted by the Orange County Board of Commissioners. C Members of advisory boards and commissions shall not discuss, advocate, or vote on any matter in . which'they have a conflict or potential confi'ict of.irlterest or an interest which reasonably.Inlght appear_ , _ to be in conflict with the concept of fairness in dealing with public business. A conflict of. interes± or a potential conflict occurs If a~member has a separate, private, or monetary interest, either direct or indirect, in any issue or transaction under consideration. ~ Any member who violates this provision may be subject th removal from the board or commission. tf an adv'~sory board or commission member believes he/she has a conflict or potehtial conflict of interest on a particular issue, then that member should state this belief to the other members of his/her respective advisory board or commission during the board or commission's public meeting. •The member should state the nature of the conflict, detailing that he/she tias'a separate, prnrate, or monetary interest, either director indirect, in the issue or transaction under consideration. The member should then excuse h[mself/herselffrorn considering and voting on the. matter. In cases where an advisory board or commission member declares a canftict or potential conflict of interest, the member shall excuse himselfiherselffrorn the board tablelvoting area until all discussion, aansideration,-and voting is. completed on tare master in question. Any advisory board or commission member having questions or needing assistance regarding the interpretation of these ethics guidelines or other conflict of interest matters should contact the administrative staff for the respective board or commission. Staff will assist the member with questions and interpretations and may provide a recommendation on whether ar not the advisory board or commission member should exwse himself/herself from voting. The member may request that the staff respond in writing. Staff may contact the County Manager for any additional assistance. If appointed, 1 agree to attend athree-hour orientation which will give an overview of how Orange County Government operates and its ~onship to other gavemmental units. ~ . ., /~ ~ •6 Date