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Home My WebLink AboutAgenda - 12-02-2002-9gORANGE COUNTY BOARD OF COMMISSIONERS ACTION AGENDA ITEM ABSTRACT Meeting Date: December 2, 2002 Action Agenda Item No. 9~ SUBJECT: Commission For the Environment -Three Appointments DEPARTMENT: Board of Commissioners PUBLIC HEARING: (YIN) No ATTACHMENT(S): Under Separate Cover Membership Roster Interest List Resumes/Applications of Those on the Interest List INFORMATION CONTACT: Clerk's Office, ext. 2130, 2125, 2126, 2129 TELEPHONE NUMBERS: Hillsborough Chapel Hill Durham Mebane 245-2130 968-4501 688-7331 336-227-2031 PURPOSE: To consider making three appointments to the Commission For the Environment. BACKGROUND: There are two vacancies on the Commission For the Environment, and one more will be created when Mr. Lee Rafalow resigns effective 12/31/2002. Over 15 applications have been received in the Clerk's office .from citizens interested in serving on this Commission. FINANCIAL IMPACT: None RECOMMENDATION(S): (A) Designate Mark Smith as the Air Quality representative (Environmental Specialist at N.C. Division of Air Quality) and Julie H. Tucker as the Engineering representative (Environmental Engineer -Bachelor's Degree in Engineering). (B) Then, make appointments as the Board decides. .7~ ~. '«+ 3 C .r V /'- s . U ~.. y ^, ~ '0. 6 v ~ ~ ~ ._ •o~ '~, o~ p ~~ ~ .~ ~ >s ~ N ~ U ~ ,., °~' r~//~~ V1 ~ ~ > N F h ~ D\ U cC ~L~/ ~ ~ O «~ ~ O fs. ~ w ~ a ~ Y ~ o ~ o o ~ U ~ U c~ y v. ' a ~ ~ i ~ 0 O ~i U a o " . ~ O II ~ ~.ti r^^ r V / , '~ N M O y ,^ , VI 0 ~ ~ 0. • a' ~ ~~~ ~ .fJ ; N Ql)l ~' N 1~1 H ~ V , ~.~ ~p +~ ti O 'b~ J G N 'N~° '~ ~ ,7 y F. O Vl CL. ~ o a~i N ~ N ~7 w y U 'O ;o~ N ~ c o ~ 'o aR ~ w ~ d a ~ ~ M ; o yE . ~~A^ ~ 7 y • ~ ~l ' S U ~ O Q ~ U ~ N ~y r C1 ~ U O _ "' 'L ~ • ~ y C ~ o ? ~ b ~ & > ~' ~ cd' °~ ! 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CC G v ; .. cd ~ ,_, ~ O ~ Vl ~ ~y d Q '~ fA .H ~.". .~ •G ~' > ~ Y~ O O N E . -. ~ .•' ~ v~ vi oo Ud O > ~ Vl U • G? O rl O y p" ~ o a~i a a a o v, ~ w rn a, o, o0 ° o ~ o O Q `~ '~ v o w Ci. W E ~ '° (j~~ A 'G ~ '~ `'" o ~ > ~ ~ ~' ~ ~ ~ W ~s ~ d o a'N U ~ a "~ w y y ~ 0 O ~ U_ 7 •N ~ ~ ~ ~ O C ~ d ~= ~ d ~ b W o O O 7 0.'« .~ ~ o~ x ~ '~ ~ w ~ ~ a ~ a 7 ~ O v o A i. ~ O ~: N D ~ ° y ~' a ~y ; ' A .t, ~ a.o b O o z 3 a ~ "' _ a~ao~i~ ~ ~x ~~ ~ .~ ~ O N '~ W ~ E.., ~~ LL . R .~ ~ N ,r N U G ' C • ~~ U ~ ~ ~ ~ O V ~ O .~ y O a CCS V O OD a 0 N N d O z ~o H cY Applicant Interest Listing by Board Name and by Applicant Name Contact Person: Commission For the Environment Ms. Martha Drake 210B Spring Lane Chapel Hill NC 27514 Skills: Accountant Skills: Advisory Board Experience Mr. R. Mark Ginsberg 4715 Brigadoon Dr Durham NC 27705 Skills: Environmental Consultant ' Skills: Musician Skills: Native American Issues Advocate Skills: Reprographics/Printing Mgmt. Contact Phone: Day Phone: 616-347-9530 (summer) Evening Phone: 919-933-0831 FAX: E-mail: mdrak@aol.com Also Serves On: Also Serves On: Day Phone: 919-832-7601 Evening Phone: 919-383-6460 FAX: E-mail: ncsea@mindspring.com Also Serves On: Also Serves On: Also Serves On: Also Serves On: David Stancil 919-245-2590 Sex: Female Race: Caucasian Township: Chapel Hill Date Applied: 11/20/2002 Sex: Male Race: Caucasian Township: Eno Date Applied: 11/20/2002 Mr. Richard H. Hicks, Jr. Day Phone: 336-202-4429 Sex:, Male 1616 Cavell Ct. Evening Phone: 919-643-7685 ~Ce; Caucasian Hillsborough NC 27278 Fes; 919-643-7685 Township: Hillsborough E-mail: detach@juno.com Date Applied: 11/20/2002 Skills: Lawyer Also Serves On: Mr. Randolph M. Kabrick 207 Woodleaf Drive Chapel Hill NC 27516 Skills: Professional Engineer Mr. Jeffrey A. Kueffer 122 Oldham Place Chapel Hill NC 27516 Skills: Habitat for Humanity Skills: Systems Analyst Day Phone: 919-484-2200 Evening Phone: 919-942-4062 FAX: 919-484-8100 E-mail: rkabrick@retec.com Also Serves On: Day Phone: 919-998-2336 Evening Phone: 919-960-4800 FA}{: 919-998-2430 E-mail: kueffer@nc.rr.com Also Serves On: Also Serves On: Sex: Male Race: Caucasian Township: Chapel Hill Date Applied: •a'F I~~'L o`p Z Sex: Male Race: Caucasian Township: Chapel Hill Date Applied: 11/21/2002 Monday, November 25, 2002 Page 1 of 3 Applicant Interest Listing Commission For the Environment by Board Name and by Applicant Name Contact Person: David Stanch Contact Phone: 919-245-2590 Mr. Tom Magnuson 103 E. Tryon Street Hillsborough NC 27278 Skills: CEO Skills: Historic Preservation Mr. Kenneth Meardon 1008 Bugle Court Chapel Hill NC 27516 Skills: Environmental Scientist Day Phone: 644-0600 Sex: Male Evening Phone: 732-6957 ~eB; Caucasian FAX; 644-0600 Township: Hillsborough E-mail: t,magnuson@tradingpath.org Date Applied: 11/04/2002 Also Serves On: Also Serves On: Day Phone: 919-941-0333 Sex: Male Evening Phone: 919-967-5678 ~Ce; Caucasian FAX: 919-941-0234 Township: Chapel Hill E-mail: kmeardon@cs.com Date Applied: 11/02/2002 Also Serves On: Mr. Steve L. Medlin Day Phone: 919-560-4137 Sex: Male 5904 Hideaway Drive Evening Phone: 919-967-0793 gaCe; Caucasian Chapel Hill NC 27516 FAX; 919-560-4641 Township: Chapel Hill E-mail: dmediin2@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. Matthew O'Brien 420 Hogan Woods Circle Chapel Hill NC 27516 Skills: Research Environmental Scientist Skills: Soil Scientist Day Phone: 336-288-7180 Evening Phone: 919-929-9866 FAX; 336-288-8980 , E-mail: mobrien@smeinc.com Also Serves On: Also Serves On: Sex: Male Race: Caucasian Township: Chapel Hill Date Applied: 01/24/2002 Ms. Dawn C. Pickett 107 Jones Street Chapel Hill NC 27514 Skills: Advisory Board Experience Day Phone: 919-929-8965 Evening Phone: 919-929-8965 FAX: E-mail: pickettdawn@hotmail.com Also Serves On: Sex: Female Race: Caucasian Township: Chapel Hill Date Applied: 02/19/2002 Monday, November 25, 2002 Page 2 of 3 8 Applicant Interest Listing by Board Name and by Applicant Name Contact Person: David Stencil Commission For the Environment Contact Phone: 919-245-2590 Mr. John A. Sciadinl Day Phone: 919-474-4600 Sex: Male 1809 Daniels Farm Rd. Evening Phone: 919-304-2131 j~Ce; Caucasian Mebane NC 27302 FAX: Township: Cheeks E-mail: jasciandini@aol.com Date Applied: 09/19/2001 Skills: Equipment/Assets Manager Also Serves On: Ms. Sally Gibbs Shook Day Phone: 919-929-5235 Sex: Female 104 Karin Ct Evening Phone: 919-929-5235 ~Ce; Caucasian Chapel Hill NC 27514 FA}{; 919-929-5235 Township: Chapel Hill E-mail: Date Applied: 07/05/2001 Skills: Registered Dietician Also Serves On: Mr. Dane Summers Day Phone: 919-942-8487 Sex: Male 1114 Sourwood Drive Evening Phone: 919-942-8487 Race: Caucasian Chapel Hill NC 27514 FAX: Township: Chapel Hill E-mail: dsummersl@yahoo.com Date Applied: 08/28/2001 Skills: Community Service Volunteer Also Serves On: Skills: Programmer Also Serves On: Mr. Jon Thomas Day Phone: 919-918-7708 Sex: Male 104 A West Poplar Ave. Evening Phone: 781-3551 x 605 Race: Caucasian Carrboro NC 27510 FAX: Township: Chapel Hill E-mail: Date Applied: 11/21/2002 Skills: Air Emissions Also Serves On: Skills: Technician Also Serves On: Ms. Lindsay B. Wichers Day Phone: 919-541-2726 Sex: Female 105 Stateside Drive Evening Phone: 919-967-7601 Race: Caucasian Chapel Hill NC 27514 FAX: Township: Chapel Hill E-mail: lwichers@email.unc.edu Date Applied: 10/07/2002 Skills: Environmental Scientist Also Serves On: Monday, November 25, 2002 Page 3 of 3 FOR OFFICE USE ONLY P- 1 Z Mc,~+h4 ~~ k~ VOLUNTEER APPLICATION ORANGE COUNTY BOARDS AND COMMISSIONS If you are an Qrange 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 Z7Z78 Phone (919) 732-8181; 688-7331; 968-4501; 2Z7-2031 Ext. 2125, 2129 or 2130 • Fax: (919) fi44-0246 NAME: ~~~~~J~____~ R f4-k~~' . CITY: ~ p Zip Code: SuHMr~r~ TELEPHONE: (H) ~`/q~Q~-,~(~ ~ !~ . 3`f7 `,lSr3a (Fax) ~ ~.-'' . EMAIL: d PLACE OF EMPLOYMENT: ~__._ 9' dG IN ORDER TO ASSURE COUNTYWIDE REPRE5ENTATION PLEASE INDICATE YOUR TOWNSHIP OF RESIDENCE: Bingham Cheeks Hillsborough Eno Chapel Hiil ~ Little River Cedar Grove __.____~ IN ADDITION, PLEASE INDICATE IF YOU LIVE IN ONE OF THE FOLLOWING AREAS: Joint Planning Area ~/ Extraterritorial Area Transition Area WE ASK YOUR HELP IN ASSURING DIVERSITY OF MEMBERSHIP BY AGE, GENDER AND RACE, BY ANSWERING THE FOLLOWING QUESTIONS: Male ~ ETHNIC BACKGROUND:• Female 1/ African American Hispanic Caucasian ~ Other Native American DATE OF BIRTH: "~ ` PLEASE LIST (IN ORDER OF PREFERENCE) THE BOARDSlCOMMISSIONS ON WHICH YOU WOULD B WILLIN TO SERVE. ~iy.e~ ~ . ~ -¢ 1. z. 3. JOB TITLE: ^ '4 /o FOR OFFICE USE ONLY ---- P. 2 Z ~ ~C~r+ha ra~c N~ease list any work, volunteer, and/or educational ..experience you would like to have considered in the review of your application. WORK EXPERIENCE: ~~~'~ _ p' Ciro v ' v v VOLUNTEER EXPERIENCE: ~/~ Q _ __e /_ _ J ,~~ ~ . _ ~. ~ p ,. ~ ~ _ T_ _ OTHER COMMENTS• How di~you become aware of Orange County volunteer opportunities? ~ '^ (Please check all that apply): Newspaper ~ i/'. County Web Page Current Orange County Volunteer Radio T.V. Other If appointed, I agree to attend athree-hour orientation which will give an overview of how Orange County Government operates and its relationship to other governmental units. __.- ~~ (signature) (date) VOLCISK3:APPLCTN; H:\_VOLAPPL.000 ORANGE COUNTY RESIDENTS APPLICATION MgrK 6insber~. COUNTY BOARDS AND COMMISSIONS Name:_ /C•_/LI ~/l' ~/nl..S$EIZC-~---------- -- Date:_ ~ ~___--- ~~ _ __~_ _ _y 31.9 r: ~ ~ ~~3treet:_ a7zo_ ~•~Z/L/l~l~~D wRD-----------------------------____-- Town:__HI~LSBu,2oNlrM---------------------- Zip• _Z7Z ~B'-- --- _ •- -- ~. Telephone: Day: 4/77 ~~93 ,Y Evening: ~3 ~' " ~6 z ~'" ~: Ethnic Background: Afro American Caucasian___ ~ ____ Native American Other____________ .~ -_ . i 1~ / ~=~~ Male ~ .Female Date of Birth 9/ (~Z . Occupation:__ ~?/Ii/if-G'~~2_--C!¢Rl~~i/ ~,q/'J Tin/Cr~DW'P/t~M ------- .:., ..~ °x~ Community Interests and Activities: Co~`'rM uN /7" ~ C f/tleC ~~ G~i`rfGL~ Socr~t, conlc~,¢•n/S ~ colG'I~EE ou.IE PRa~uGrie~t/ Cd~M/Tr~Es ChEri4r'~-~ C/~A/~2- dEn_~a~r/~/~ ~ioi/iPL r4FF.9//?S Co-F'ov~/v~ or uNiTA•2~~ ~N~ Vc~'i~'r~~!ST ~c_o_n/b,~~lf, €~ OF FfILLS$a/eouG~~E.•e~ o~/ iN7'~.ErT.p77cr~/yc. s~~cr'r(Ir~G~cari~i/7Tt~~ ~~ `~ uu n/ETwoak o,/ /~lvtCr~i~o~ ~tFi=~ri~.sC'~/~•~rv ,~MGa-cr,/ ca~~w'~rs~/~CEX~ ~'0~~-~~fi~i~i~so~'~it~~- w,g~~}~BA~v~ ~~i9~~.E?B,gw~MKlic%~~--_------- ' Township of Residence: •~ ~. Cheeks M~B gham Cedar Grove __ ~;:.:: . __ __Eno Chapel Hill ~ Hillsborough Little River _.~~ '~ Please list in order of prefe w: , would like to serve: ~` ` ~ y~'~ G~~an~S~ ~Jl tid~i` eSavzes c°~4 lCo~e '~~ 1~1L2/Y db~ Do you reside in the extraterritorial area of a municipality yes no (PoSsI$~y) rence Board/Commission(s) on which you Remarks: zlrl~~~_ ad~COcJ,2S~" To ,QEcE1/~ cE~TiF/~.tT~ ~~/_Na,J-P~di/T - --- MR./~ CrE~ ~.~ r ,~i? a r - Drlk~ G!N t /. ld ~. /N TE~./•~ 7'/o,~/sl G ~ ~ifTi4NS /T -- .. CO/'f PL~7FD _ ~ yes=_~8~ vitTE co rr~s ~~cc,~_ /,/ ~,vT. REL . ~ sac /ate oGy _- Si nature: ~ ~ KJ ~ ~~" ______..___ ~. g ------- ~ ~~~ - ---------- c~ ~. Return to: ~ Beverly Blythe 0~-- :!; -:~ ~~ Clerk to the Boazd of County Commissioners D ~~ ~ i'~ P. O. Box sisl ~;=;'. -' ~ {99~ '~ { ' Hillsborough, NC 27278 iZ This space for office use only Paee 1 of 1 Richard H. Hicks, Jr. 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: ---------------------------- Richard H. Hicks, Jr. HOME ADDRESS: -______________ 1616 Cavell Court CITY: ------------------------------ Hillsborough STATE: ---------------------------- NC ZIP CODE: ------------------------ 28278 TELEPHONE: (Home) -------------- 919 643-7685 TELEPHONE: (Work) ----______ 336 2024429 TELEPHONE: (FAX) -------------- 919 643-7685 EMAIL: ----------------------------- detach@juno.com PLACE OF EMPLOYMENT: ------ Self employed JOB TITLE: -------------------------- Attorney at Law TOWNSHIP OF RESIDENCE: ---- Hillsborough ZONE OF RESIDENCE: ------------ - SEX: ----------------------------------- Male ETHNIC BACKGROUND: ------- Caucasian DATE OF BIRTH: ---------______ 02/19/1945 LIST, IN PREFERENCE, THE BOARDS/COMMISSIONS ON WHICH YOU WOULD BE WILLING TO SERVE: 1: ---------------------- Planning Board 2.---------- Commission for the Environment 3. ---------------------- Please list work, volunteer and educational experience. WORK EXPERIENCE: 30 years of private and corporate law practice, including real estate (residential,and commercial). VOLUNTEER EXPERIENCE: Cultural organizations and church work. EDUCATIONAL EXPERIENCE: Davidson College (B.A. 1966)UNC-CH School of Law (J.D. 1969). OTHER COMMENTS: U. S. Army (Captain) Active Duty 1969-1971. How did you become aware of Orange County volunteer opportunities? List all that apply: Newspaper. 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 Mon Apr 22 12:49:36 2002. This space for otlice use only ~3 Page 1 of 2 Randolph M. Kabrick, P.E. VOLUNTEER APPLICATION ORANGE COUNTY BOARDS AND COMMISSIONS If you are an Orange County resident, at least 18 yeazs 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: ------------------------------- Randolph M. Kabrick, P.E. HOME ADDRESS: ----------------- 207 Woodleaf Drive - CITY: ---------------------------------- Chapel Hill STATE: -------------------------------- NC ZIP CODE: -------------------------- 27516 TELEPHONE: (Home) ------------ 919-942-4062 TELEPHONE: (Work) -------------- 919-484-2200 TELEPHONE: (FAX) --------------- 919-484-8100 EMAIL: -------------------------------- rkabrick@retec.com PLACE OF EMPLOYMENT: ------ The RETEC Group, Inc. JOB TITLE: ------------------------ Vice President TOWNSHIP OF RESIDENCE: --- Chapel Hill ZONE OF RESIDENCE: ------------ Does not apply SEX: --------------------------------- Male ETHNIC BACKGROUND: --------- Caucasian DATE OF BIRTH: ------------------ 08/03/01 LIST, IN PREFERENCE, THE BOARDS/COMMISSIONS ON WHICH YOtI WOULD BE WILLING TO SERVE: 1: ---------------- Commission on the Environment 2, ________________- Solid Waste Commission 3. --------------------- Water Resources Commission Please list work, volunteer and educational experience. WORK EXPERIENCE: Licensed Professional Engineer with 25 years of environmental engineering experience. Areas of expertise include hazardous wastes, wastewater treatment and renewable energy from biomass. My last 15 years have been at RETEC, a private environmental engineering and consulting firm servicing industry with 600 people in 25 offices nationwide. VOLUNTEER EXPERIENCE: Current: Member, Board of Directors, Arc of Arange County; Member, Stewardship Committee, Triangle Presbyterian Church; Member, Architectural Review Committee, North Haven Home Owners Association.Past: Treasurer, Boazd of Directors, Arc of Orange County; Member, Board of Directors, St. Francis School, Austin, Texas; EDUCATIONAL EXPERIENCE: BA (1974) General Science; University of North Cazolina at Charlotte; MS (1977) Enviromental Science and Engineering; Virginia Tech; Ph.D. (1988, incomplete) Biological and Agricultural Engineering; Cornell University. OTHER COMMENTS: How did you become aware of Orange County volunteer opportunities? List all that apply: Newspaper. 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 Mon Sep 24 16:04:53 2001. Addrs.ver.OCGIS.10/24/Ol.inC.H. City Limits.ncp. /~! This space for office use only Page 1 of 1 Jeffrey A. Kueffer 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: ----------____-____________ Jeffrey A. Kueffer HOME ADDRESS: ---------------- 122 Oldham Place CITY: ----------------------------- Chapel Hill STATE: -------------------------- NC ZIP CODE: ------------------------- 27516 TELEPHONE: (Home) -------------- 919-960-4800 TELEPHONE: (Work) ------------ 919-998-2336 TELEPHONE: (FAX) --------------- EMAIL: ------------------------------- kueffer@nc.rr.com PLACE OF EMPLOYMENT: ------ Quintiles, INC JOB TITLE: -------------------------- Senior Director TOWNSHIP OF RESIDENCE: --- Chapel Hill ZONE OF RESIDENCE: ----------- - SEX: -------------------------------- Male ETHNIC BACKGROUND: ------- Caucasian DATE OF BIRTH: -------------------- 10/26/1955 LIST, IN PREFERENCE, THE BOARDS/COMMISSIONS ON WHICH YOU WOULD BE WILLING TO SERVE: 1: ---------------------- Emergency Medical Services Advisory Council 2. ---------------------- Recreation and Parks Advisory Council 3. ---------------------- Commission for the Environment /i/zo`oa. Please list work, volunteer and educational experience. WORK EXPERIENCE: 20 years military service: operations, planning, & systems analysis. 3 years. pharmaceutical industry: operations, systems analysis. VOLUNTEER EXPERIENCE: Adult leader, Girl Scouts; Habitat for Humanity; Red Cross (blood donations). EDUCATIONAL EXPERIENCE: BS, Public Administration, University of Arizona; MBA, University of New Mexico. OTHER COMMENTS: How did you become aware of Orange County volunteer opportunities? List all that apply: Newspaper. 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 Wed Sep 12 07:55:40 2001. i~ Page 1/1 Tom Magnuson 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 expertise to your community, please complete and submit this form. 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. Tom Magnuson 103 E Tryon St Hillsborough, NC 27278 644-0600 732-6957 644-0600 t,magnuson@tradingpath.org Trading Path Preservation Association CEO Hillsborough Does not apply Male Caucasian 07/18/1944 Please list (in order of preference) the Boards/Commissions on which you would be willing to serve.l .Commission for the Environment 2.Agricultural Preservation Board 3. Recreation and Parks Advisory Council Work Experience: Non-profit mgmt, 1999-present Software Development Industry, Managing Partner, 1995- 1999 Training and Education, consultant, 1982-1995 Federal Civil Service, Logistics Mgmt Spec, 1975-1978 Integrated Circuit Industry, Engineer, Production mgmt, 1969-1975 Volunteer Experience: Habitat for Humanity: team leader, volunteer rewards committee Hillsborough Historical Society: Board of Directors Hillsborough Arts Council: Board of Directors Volunteer Fireman: Ben Lomond, CA. Education: BA, History, San Jose State U, San Jose, CA MA, -do- Postgrad, History and Organization Design, Duke U, 1978-1982. Other Comments: Interested in preserving Orange County's cultural assets, including mill sites, fords, and roads. How did you become aware of Orange County volunteer opportunities? Other. If Other, how? word of mouth . By submitting electronic application, applicant agrees to Ethics Guidelines and agrees to attend three-hour orientation. This form was submitted online, on 11 /4/02 1:09:23 PM. This space for office use only Page 1 of 1 Kenneth R. Meardon 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: --------------------------------- Kenneth R. Meardon HOME ADDRESS: ---------------- 1008 Bugle Court CITY: ---------------------------------- Chapel Hill STATE: ------------------------------- NC ZIP CODE: ---------------------------- 27516 TELEPHONE: (Home) ----------- 967-5678 TELEPHONE: (Work) -------------- 941-0333 TELEPHONE: (FAX) --------------- 941-0234 EMAIL: --------------------------------- kmeardon@cs.com PLACE OF EMPLOYMENT: ------ Pacific Environmental Services, Inc. JOB TITLE: --------------------------- Environmental Scientist TOWNSHIP OF RESIDENCE: ---- Chapel Hill ZONE OF RESIDENCE: ------------ TA (Transition Area) SEX: ------------------------------------ Male ETHNIC BACKGROUND: -------- Caucasian DATE OF BIRTH: ------------------- 03/06/1952 LIST, IN PREFERENCE, THE BOARDS/COMMISSIONS ON WHICH YOU WOULD BE WILLING TO SERVE: 1: ---------------------- Commission for the Environment 2. --------------------- 3. ---------------------- Please list work, volunteer and educational experience. WORK EXPERIENCE: 20 years working for environmental consultant firm in the Triangle. Most project work has been developing national air pollution standazds under contract with the USEPA. Management experience, including personnel supervision. Work has included preparing and giving papers and presentations. VOLUNTEER EXPERIENCE: 4 years with Habitat for Humanity Partnership (high school partnership)including construction site work, supervise volunteers, fundraising. EDUCATIONAL EXPERIENCE: BS Environmental Resources, Rutgers UniversityPhD Environmental Policy and Economics, Duke University OTHER COMMENTS: How did you become awaze of Orange County volunteer opportunities? List all that apply: Newspaper l4 By submitting electronic application, applicant agrees to Ethics Guidelines and agrees to attend three-hour orientation.This form was submitted online, on Tue Jun 19 22:21:38 2001. /~ This space for office use only 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. -------- Cornmission 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. /8 This space for office use only 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) 732-8181; 688-7331; 9G8-4501; 227-2031 Ext. 2125, 2129 or 2130 -Fax: (919644-0246) NAME; ________________________w__ Matthew H. O'Brien HOME ADDRESS: ---------_-___ 420 Hogan Woods Circle CITY: --------------------------__~-- Chapel Hill STATE: ------------------------------- NC ZIP CODE: ---------------------------- 27516 TELEPHONE: (Home) ------------- 919.929.9866 TELEPHONE: (Work) ----------- 336.288.7180 TELEPHONE: (FAX) ---------------- 336.288.8980 EMAII..: --------------------------------- mobrien@smeinc.com PLACE OF EMPLOYMENT: ------ S&ME, Inc. 70B TITLE: ------------------------- Manager -Natural Resourecs TOWNSHIP OF RESIDENCE: --- Chapel Hill ZONE OF RESIDENCE: ---------- - SEX: -------_____-_---------_-~_-_ Male ETHNIC BACKGROUND: --------- Caucasian DATE OF BIRTH: -------------------- 5/21/66 LIST, IN PREFERENCE, THE BOARDS/COMMISSIONS ON WHICH YOU WOULD BE WILLING TO SERVE: 1: ---------------------- Commission on the Environment 2. ---------------------- Agriculture Preservation Board 3. --------------------- Please list any work, volunteer and/or educational experience you would like to have considered in the review of your application. WORK EXPERIENCE: 1990-1998 Research Triangle Institute, RIP, NC (Research Environmental Scientist)1998-2000 Wetland & Environmental Services, Inc. Myrtle Beach, SC (Sr. Project Manager)2000-present S&MIJ, Inc. (Manager -Natural Resources) VOLUNTEER EXPERIENCE: 1998-2000 Vice-Chair Horry County Stormwater Advisory Committee, Hony County, SC S G G G Gtit-cn a ~C/ /9 z a F Z /VtA ~~.~ G~~~r,'r~ EDUCATIONAL EXPERIENCE: B.S. Forestry, University of IdahoM.S. Soil Science, NSCUN.C. Licensed Soil Scientist #1222Frofessional Wetland ScientistRegistercd Forester (SC)#2000 OTHER COMMENTS: I enjoy using my qualifications and experiences to better the community in which I live. My hopes are that through my involvement in a committee, both technical and non-technical issues can be discussed openly among many different types of people who care about their surroundings. Long-range planning must be in place to ensure the most benficial future for our children and county. 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 Thu J'an 24 12:00:05 2002 ~, o FOR OFFICE USE ONLY P. ~ o F .~ ~Q.,W r~ G' ~ P)Gke~t VOLUNTEER APPLICATION ORANGE COUNTY ADVISORY BOARDS AND COMMIS510NS If you are an Orange County resident, at least 18 years old, and willing to vo time.~ttd expertise to your community, please complete this application and return ton ~ ~ a M Orange County Commissioners' Office U P.O. Box 8181 'F~ ~ ~ l~~ Hillsborough, NC 27278 Phone (919) 245 2125; 245-2129; 245.2130; 732-8181 Fax: (919) 644.0246 Email: npaciga~co.orange.nc. NAME: !~~ ~ , ~,~ HOME ADDRESS: CITY: ~~~ ,rf~,(,L~ '~ , ~ _ Zip Cade: PHONE: (Day) x919,) 1 ~..9-P ~G S (Evening/late) 9~9 ~a9-~9G ~ (F~) EMAIL:. ~l.ci~~.tfi' otCZC~J n (~ ~tbfi-mat~Q. ~ ~m PLACE OF EMPLOYMENT: /,~y~ Q_„~,, /~,,,,,,~ JOB TITLE: -2°7~/ ~ IN ORDER TO ASSURE COUNTYWIDE REPRESENTATION.PLEASE INDICATE YOUR TOWNSHIP OF RESIDENCE: - O Binghaer~ ~O Cheeks O Hillsborough O Eno Chapel Hill O Little River O~CedarGrove- IN ADDITION, PLEASE INDICATE IF YOU LIVE IN ONE OF THE FOLLOWING AREAS: O Joint Planning Area O Extraterritorial Area O Transition Area WE ASK YOUR HELP IN ASSURING DIVERSITY OF MEMBERSHIP BY AGE, GENDER AND RACE, BY ANSWERING THE FOLLOWING QUESTIONS: O Male ~ Female ETHNIC BACKGROUND: O African American Q~ Caucasian O Hispanic O Native American O Other DATE OF BIRTH: /~_ ~-~i5' PLEASE LIST (IN ORDER OF PREFERENCE) THE BOARDS/COMMISSIONS ON WHICH YOU WOULD BE WILLING TO SERVE. ~~~~ I:I r ` J 1. -fuf~i~'lG Nisrn~ C.C~ C 2.{t ~ C~1'C. C,f4G 3. l.~M rnA,.S~O-i rr- ~0-l C~n~O,~- WORK EXPERIENCE: IV(.L,r~: ~i I ~~.r-: ,.,) m c) l~ ~~~irr .4~nni~,t't . .>~ VOLUNTEER EXPERIENCE: a~ FOR OFFICE USE ONLY nn 2 o F 3 1~`R.t~~ YL ~' .~ i G If C f# EDUCATION: _(~, ~ ~~ ~, ~ f10 n ry~-~~~ _ ~'h2,du OTHER COMMENTS: How did you become aware of Orange County volunteer opportunities? (Please check all that apply): O Newspaper ~ County Web Page O Current Orange County Volunteer O Radio O T.V. ~ Other 'Z/dT f,y-y-rl ~, l .,r( r,~• f,(JQ,~2,(. ~p . ETHICS GUIDELINES FOR - J ^~ 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 adopted 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 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 to removal from the board or commission. If an advisory board or commission member believes 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 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 has a separate, private, or monetary interest, either direct or indirect, in the issue or transaction under consideration. The member should then excuse himself/herself from considering and voting on the matter. In cases where an advisory board or commission member declares a conflict or potential conflict of interest, the member shall excuse himself/herself from the board table/voting area until all discussion, consideration, and voting is completed on the matter 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 or not the advisory board or commission member should excuse 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, I agree to attend athree-hour orientation which will give an overview of how Orange County Government operates and its relationship to other governmental units. re oG ' ~r Date ~W.DISI(3:APPlLfN; H:~._VOLAPPL,000 22 This space for office use only Page 1 of 2 John A. Sciadini 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) 732-8181; 688-7331; 968-4501; 227-2031 Ext. 2125, 2129 or 2130 -Fax: (919 644-0246) NAME: ------------------------- John A. Sciadini HOME ADDRESS: ------------ 1809 Daniels Farm Rd (unincorporated-Orange county) CITY: ------------------------------- Mebane STATE: ------------------------------ NC ZIP CODE: ------------------------- 27302 TELEPHONE: (Home) ------------ 919 304-2131 TELEPHONE: (Work) --------------- 919-474-4600 TELEPHONE: (FAX) ------------_ EMAIL: ------------------------------- Jasciadini@Ao1.Com , Jsciadini@Kineticsgroup.Com PLACE OF EMPLOYMENT: ----- Kinetics Systems (rtp) JOB TITLE: -------------------------- Equipment/Assets Manager Eastern Region TOWNSHIP OF RESIDENCE: ---- Cheeks ZONE OF RESIDENCE: ---------- SEX: ------------------------------- Male ETHNIC BACKGROUND: -------- Caucasian DATE OF BIRTH: ------------------ 08/18/54 LIST, IN PREFERENCE, THE BOARDS/COMMISSIONS ON WHICH YOU WOULD BE WILLING TO SERVE: 1: ---------------------- Skills Development Center 2. ---------------------- Mebane Board Of Adjustment (If Eligible) 3. ---------------------- Orange County Board Of Adjustment Please list work, volunteer and educational experience. WORK EXPERIENCE: 1) Presently working with International mechanical contractor and teaching part time through Wake Technical Community College Vo Tech.2)17 years of Civil Service In the state of Florida (Municipal) and active in city government and chamber of commerce. VOLUNTEER EXPERIENCE: No real experience in these areas. Have been on some committees while employed in civil service. EDUCATIONAL EXPERIENCE: 1) BS in administrative studies and presently involved in courses of study to receive my AA in vo tech training and a BA in construction management. ~3 Page 2 of 2 John A. Sciadini OTHER COMMENTS: Feel I have something to offer and have seen some of these same boards with openings that seem to go unfilled. I have resided in Orange County now for 3 years and my daughter is attending high school here in orange county. How did you become aware of Orange County volunteer opportunities? List all that apply: Newspaper 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 Ju122 21:09:02 2001 zy FOR OFFSGE USE ONLY Q- ~ ~ ~ 2 Scilly Gi bbs ~ h ooK VOLUNTEER APPLICATION ORANGE COUNTY ADVISORY BOARDS AND COMMlSSiONS !f you are an Orange County resident, at least 18 years old, and waling to valantesr your time~an~Id expertise to your community, please complete this application and return to: ~ ~~~ Orange County Commissioners' Office D l5 v P.O: Box 8181 Hillsborough, Nc 2727$ ~ JUL 52001 Phone (919) 248-2125; 245 2129; 245.2130; 732.8181 Fax: (919) 644.0246 • .Email: nmartin@co.orange.nc.u HOME ADDRESS: ~ [1~_~6_-~(`ti. C_~- cITY: ~~~~~~~~~ ~ zip code: ~ PHONE: (Day) ~1A - '~ Z3 ~ (Eveningllate) ,~ ~~. ~ (Fax) S G. `~'h~ EMAIL: _ ~~ PLACE OP EMPLOYMENT: ~ fi~-f 4 ~ JOB TITLE: ~~ti ~ ~ ~ ~~ -\ ~ ~~p`~ IN ORbER.TO ASSURE CQUNTYaAIIDEREPNTA'~'ION PLEASE INDICA'i'E~(.OUR TOWNSHtP•~ ~" OF RESIDEi:...'s dK ~x-P .. •: '= .. ^ Bingham ^ Cheeks ^ Higsborough ^ Ena .Chapel Hill d Little River ^ Cedar Gro•~e IN ADDITION, PLEASE INDICATE IF YOU LIVE IN ONE OF THEF04LOWING AREAS: D Joint Planning Arsa D ~Eutraterritorial Arsa ^ Transition Area WE ASK YOUR.HELP IN ASSURING DNERSITY OF MEMBERSHIP BY AGE, GENDER AND RACE, BY ANSWERING THE FOLLOWING 4UESTIONS: ^ Male ~emals ETHNIC BACKGROUND: G African American ~Caucaeian ^ Hispanic ^ Native American ^ Othsr DATE OF BIRTH: ~ ~- Z`"'(~ -~,~, PLEASE LIST (IN ORDER OF PREFERENCE) THE BOARDS/COMMISSIONS ON WHICH YOU WQULD BE W1LLlNa TO SERVE deb ~G bks ~ cc d~rs - Shook_sg .'Pd-~ ' ZS FOR OFFICE USE ONLY - - P a ~ 2 of 2 ~o,t1 ~. G;~ hbs ~hoolc OTHER COMMENTS . ~ w t~a~. '~ How did y become aware oi` Oratngo-County veiurrie~r opporLnnltieg7ZPle a cn~at applyje~Nuowspaper D County Web Page ~ Current Orenge County Volunteer ' ~ Radio O T.V: ~ Other ETHICS GIJIDEUNES FOR COUNTY ADVISORY BOARDS AND COMMISSIONS l agree by ~my signature below that, if appointed, I pledge to comply with the fallowing ethics guidelines for advisory boarcis and commissions as adopted by the Orange County Board of Commissioners. • Members of advisory boards and comm~sions shalt not discuss, advorafie, or vote on any matter in~ whidafih~. have maflict.orpoteatlaL con#AEt ot:~intarast.or an .interest which reasonably might appear to be in'otiptiiath the concept of fairness in dealing with public business. A con>'iict of.interer~ 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 to removal from the board or commission. ' - " • If an advisory board or commission member believes 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 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 has a separate, private, or monetary interest, either direct or indirect, in the issue or transaction under consideration. The member should then excuse himself/henself from considering and'voting on the. matter, incases ... - -vrhere.as.aduiSOa~~dooard•or-eor~nissbn member dec~aresa-conflict or potential conflict of indar~esf; his ~ ~ "`' member sha11 excuse hlmself/herself from the board tabie/votlng area urrtil ail discussion, consideration, and voting is completed on the matter in question. • Any advisory board or commission member having questions or needing assistance regarding the interpretation of these ethics guideAnes 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 commission member should excuse himself/herse{f from voting. The member r~iay request that the shafF respond in writing. Staff may contact the'Caunty Manager for any additional assistance. if appointed, l agree to attend athree-hour orientation which will give an ovenri~nr of how Orange County C3ov~emment operates and its relationship to other governmental units. . Signature Z O te. ~. 6 This space for office use only Page 1 of 1 Dane Summers 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: -------------------------------- Dane Summers HOME ADDRESS: -----_________ 1114 Sourwood Dr. CITY: -------------------------------- Chapel Hill STATE: -------------------------- NC ZIP CODE: -------------------------- 27514 TELEPHONE: (Home) ------------ (919)942-8487 TELEPHONE: (Work) --------------- *same* TELEPHONE: (FAX) -----________ EMAIL: ----------------------------- dsummersl@yahoo.com PLACE OF EMPLOYMENT: ------ SharkByte Systems JOB TITLE: ------------------------ Programmer TOWNSHIP OF RESIDENCE: ---- Chapel Hill ZONE OF RESIDENCE: --------- -In Chapel Hill City Limits (CH PD d.s./np) SEX: ------------------------------- Male ETHNIC BACKGROUND: ---_--- Caucasian DATE OF BIRTH: ----------______ 05/05/1977 LIST, IN PREFERENCE, THE BOARDS/COMMISSIONS ON WHICH YOU WOULD BE WILLING TO SERVE: 1: ---------------------- Commission for the Environment 2. ----------------------Affordable Housing Advisory Board 3. ---------------------- Chapel Hill Board of Adjustment Please list work, volunteer and educational experience. WORK EXPERIENCE: Barpoint, Inc. --programmer(Java,c,perl,php,sybase,oracle)SharkByte Systems -- programmer(java)Catalyst Solutions -- tech supportWashington University Library -- bookbinding department VOLUNTEER EXPERIENCE: Appalachian Mountaneer Club -trail maintenanceHabitat for Humanity -- house buildingChristian Appalachian Project -- construction EDUCATIONAL EXPERIENCE: BA, Warren Wilson CollegeBSCS, Washington University OTHER COMMENTS: How did you become aware of Orange County volunteer opportunities? List all that apply: Newspaper. 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 Aug 28 23:59:40 2001. ~~ FOR OFFICE USE ONLY a VOLUNTEER APPLICATION ORANGE COUNTY ADVISORY BOARDS ANO COMMISSIONS If you are an Orange County resident, at least 18 years o[d, and willing;to volunteer your time and expertise to your community, please complete this application and rotur~;;~.-: = ~ _. •... . • ~ ~:. Orange County Commissioners' Office P.O. Box 8181 • Hillsborough, NC 27278 ~~i ~ ) . Phone (919) 245-2125; 245-2129; ?.5..2150; 752-8181 . Fax: (919) 644-0246 • Email: nmartin~co.oranye.nc.us NAME: s c ?l.~mt~rs _ t..._. ... _ ._.. HOME ADDRESS: /OSi.d /,c~o~ CITY:~~.•-r`~~~/U.C: - T.IIp Code: .Q 9S`~G PHONE: (Day) .~9i_ 9) 7~'3~ (gvsning/late) 9/~-77oP' (Fax) . EMAIL: . PLACE OF EMPLOYMENT: .~.-~ ~ JOB TITLE: :~ ~E,N•rx~e.u .~ / ~~~ IN ORDER TO ASSURE-000NTYWIDE REPRESENTATION PLEASE INDICATE YOUR TOWNSHIP OF RESIDENCE: ^ Bingham ^ Cheeks ^ Hillsborough ^ Eno Fd Chapei HIII ^ Ltttie River ^ Cedar Gra~re IN ADDITION, PLEASE INDICATE IF YOU LIVE 1N ONE OF THE FOLLOWING AREAS: ^ Jolnt Planning Area ^ Extraterritorial Area ^ Transition An:a WE ASK YOUR HELP IN ASSURING DIVERSITY OF MEMBERSHIP BY AGl:, GENDER AND RACE, BY ANSWERING THE FOLLOWING QUESTIONS: ~1 Male ^ Female ETHNIC BACKGROUND: ^ African American ®Caucasian D Hispanic ^ Native American - -. .. _, .. ^ Other DATE OF BIRTH: _ f/~~/fir ~~ PLEASE LIST (IN ORDER OF PREFERENCE) THE BOARDS/COMMISSIONS ON WHICH YOU WOULD BE WILLING TO SEJZVE. WORK EXPERIENCE: r.,,~/~~4c ~ ~ ~ ~ ~~~~~ r f~-~.. ~ f~ . ~ ,~ VOLUNTEER EXPERIENCE; ..~? Zg FOR OFFICE U5E ONLY J~ EDUCATION: ~~,-,• ,~' ,~,,~ ~~ ~ a OTHER COMMENTS• How did you ibecome :ware of Orange County volunteer opportunities (Please check all that apply): Jfa Newspaper C7 County Web Page ~ Current Orange County Volunteer ~ Radio ~ T.V. ~ Oth®r ETHICS GUIDELINES FOR COUNTY ADVISORY BOARDS AND COMMISSIONS I agree by my signature below that, if appointed, I pledge to comply with the fallowing ethics guidelines for advisory boards and~commissions 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 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 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 to removal from the board ar commissron. If an advisory board or commission member believes he/she has a conflict or potential conflict of interest on a partlcxdar 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 Fias'a separate, private, or monetary Interest, either difect or indirect, in the'issue or transaction under consideration. The member should then excuse himself/henself from considering and voting on the matter, In cases where an advisory board or commission member declares a conflict or potential conflict of interest, the member shall excuse himself/herselffrorn the boan:! tablelvoting area until all discussion, consideration, and voting is completed on the matter 1n 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 or not the advisory board or commission member should excuse hlmself/herself from voting. The member may request that the staff r®spond in writing. Staff may contact the County Manager for any additional assistance. If appointed, l agree to attend athree-hour orientation which wilt give an overview of how Orange County Government operates and its relationship to other governmental units. ~ . re ' bate 2J This space for office use only Page 1 of 2 Lindsay B. Wichers 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: --------------------------------- Lindsay B. Wichers HOME ADDRESS: --------------- 105 Stateside Dr. CITY: ------------------------------- Chapel Hill STATE: ------------------------------- NC ZIP CODE: ------------------------- 27514 TELEPHONE: (Home) ------------ 919-967-7601 TELEPHONE: (Work) -------------- 919-541-2726 TELEPHONE: (FAX) --------------- EMAIL: ------------------------------- lwichers@email.unc.edu PLACE OF EMPLOYMENT: ----- Pulmonary Toxicology Branch, Environmental Protection Agency RTP JOB TITLE: --------------------------- University of North Carolina Grantee TOWNSHIP OF RESIDENCE: ---- Chapel Hill ZONE OF RESIDENCE: ------------ - SEX: -------------------------------- Female ETHNIC BACKGROUND: --------- Caucasian DATE OF BIRTH: ------------------- 05/03/1976 LIST, IN PREFERENCE, THE BOARDS/COMMISSIONS ON WHICH YOU WOULD BE WILLING TO SERVE: 1: ---------------------- Commission for the Environment 2. --------------------- Recreation and Parks Advisory Council 3. ---------------------- Please list work, volunteer and educational experience. WORK EXPERIENCE: University of North Carolina Grantee, Pulmonary Toxicology Branch, Experimental Toxicology Division, Environmental Protection Agency RTP. Conduct animal research to determine adverse health effects of particulate matter. Data collected and analysis include cardiovascular and respiratory parameters. November 2000-current.Environmental scientist, TerraGraphics Environmental Engineering, Inc., Moscow, Idaho. Performed various environmental sampling duties, including soil, groundwater, and air; managed environmental databases; participated in project budgeting and administrative tasks. May 1998-July 2000. VOLUNTEER EXPERIENCE: First grade reading partner, Student Reading Partners, Carrboro Elementary School, January-May 2001.Food preparer, Inter-faith Council Shelter, Chapel Hill, NC. 2000-current. Committee member, Holiday Party Planning Committee, Department of ~~ Environmental Sciences and Engineering, School of Public Health, UNC-Chapel Hill. October- December 2000.Soccer coach, Moscow Parks and Recreation Department, Moscow, ID. 1997. Paae 2 of 2 Lindsay B. Wichers EDUCATIONAL EXPERIENCE: University of North Carolina. Chapel Hill, North Carolina. Expected graduation 2002 (MSPH). Environmental Health Sciences program, Department of Environmental Sciences and Engineering, School of Public Health.University of Idaho. Moscow, Idaho. 1998. BS in Environmental Science with emphasis in mathematics, hazardous waste, and water. OTHER COMMENTS: This would be a great opportunity for me to apply my knowledge of the environment to this area. I would also enjoy the community interaction with others. How did you become aware of Orange County volunteer opportunities? List all that apply: Newspaper. 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 May 18 12:32:45 2001