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Home My WebLink AboutAgenda - 09-02-2008 - 10bORANGE COUNTY BOARD OF COMMISSIONERS ACTION AGENDA ITEM ABSTRACT Meeting Date: September 2, 2008 Action Agen; ~ _~ Item No. ,_ SUBJECT: Adviso Board on A in -New A ointments Board of Commissioners PUBLIC HEARING: (Y/N) No DEPARTMENT. - - INFORMATION CONTACT: ATTACHMENT(S): Under Separate wvG~ Membership Roster Letter of Recommendation Application(s)1Resume(s} of Person(s) Recommended Interest List Application{s)lResume(s) of Persons) on the Interest List Clerk's Office, 245-2130 PURPOSE: To consider making new appointments to the Advisory Board on Aging. BACKGROUND: The Clerk's office has received recommendations from the Advisory Board of Aging for the following: Steve Lackey, Don Willhoit and Miriam Settle. If appointed, Mr. Lackey and Mr. Willhoit will be serving full terms ending 6/3012011; Ms. Settle will be serving a partial term ending 6/30/2010. Position Number S ecial Re resentation Ex iration Date #1 Steve Lacke At-Lar a 06/30/2011 #2 Don Willhoit At-Lar a 06!30/2011 #3 Miriam Settle Cha el Hill 06/30/2010 FINANCIAL IMPACT: None. RECOMMENDATION{S): Consider making new appointments to the Advisory Board on Aging. Board and Commission Members And Vacant Positions Advisory Board on Aging Meeting Times: 2:00 p.m. second Wednesday Terms: 2 Contact Person: Jerry Passmore Meeting Place: Hillsborough/Chapel Hill Positions: 13 Length: 3 years Contact Phone: 919-245-2009 Description: These positions are filled by appointment of the Board of Commissioners with certain seats allocated to the Townships and Town of Chapel Hill, Hillsborough and Carrboro. This board suggests policy and makes recommendations to the Board of Commissioners and the Department on Aging while acting as the liaison between the older citizens of the County and the County government. It is charged with promoting needed services, programs and funding that impacts the older citizens. `IAC~7' Day Phone: Sex: First Appointed: Evening Phone: Race: Current Appointment: 1 FAX: Township: Expiration: 06/30/2008 E-mail: Resid/Spec Req: At-Large Number of Terms: Special Repr: `JAC~'j' Day Phone: Sex: First Appointed: Evening Phone: Race: Current Appointment: 2 FAX: Township: Expiration: 06/30/2008 E-mail: Resid/Spec Req: At-Large Number of Terms: Special Repr: VACANT Day Phone: Sex: First Appointed: Evening Phone: Race: Cunent Appointment: 3 FAX: Township: Expiration: 06/30/2010 E-mail: Resid/Spec Req: Chapel Hill Number of Terms: Special Repr: VACANT Day Phone: Sex: First Appointed: Evening Phone: Race: Current Appointment: 4 FAX: Township: Expiration: 06/30/2009 E-mail: Resid/Spec Req: Hillsborough Number of Terms: Special Repr: Mr. Jerry L. Kruter Day Phone: 919-967-9513 Sex: Male First Appointed: 06/03/2003 Evening Phone: 919-967-9513 Race: Caucasian Current Appointment: 05/16/2006 5 322 Sunset Creek Circle FAX: 919-968-8922 Township: Chapel Hill Expiration: 06/30/2009 Chapel Hill NC 27516 E-mail: jlkruter@earthlink.net Resid/Spec Req: Carrboro Number of Terms: 2 Special Repr: Thursday, August 28, 2008 Page 1 Y Board and Commission Members And Vacant Positions Advisory Board on Aging Meeting Times: 2:00 p.m. second Wednesday Terms: 2 Contact Person: Jeny Passmore Meeting Place: Hillsborough/Chapel Hill Positions: 13 Length: 3 yeazs Contact Phone: 919-245-2009 Description: These positions are filled by appointment of the Board of Commissioners with certain seats allocated to the Townships and Town of Chapel Hill, Hillsborough and Can-boro. This board suggests policy and makes recommendations to the Board of Commissioners and the Department on Aging while acting as the liaison between the older citizens of the County and the County government. It is charged with promoting needed services, programs and funding that impacts the older citizens. __ _ Dr. Janice Wassel _ __ Day Phone: 336.256.1020 Sex: Female First Appointed: 06/23/2004 6 Vice-Chair Evening Phone: 919.942.9397 Race: Caucasian Current Appointment: 05/15/2007 5204 Riley's Ridge Road FAX: 336.254.0174 Township: Hillsborough Expiration: 06/30/2010 Hillsborough NC 27278 E-mail: jiwassel@uncg.edu Resld/Spec Req: At-Large Number of Terms: 2 Special Repr: VACANT Day Phone: Sex: First Appointed: 7 Evening Phone: Race: Current Appointment: FAX: Township: Expiration: 06/30/2008 E-mail: Resid/Spec Req: At-Large Number of Terms: Special Repr: Ms. Peggy Cohn Day Phone: 919-489-6624 Sex: Female First Appointed: 10/17/2006 8 Evening Phone: same Race: Caucasian Current Appointment: 10/17/2006 10 Bayswater Place FAX: Township: Chapel Hil] Expiration: 06/30/2009 Chapel Hill NC 27517 E-mail: peggycohn I @earthlink.net Resid/Spec Req: At-Large Number of Terms: 1 Special Repr: Ms. Diane Henderson Day Phone: 919-918-3470 Sex: Female First Appointed: 10/17/2006 9 Evening Phone: Race: Caucasian Current Appointment: 10/17/2006 750 Weaver Dairy Rd., Apt. 132 FAX: Township: Chapel Hill Expiration: 06/30/2009 Chapel Hill NC 27514-1481 E-mail: nhendrsn@earthlink.net Resid/Spec Req: At-Large Number of Terms: 1 __ Special Repr: Ms. Ellen Ozier Hayes Day Phone: 919-880-3681 Sex: Female First Appointed: 10/23/2007 10 Evening Phone: 919-942-9357 Race: Caucasian Current Appointment: 10/23/2007 7125 New Light Trail FAX: 919-929-3755 Townshi Bin ham p: g Expiration: 06/30/2010 Chapel Hill NC 27516 E-mail: eozier@earthlink.net Resid/Spec Req: At-Large Number of Terms: Special Repr: Thursday, August 28, 2008 Page 2 Board and Commission Members And Vacant Positions Advisory Board on Aging Meeting Times: 2:00 p.m. second Wednesday Terms: 2 Contact Person: Jerry Passmore Meeting Place: Hillsborough/Chapel Hill Positions: 13 Length: 3 years Contact Phone: 919-245-2009 Description: These positions are filled by appointment of the Board of Commissioners with certain seats allocated to the Townships and Town of Chapel Hill, Hillsborough and Can•boro. This board suggests policy and makes recommendations to the Board of Commissioners and the Department on Aging while acting as the liaison between the older citizens of the County and the County government. It is charged with promoting needed services, programs and funding that impacts the older citizens. Mr. Fred Schroeder 11 604 Emory Drive Chapel Hill NC 27517 Dr. Alice Gordon 12 282 Edgewood Dr. Chapel Hill NC 27517 Mr. Moses Carey, Jr. 13 203 Simerville Road Chape] Hill NC 27517 Day Phone: 919-942-4780 Evening Phone: FAX: E-mail: fschroed@mindspring.com Day Phone: 919-933-0550 Evening Phone: 919-933-0550 FAX: 919-967-3823 E-mail: gordon.alice@gmail.com Day Phone: 919-933-8494 Evening Phone: 919-929-8513 FAX: 919-933-9201 E-mail: mcareyl@mindspring.com Sex: Male Race: Caucasian Township: Chapel Hill Resid/Spec Req: Chapel Hill Special Repr: Sex: Female Race: Caucasian Township: Chapel Hill Resid/Spec Req: At-Large Special Repr: B.O.CC (Liaison) Sex: Male Race: African American Township: Chapel Hill Resid/Spec Req: At-Large Special Repr: B.O.CC (Liaison) First Appointed: 09/21/2004 Current Appointment: 05/15/2007 Expiration: 06/30/2010 Number of Terms: 2 First Appointed: 06/27/2006 Current Appointment: 02/11/2008 Expiration: O 1 /30/2011 Number of Terms: 1 First Appointed: 02/11/2008 Current Appointment: 02/11/2008 Expiration: Ol /30/2011 Number of Terms: 1 Thursday, August 28, 2008 Page 3 S Orange County Advisory Board on Aging hme 13, 2008 The Honorable Baay Jacobs ~~Y Board of County Commissioners P.O. Bois 8181 JTillsborough, NC 27278 Dear Chair Jacobs: Subject: Board Appointment At the June l lm meeting of the Advisory Board on Aging all current applications for membership to the Advisory Board were reviewed. The Advisory Board on Aging recommends that Mr. Steve Lackey be considered for nomination to the vacaat position #1 as an at large representative. Mr. Lackey has served in a voluntary capacity with many community organizations. He has chaired the fom~er United Way Seniors Issues Team and is currenfly a member of the United Way Orange County Community Care Cabinet. Mr. Lackey cun~entiy serves as ice-Presided of the Friends of the Robert and Pearl Seymour Center and is a member of Project Compassion advisory board. Mr. Lackey has attended numerous joint meetings of the Seniors Issue Team and the Advisory Board on Aging and is well experienced with the functions of the Advisory Board. He would be a tremendous asset as a member of the Advisory Board on Aging. Thank you for your consideration of his nomination. Respectfully submitted, Jack Ches6aut, Chair Orange County Advisory Board on Aging Orange County Advisory Board on Aging June 13, 2008 The Honorable Bury Jacobs Orange County - Board of County Commissioners P.O. Box 8181 ldillsbomugh, NC 27278 Dear Chair Jacobs: Subject: Board Appointment At the June l la' meeting of the Advisory Board on Aging the Board considered all applications for membetsluip to the Advisory Board and unanimously approved recommending Mr. Don Willhoit for appointment to the Position #2 At large representative that will become vacant on Jame 30, 2008. Mr. Willhoit has vast experience as a volunteer. Most recently serving on the JOCCA Board of I?irectors, the Master Aging Plan Steering Committee, and currently serves on the IFC board. He served as a County Commissioner when the BOCG formed the Orange County Advisory Board on Aging and the Department on Aging. Mr. Willhoit is willing to serve and would be a tremendous asset as a member to the Advisory Board on Aging. Thank~you for youur consideration of his nomination.. Respectfully submitted, Jack Chestnut, Chair Orange County Advisory Board on Aging Orange County Advisory Board on Aging June 13, 2008 The Honorable Barry Jacobs Orange County Board of Coimiy Commissioners P.O. Boa 8181 Hillsborough, NC 27278 Dear Chair Jacobs: Subject: Board Appointment At the Jane l la' meeting of the Advisory Board on Aging the members considered all cuaent applications for membership to the Board and unanimously approved recommending Ms. Miriam Settle for appointment to Position #3 as a Town of Chapel Resident. Ms. Settle's work experience includes the University of NC-Deputy Director Emeritus, Centex for Health Promotion and Disease Prevention and Adjunct Assistant Professor, SPH. She has voluntcer experience with Unitariaa Church Social Concerns Committee, NAACP, N.C. Symphony Audience Advisory Committee, Safe Bids Campaiga Teclmical Advisory Board, and Chapel IJill-Caaboro Redistricting Task Force. Ms. Settle attended a meeting of the Advisory Board to learn the functions of the board and assure her interest in serving as a member. She would be an asset to the Advisory Board on Aging. Thank you for your consideration of her nomination. SPY ~~ Jack Chestnut, Chair Osage County Advisory Board on Aging Page 1 of 1 Steve Lackey 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. Steve Lackey 507 Oak Avenue Cant~oro NC 27510 919-929-0323 919-968-1450 919 929-3960 steveladcey.eh(a~gmail.com Epting ~ Hackney Attorney Chapel Hill Does not apply Male Caucasian 225/1957 Boards/Commissions applied for: Advisory Board on Aging Work Experience: Elder Law Attorney Estate Attorney Volunteer Experience: Chair of former United Way Senior Issues Team Current member United Way Orange County Community Care Cabinet Current Vice-President of Friends of the Robert and Pearl Seymour Center Current member of Project Compassion advisory board Education: Juris Doctor, 1996, UNC Master of Arts in Education, 1985, University of Texas BA, 1980, UNC Other Comments: STAFF COMMENTS: Originally applied for Advisory Board on Aging 6/4/08. ADDRESS VERIFICATION: 507 Oak Avenue, Carrboro is Chapel Hill Township, CAPL jurisdiction. This ~piicatiat was currant on: 6/4/200811:33:38 AM Data Printed: 6/13/2008 9 Page 1 of 1 Don Willhoit Volunteer Application Orange County Advisory Boards and Commissions Name: Name Caned: Home Address: Phone: (Day) Phone: (Evening) Fax: Email: Place of Employment: Job Title: Township of Residence: Zone of Residence: Sex: Mr. Don Wilihoit 203 Lebngbon Road Chapel Hi1I NC 27816 919-942-2571 919-942-2571 don wighoit~bellsotrth.net UNC-CH Envir.Sa. Dept Retired Chape! Hill Carrboro ETJ Male Ethnic Background: Caucasian Date of Birth: 2/5/1934 Boards/Commissions applied for: Advisory board on Aging Work Experience: Retired from UNC-CH Dept of Environmental Sciences faculty. Director of Health and Safety, UNC-CH. Volunteer Experience: Most n3cently served on JOCCA board. I also served on the Master Aging Ptan steering committee and am interested in'the implementation of the M.A.P: I currently serve on the IFC board. Education: Doctorate in Ocxupational Health Other Comments: STAFF NOTES: Applied for MAP 2005. Applied for Advisory Board on Aging 6/72008. ADDRESS VERIFICATION: 203 Lexingthn Rd is in Carrboro ETJ. He applied for the So.Orange Sr.Cntr (New) Design Committee on 1/15/04.5/16/01 Clerk's staff updated file. Day phone changed. This application was wrrarrt on: 619/2008 Dab. Prinbsd: W1SlZOOs ~o Page 1 of 1 Miriam Settle Volunteer Application Orange County Advisory Boards and Commissions Name: Name Called: Home Address: Phone: (Day) Phone: (Evening) Fax: Email: Place of Employment: Job Tine: Township of Residence: Zone of Residence: Sex: Dr. Miriam Settle 306 Hemlock Drive Chapel Hill NC 27517 919-929-8488 919-929-8488 miriam-settle(a~nc.n :com Retired UNGCH Deputy Director Emeritus, Center for HPDP UNC- Chapel Hill Female Ethnic Background: Caucasian Date of Birth: 5/26/1933 BoardslCommissions applied for: Advisory Board on A®ing Work Experience: UNC-CH:Deputy Director Emeritus, Center for Health Promotion and Disease Prevention (HPDP} current; Adjunct Assistant Professor, SPH-current;Deputy Dir. HPDP 1992- 2005; Reseanh Asso. Sheps Center 197&1992. U of Pittsburgh,Asst Prof 1961-66. Irvington House Hospital for Children 1954-1961. Volunteer Experience: Current Un'~tarian Church Soaal Concerns Comm.; NAACP. NC Symphony Audience Advisory Comm 1998-2002;Safe Kids Campaign Technical Advisory Boani, Washington,DC 1987-2000; Chapel Hill-Can~boro Redictrik~ing Task Force 1981-83,1976- 78;Women's Health Counseling Service 1980-83. Education: PhD (health poticy)1981 MSPH (medical care organization)1963 BA (creative writing)1954 Other Comments: STAFF COMMENTS: Originally applied to Advisory Board on Aging 6/6/2008. ADDRESS VERFICATION: 306 Hemlock Drive is Chapel Hill Township, CHPL jurisdiction. rni: appncanon was eun+ant on: sisrzoos ~ x:04:32 tout Dab Prinbd: 6H3/zoo6 Applicant Interest Listing by Board Name and by Applicant Name Advisory Board on Aging Mr. Leo Allison 4125 Marvin Lane Efland NC 27243 Skills: Skills: Community Service Volunteer Ms. Heather Altman 109 Sunset Ridge Lane Chapel Hill NC 27516 Skills: Health Behavior/Education Contact Person: Jerry Passmore Contact Phone: 919-245-2009 Day Phone: 919-563-9110 Sex: Male Evening Phone: Race: African American FAX: Township: Cheeks E-mail: lele2@mebtel.net Date Applied: 09/30/2007 Also Serves On: Sportsplex Community Advisory Committee Day Phone: 919-918-2609 Evening Phone: 919-928-9822 FAX: 919-969-2507 E-mail: haltman@carolwoods.org Also Serves On: Sex: Female Race: Caucasian Township: Chapel Hill Date Applied: 07/25/2008 Ms Amanda Borer 312 Parkridge Ave Chapel Hill NC 27517 Skills: Chapel Hill City Limits Day Phone: 4193065608 Evening Phone: 4193065608 FAX: E-mail: borer.8@osu.edu Also Serves On: MS. ELIZABETH CRONER 1605 N. GREENBOROUGH ROAD CARRBORO NC 27510 Skills: Retired Day Phone: 919.933.862 Evening Phone: FAX: E-mail: Also Serves On: Sex: Female Race: Caucasian Township: Chapel Hill Date Applied: 05/14/2007 Sex: Female Race: African American Township: Chapel Hill Date Applied: 11/05/2005 MS Mary Curne Day Phone: 919-732-7421 Sex: Female 721 Kenion Road Evening Phone: Race: African American Hillsborough NC 27278 FAX: Township: Cedar Grove E-mail: mhcume@yahoo.com Date Applied: 07/11/2006 Skills: Cedar Grove Township Also Serves On: Ms. Frances Kovens Day Phone: 919-6oz-4301 sex: Female lOtO Pinehurst Drive Evening Phone: 919-929-7434 Race: Caucasian Chapel Hill NC 27517 FAX: 919-929-7589 Township: Chapel Hill E-mail: fkovens@nc.rr.com Date Applied: 11/05/2003 Skills: Registered Nurse Also Serves On: Adult Care Home Community Advisory Committee Thursday, August 28, 2008 Page 1 of 3 ~z Applicant Interest Listing by Board Name and by Applicant Name Advisory Board on Aging Contact Person: Jerry Passmore Contact Phone: 919-245-2009 Mr. Steve Lackey Day Phone: 919-929-0323 Sex: Male 507 Oak Avenue Evening Phone: 919-968-1450 Race: Caucasian Carrboro NC 27510 F,~{; 919-929-3960 Township: Chapel Hill E-mail: stevelackey.eh@gmail.com Date Applied: 06/04/2008 Skills: Attorney Also Serves On: Skills: United Way Also Serves On: Mr$ Emily Lees Day Phone: 919 960-3737 Sex: Female 1516 Cumberland Rd Evening Phone: Race: Caucasian Chapel Hill NC 27514 FAX: Township: Chapel Hill E-mail: emilylees@bellsouth.net Date Applied: 07/13/2008 Skills: Arts Also Serves On: Skills: Professor Also Serves On: Dr. Margaret Matheis Day Phone: 919-644-7308 sex: Female 2102 Waterwheel Road Evening Phone: 919-644-7308 Race: Caucasian Hurdle Mills NC 27541 FAX; 919-644-7306 Township: Cedar Grove E-mail: mm@eldercare-solutions.com Date Applied: 04/12/2004 Skills: Guardian ad litem Also Serves On: Skills: M.S. Rehabilitation Counseling Also Serves On: Skills: N.C. Registered Guardian Also Serves On: Skills: PhD Psychology Also Serves On: Ms. Donna Musson Day Phone: 919 732-8124 Sex: Female 2309 Wyngate Dr. Evening Phone: Race: Caucasian Hillsborough NC 27278 FAX: 919 732-4027 Township: Eno E-mall: mussond@orange-ent.com Date Applied: 12/18/2007 Skills: Also Serves On: Transportation Services Board Ms. Thelma Perkins 750 Weaver Dairy Road #1315 Chapel Hill NC 27514 Skills: . C.H. SENIOR CNTR. PROGR. PART Skills: .FRIENDS/ C.H. SENIOR CENTER Skills: Community Relations Field Day Phone: 919-918-3601 Evening Phone: FAX: E-mail: Also Serves On: Commission for Women Sex: Female Race: African American Township: Chapel Hill Date Applied: 05/27/2008 Thursday, August 28, 2008 Page 2 of 3 ~3 Applicant Interest Listing by Board Name and by Applicant Name Advisory Board on Aging Skills: NAACP Skills: Orange County United Way Contact Person: Jerry Passmore Contact Phone: 919-245-2009 Also Serves On: Commission for Women Dr. Miriam Settle 306 Hemlock Drive Chapel Hill NC 27517 Skills: Director Skills: NAACP Skills: Women's Health Ms. Debra Snipes 3222 Ode Turner Road Hillsborough NC 27278 Skills: Accounting Experience Skills: Community Service Volunteer Day Phone: 919-929-8488 Sex: Female Evening Phone: 919-929-8488 Race: Caucasian FAX: Township: Chapel Hill E-mail: miriam-settle@nc.rr.com Date Applied: 06/06/2008 Also Serves On: Also Serves On: Also Serves On: Day Phone: 919-260-3373 Sex: Female Evening Phone: 919-643-2086 Race: Caucasian FAX: Township: Hillsborough E-mail: Date Applied: 05/12/2005 Also Serves On: Also Serves On: Ms. Tiffany Washington Day Phone: (336)339-8144 515 Hinton James Drive #138 (mail: PO Box 746) Evening Phone: Chapel Hill NC 27514 FA]{: E-mail: twashing@email.unc.edu Skills: Social Worker Also Serves On: Mr. Don Willhoit 203 Lexington Road Chapel Hill NC 27816 Skills: . C.H. SENIOR CNTR. PROGR. PART Skills: .FRIENDS/ C.H. SENIOR CENTER Skills: Former BOCC member Skills: Friends Bd. Member-CH Senior Center Skills: Public Health and Safety Day Phone: 919-942-2571 Evening Phone: 919-942-2571 FAX: E-mail: don_willhoit@bellsouth.net Also Serves On: Also Serves On: Also Serves On: Also Serves On: Also Serves On: Sex: Female Race: African American Township: Chapel Hill Date Applied: 05/05/2008 Sex: Male Race: Caucasian Township: Chapel Hill Date Applied: 06/09/2008 Thursday, August 28, 2008 Page 3 of 3 1~ Page 1 of 2 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) Fax: Email: lele2@mebtel.net Place of Employment: Job Title: Retired 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: Orange Unified Transportation Board Advisory Board on Aging Work Experience: Currently Retired Worked at IBM Corp 1957 - 1991 -Various Engineering and M<anagement assignments. HR Block 1987 - 1995. Tax Preparer and Supervisor of Tax office. High School Teacher - 2 Years 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, including Board of Social Services, Planning, HRC. Orange County Planning Board - 1994 -2001. Board Chair 2000 -2001 RSVP Tutor -Efland -Cheeks Elementary School- 5 Years Friends of Central Orange Sr Center - 1999 to present Orange Congregation in Missions -1999 to 2006 Sportsplex Task Force - 2006 to present Efland Small Area Plan -2005 -2006 Legal Aid of NC -Director from 1999 to 2007. Board Chair 2004 -2005 ABC Board Director- 2002 -Present Education: North Carolina Central Univ -Durham NC - BS Math Syracuse University -Syracuse NY - MS -Engineering Adm. (J Page 2 of 2 Leo Allison 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. Applied 9/30/2007 for Orange Unified Transportation Board. This application was current on: 9/30/2007 Date Printed: 8/28/2008 1~ Page 1 of 1 Heather Altman 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. Heather Altman 109 Sunset Ridge Lane Chapel Hill NC 27516 919-918-2609 919-928-9822 919-969-2507 haltman@carolwoods.org Carol Woolds Proj. Dir. Community Connections for Seniors Chapel Hill Female Caucasian 10/4/1970 Boards/Commissions applied for: Advisory Board on Aging Work Experience: Carol Woods since 2003-Project Director & Director of Well Being. Center for Advancement of Health (Wash. DC) Duke Univ. Leadership in an Aging Society Internship program. Howe-Lewis International Society (New York, NY) Planned Parenthood Federation of America (NY, NY) Volunteer Experience: Current: Project Compassion Board Member &UNC SPH Alumni. Recent Jewish Family Services & Foster Parent with Easter Seal. Education: BA-1992 Brandeis University, Walthan, MA MPH-1999-UNC Chpael Hill School of Public Health-Health Behavier ,Health Education & Health Policy Other Comments: STAFF COMMENTS: Originally appllied for Advisory Board on Aging 7/25/08. ADDRESS VERIFICATION: 109 Sunset Ridge Lane is Chapel Hill Township CAPL jurisdiction. This application was current on: 7/25/2008 Date Printed: 8/28/2008 ~~ Page 1 of 3 Amanda Borer Volunteer Application Orange County Advisory Boards and Commissions Name: Name Called: Home Address: Phone: (Day) Phone: (Evening) Fax: Ms Amanda Borer 312 Parkridge Ave Chapel Hsi NC 27517 4193065608 4193065608 Email: borer.8(d~osu.edu Place of Emptoymert~t: Job Title: Township of Residence: Chapel Hill Zone of Residence: C.H. City Limits Sex: Female Ethnic Background: Caucasian Date of Birth: 8/9/1984 Boar+dslCommissions applied fior: Adult Care Home Community Advisory Committee aY ~~ ~ ~~9 Work t_xperience: May 2005-May 2007 ^ ^Ass'isfied Lnring Aide, Trillium Place ^ ^ Columbus, OH Trillium Place is a retirement community with 160 (and growing) residents in independent I'nring quarters and 30 residents in the assisted living unk. Trillium Place is part of the Brookdale Senior Living Communities. Duties indude: •^Helping residerttss with their activities of daily living, such as dressing, toileting, and transfening •^Occasionally assisting with leaning, laundry, and organizing (e.g. rooms and inventory) •^Preparing meals, serving, delivering, and helping cut up food for consumption •^Most importantly being a fiend to each of the residents Summer 2006^ ^ Intem, Trillium Place Worked with both the Resident Services Director and the Assisted Living Din3ctor about 12 hours a week. •^Update the emergency log for all residents 1~ Page 2 of 3 Amanda Borer •^Put together a book with oxygen, pet, vehide, and med alert information •^Put together a book with `Permission to Enter' forms •^Imrolved in care meetings with managers, n~identss, and their families Summers of 2002-2003 Intem, Michael A Bone's Law Office^^ Ottawa, OH Formally named Gerschutz and Borer Law Office ^^Dutres inducted: •^Running title searches in court houses around the state •^Answering phones •^Typing documents and sitting in on dosings Winter 2006-Present ^ ^ ^ Ohio State Geriatrics and Gerontology Club Sodal Chair ^ ^ ^Dutres indude: •^Planning and coordinating events •^Organizing events by contacting the appropriate people •^Everrts inducted: The Ohio State Involvement Fair, Health Science Club and Geriatrics BBQ. a Beat Michigan Party at Westminster-Thurber, Meals on Wheels and a Senior Prom at Wesley Glenn 2005-Present ^ ^ ^Ohio State Health Sdences Club Member ^ ^ ^ Dunes indude: •^Worked dosely with the officers to plan and organize events •^Aitended events and meetings Spring 2006 Independent Study with Dr. Margant Teaford, Assistant Professor School of Allied Medical Professions The independent study was a national exercise and nutrition program for older adults. Called "You Caul' We implemented the program at Westerville Senior Center... Duties inducted: •^Recxuiting partidpants •^Helping fill out surveys •^Organizing and explaining the program . •^Evaluating the partidpants •^Conduding the program with a written report Volunteer Experience: The majority of my volunteer experience has been through projects involved with the Geriatrics and Gerontology dub at The Ohio State University. Education: The Ohio State University ^ ^ ^ Columbus, OH B.S. Health Sdences Specialization: Geriatrics and Gerontology Cumulative GPA of 3.38 and Major GPA of 3.9 ^Graduated: March 18, 2007 ~~9 Page 3 of 3 Amanda Borer Other Comments: I' just moved to Chapel Hill, and am planning on attending UNC in the fall for my Masters of Health Administration.. STAFF COMMENTS: Originally applied for Adult Care Home Commun"dY Advisory Committee, Advisory Board on Aging, and Master Aging Plan Taskforce. ADDRESS VERIFICATION: 312 Pariaidge Avenue is in Chapel Hill in the Chapel Hill City limits. This appliation was cun+~t on: 5J14~2007 9:32:40 AM Dab Printed: 6/13/2006 a®. Page 1 of 1 ELIZABETH CRONER 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: MS. ELIZABETH CRONER 1605 N. GREENBOROUGH ROAD CARRBORO NC 27510 919.933.862 RETIRED Chapel Hill Cairboro City Limits Female African American Date of Birth: 5/14/1934 Boards/Commissions applied for: Y eoand ~ p-8~g Nursing Home Community Advisory Comm'~tee Work Experience: RETIRED FROM STATE OF OHIO, CLEVELAND DEVELOPMENTAL CENTER; STAFF SUPV. Volunteer Experience: CURRENTLY ASSISTING ABUNDANT LIFE CHURCH PANTRY Education: HIGH SCHOOL; CONTINUED EDUCATION; Other Comments: STAFF COMMENTS: Originally applied for Adv. Board on Aging, Nursing Home CAC, and Board of Soaal Servk~s 11/8/2005. ADDRESS VERIFICATION: 1605 N. Greensboro St is in Carrboro City Limits in Orange County in the Chapel Hill Township. This ~pltption eras cturont on: 1 1/5/2005 1 1:28:47 AM Dab Prinbd: 6/1312008 a~ Page 1 of 1 Mary Currie 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 Mary Currie 721 Kenion Road Hillsborough NC 27278 919-732 7421 mhcurrie~yahoo.com Township of Residence: Cedar Grove Zone of Residence: At Large Sex: Ethnic Background: Date of Birth: Female African American 4R/1953 Boards/Commissions applied for: H~sborough Planning Board p-dvisorY Board on Aging Work Experience: Information Technology Volunteer Experience: Education: AAS -Business Computer Programming Other Comments: STAFF COMMENTS: Originally applied for Commission for Women, Hillsborough Planning Board, Advisory Board of Aging 7/20/2006. ADDRESS VERIFICATION: 721 Kenion Road is in Orange County in Cedar Grove township. This application was cun+ent on: 7/11/2006 4:351 PM Dabs Printed: 6H3J2008 a~ Page 1 of 1 Frances Kovens Volunteer Application Orange County Advisory Boards and Commissions Name: Name Called: Home Address: Phone: (Day) Phone: (Evening) Fax: Email: Place of Employment: Job Title: Township of Residence: Zone of Residence: Sex: Ms. Frances Kovens 1010 Pinehurst Drive Chapel Hdl NC 27517 919-602-4301 919-929-7434 919-929-7589 flcovens(d~nc.rr.oom Duke Medical Center RN - Pt. Resource Mgr. Chapel Hill C.H. City Limits Female Ethnic Background: Caucasian Datie of Birth: 6/17/1957 Boards/Commissions applied for: Advisory Board on Aging Work Experience: RN 6 yrs. (~ DUMC ; prior to that short term construction, UNC Hospitals Volunteer Experience: Hadassah, various school activities in Chapel Hill School System Education: BSN Other Comments: Due to the nature of my position (~ Duke -largely discharge planning - co-ordination and care - I feel I have knowledge of the aging population health care needs and social network supports. Would very much want to interface with the Chapel Hill Community efforts to prrn~le support and resoun~s to this group of citizens. Originally applied 11/5/03 forACHCAC and ADV. Boani on Aging. Address Verification: This appliation was wRSnt on: 11/5/2003 Dab Prtrrtsd: 6/1342008 a~ Page 1 of 2 Emily Lees 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: Mrs Emily Lees 1516 Cumberland Rd Chapel Hill NC 27514 919 960-3737 emilylees@bellsouth. net self/retired potter/behavioral science researcher Chapel Hill Sex: .Female Ethnic Background: Caucasian Date of Birth: 12/28/1949 Boards/Commissions applied for: Advisory Board on Aging Arts Commission Board of Health Work Experience: 2004-present: potter 2006-2007: consultant, Robert Wood Johnson grant on physical activity and the environment 2000 -2004: assistant professor, public health and research techniques, Houston Baptist University College of Nursing 1995-2000: research assistant/research associate, University of Texas-Houston Health Science Center School of Public Health and Center on Aging 1980-1994: Coordinator of Continuing Education, Houston Community College 1975-1979: Assistant Professor of French, NC A&T State University, Meredith College, Duke University (Adjunct) Volunteer Experience: 1995-1996: Walk Texas! Health Promotion Project for Older Adults, UT-Houston Health Science Center School of Public Health 1989-2000: Member, Texas Gerontological Consortium for Continuing Education. President, 1993-2000 1989-1994: Advisory Council Member, Houston Retired & Senior Volunteer Program, Houston Interfaith Ministries dl Page 2 of 2 Emily Lees 1986-1987: American Cancer Society Education Committee Member Education: 1994-1999: MPH, course work on DrPH, University of Texas-Houston Health Science Center School of Public Health. Emphasis on women and aging 1971-1975: MA, PhD, French Renaissance literature, Duke University 1967-1971: BA, French, University of North Carolina at Greensboro 2004-present: courses and workshops in pottery, claymakers Studio, Durham, NC; Odyssey House, Asheville, NC; Pullen Art Center, Raleigh, NC Other Comments: Throughout my career, I have combined my love of art and my interest in health promotion for the aging and for women. As a potter and the mother of an artist (painter), I am aware of the challenges and opportunities for people in the arts. As a retiree an former professional working in aging research, I am familiar with the issues facing the elderly today. Hving moved from Houstin back to my native North Carolina, I am eager toserve the citizens of Orange County. STAFF COMMENTS: Originally applied for Advisory Board on Aging, Arts Commission, Board of Health 7/13/08. ADDRESS VERIFICATION: 1516 Cumberland Rd, Chapel Hill is Chapel Hill Township, CHPL jurisdiction. This application was current on: 7/13/2008 11:51:56 PM Date Printed: 8/28/2008 ~~ Page 1 of 2 Margaret Matheis Volunteer Application Orange County Advisory Boards and Commissions Name: Name Called: Home Addn3ss: Phone: (Day) Phone: (Evening) Fax: Email: Place of Employment: Job Title: Township of Residence: Zone of Residence: Dr. Margaret Matheis 2102 WatenNheel Road Hurdle Mills NC 27541 919-644-7308 . 919-6447308 ' 919-G44-7306 mm(~elden~n3-solutions.com Matheis 8~ Associates Eldercare Consultant Cedar Grove Cedar Grove Twnsp fix; Female Ethnic Background: Caucasian Date of Birth: 10/3/1949 Boards/Commissions applied for: Y Board ~ ~~9 Work Experience: As a Geriatric Care Manager in the private sector I work with older adults and their families to provide assessment, comprehens'nre care planning, counseling, crisis intervention, consumer education, and referral to community resoun~s. I help arrange in home care or provide consultation to help transition to long term care facilities. Volunteer Experience: Arc of Orange County; Community Partner 11/99-pn3sent; Guardian ad Litem; Guardian 10/00-7/01; Comuoopia House; Volunteer 119-preser~ Prior to moving to N.C. I volunteered in Chicago: Ryerson Woods; Librarian over 10 years; Center of Concern; Friendy Visitor to Seniors 2 years; Rainbow Hospke; Counselor 2 years. Education: Ph.D., Psychology, M.S. Rehabilitation Counseling; I hold 5 different certifications related to casekare management and disability I am an N.C. Registered Guardian (for incompetent individuals). Other Comments: ' I am very interested in all matters pertaining to the older population in our area. I would hope to be a valuable addition fio your team both wdh any appropriate professional input as well my personal concern as a citizen in the community. Please note that I live in the Orange County section of Hurdle Mills. STAFF NOTES: Originally applied 4/12!04 for Advisory Board on Aging. ADDRESS VERIFICATION:2102 Waterwheel Road, Hurdle Mills, is in Cedar Grove Township, MOAD/nog. d~ Page 1 of 1 Donna Musson Volunteer Application Orange County Advisory Boards and Commissions Name: Name Called: Home Address: Phone: (Dsy) Phone: (Evening) Fax: Email: Place of Employment: Job Tine: Township of Residence: Zone of Residence: Sex: Ethnic Background: DaUe of Birth: Ms. Donna Musson 2309 Wyngate . Dr. Hillsborough NC 27278 919 732-8124. 919 732-4027 mussond~orange-entoom OE Enterprises, Inc Orange Site Din~tor Eno Female Caucasian 1/21/1955 Boards/Commissions applied for: Advisory Board on Aging Commission for Wom~ Work Experience: Volunteer Experience: I am applying for an additional term on the Transportation Services Board. Education: Other Comments: STAFF COMMENTS: Originally applied for Transportation Services Board 12/18/2007. ADDRESS VERIFICATION: 2309 Wungate Dr, Hillsborough, NC is in the Eno Township. Thb applicatlon was wmsM on: 12/18/2007 5:17:25 PM Dab Prjnbd: 6/13/2006 ah Page 1 of 1 Thelma Perkins 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. Thelma Perkins 750 Weaver Dairy Road #1315 Chapel Hill NC 27514 919-918-3601 Retired Mgr. Community Relations Township of Residence: Chapel Hill Zone of Residence: C.H. City Limits Sex: Ethnic Background: Date of Birth: Female African American 10/23/1915 Boards/Commissions applied for: Advisory Board on Aging Work Experience: Manager of Community Relations - Ciba Geigy; N.Y. Ethical Culture School -Teacher Volunteer Experience: Board Member of the Friends of the Chapel Hill Senior Center. Orange County United Way. Women's Advisory Board to Westchester County Executive(NY); Carol Woods Residents Council-NAACP Life and Local member. Education: A.B.Howard University; Ed.M Boston University Other Comments: In regards to the MAP taskforce. I will work where I am needed. You know best what I can do. STAFF NOTES: Reaplied for the MAP Taskforce. Originally applied 1/15/04 for Southern Orange Senior Center (New) Design Committee Reapplied for Commission for Women 5/27/2008. ADDRESS VERIFICATION: Resident of Carol Woods. This application was current on: 5/27/2008 Date Printed: 8/28/2008 a~ Page 1 of 1 Debra Snipes Volunteer Application Orange County Advisory Boards and Commissions Name: Name Called: Home Address: Phone: (DaYI Phone: (Evening) Fax: Email: Place of Employment: Job Title: Ms. Debra Snipes 3222 Ode Tumer Road Hillsborough NC 27278 919-260-3373 919=643-2086 Township of Residence: Hillsborough Zone of Residence: At Large Sex: Female Ethnic Background: Caucasian Datie of Birth: 8/25/1960 Boards/Commissions applied for: A~dvisary Board on Agog Board of Social Services Chaipel HBVOrange County v'~sibsors Bureau Work Experience: Mainly business, ac~oun~ing, auditor, writer, notary Volunteer Experience: feeding the. homeless, active in church activities Educatlon: some college Other Comments: STAFF COMMENTS: Originally applied for Adv. Bd on Aging, Board of Soaal Services, Chapel Hill /Orange County Visitors Bun3au. ADDRESS VERIFICATION: 3222 Ode Tumer Road is in the Hillsborough toVmship in Orange County, not in the ETJ. This >ppQcatlon was cunsnt on: 5/12/2005 9:43:03 AM Dab Prir~tsd: 6J132008 a~ Page 1 of 2 Tiffany Washington Volunteer Application Orange County Advisory Boards and Commissions Name: Ms. Tiffany Washington Name Called: Home Address: 515 Hinton James Drive #138 (math: PO E;ox 746) Phone: (Day) Phone: (Everifng) Fax: Email: Place of Employment~ Job Title: Township of Residence: Zone of Residence: Sex: Ethnic Background: Date of Birth: Chapel Hill NC 27514 (336339-8144 tt~washing~ematl.unc.edu UNC Chapel Hill - DHRE Community Manager Chapel Hill Does not apply Female African American 5/29/1978 Boards/Commissions applied for: Nursing Home Community Advisory Committee Adult care Home Community Advisory Committee Advis«y ~d on Aging Work Experience: 02-05 Medical Social Worker Northside Dialysis Center Winton Salem 03-05 Medical Soaal Worker Amedisys Home Health Winston Salem 05-07 Patient Services Coordinator, Southeastern IGdney Counal Raleigh 05-07 Medical Social Worker, Gentiva Home Health, Raleigh, NC ' Volunteer Experience: National IGdney Foundation UNC lGdney Center Mauch of Dimes Budde up America American Red Cross Education: 1996-2000 UNC Chapel Ht~l - BA 2000-2002 UNC Gt~eensboro/NCA~TSU - Master of Social Work 2007-present UNC Chapel Hill -PhD in Social Work Other Comments: I have 2 years experience investigating complaints and grievances of dialysis and transplant patients in North Carolina, South Carolina, and Georgia. My research area is 3~ Page 2 of 2 Tiffany Washirlgbon health and aging. I enjoy volunteer work and commun'lty service. STAFF COMMENTS: Originally applied for Nursing Home Community Advisory Committee, Adult Cane Home Community Advisory Committee and Advisory Board on Aging on 5/5x2008. ADDRESS ~fERIFICATION: 515 Hinton James Drive #138 is in Chapel Hill township UNC jurisdiction. T1ds application was cunsnt on: 51~.~200811:12:32 PM Dais Prtntad: 6H32006