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16 <br />Page 1 of 2 <br />ILYAMM TO,.M -11 <br />Volunteer Application <br />Orange County Advisory Boards and Commissions <br />Name: <br />Name Called: <br />Home Address: <br />Phone (Day): <br />Phone (Evening) <br />Phone (Cell): <br />Email: <br />Place of Employment: <br />Job Title: <br />Year of OC Residence: <br />Township of Residence: <br />Zone of Residence: <br />Sex: <br />Ethnic Background: <br />Ms. Martha Bell <br />100 Macrae Court <br />Chapel Hill NC 27516 <br />919- 968 -4674 <br />as above <br />N/A <br />mbe11968 @yahoo.com <br />Retired <br />Registered Nurse - Director of Nursing <br />1995 <br />Chapel Hill <br />Female <br />Caucasian <br />Community Activities /Organizational Memberships: <br />Member, Sigma Theta Tau <br />Vice Chair, DVAMC Veterans Mental Health Council <br />Member, The Chapel of the Cross <br />Volunteer, Ambulatory Care, DVAMC <br />Member, Retired Officers Association <br />Member, Army Nurse Corps Association (former Regional Director) <br />Past Service on Orange County Advisory Boards: <br />Nursing Home Community Advisory Committee <br />Board of Health <br />Boards /Commissions applied for: <br />Nursing Home Community Advisory Committee <br />Background, education and experience relevant to this board: <br />After retiring from active duty with the Army Nurse Corps in 1995, accepted position of Director <br />of Nursing, Carol Woods Retirement Community, serving in that capacity for 12 years, and then <br />continued in special projects as identified by the President/CEO, Carol Woods, for another 5 <br />years; also eventually had operational responsibility for assisted living, and infection control for <br />the organization. Coordinated clinical assignments in long term care for nursing and nursing <br />assistant students from DCC and NCCU. Taught fundamentals of elder care to staff and <br />students; served as consultant with CARF and AAHSA reviewing health and service delivery <br />standards. <br />Reasons for wanting to serve on this board: <br />Throughout the years at Carol Woods, I met many members of this Cmmunity Committee, <br />through their advisory capacity; always impressed with their respect for the older adult and <br />circumstances that lead a person(s) to seek long term care, I knew I was unable to serve this <br />