Agenda - 10-07-2014-11c - Laserfiche WebLink

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Applicant Interest Listing Nursing Home Community Advisory Committee 10 by Board Name and by Applicant Name Contact Person: Charlotte Terwilliger, MSW Contact Phone: 919 -558 -9401 Ms. Susan Adams Day Phone: 919 - 357 -5541 Sex: Female 211 Hogan Woods Circle Evening Phone: 919 - 357 -5541 Race: Caucasian Chapel Hill NC 27516 Cell Phone: Township: Chapel Hill Also Serves On: Adult Care Home Community Advisory Committee E -mail: jaseradams@gmail.com Date Applied: 10/07/2013 Skills: Consultant Also Serves On: Evening Phone: Race: Ms. Martha Bell Day Phone: 919 - 968 -4674 Sex: Female 100 Macrae Court Evening Phone: as above Race: Caucasian Chapel Hill NC 27516 Cell Phone: N/A Township: Chapel Hill E -mail: mbe11968gyahoo.com Date Applied: 01/09/2014 Skills: Also Serves On: Ms. T. L. Crews 4921 Guess Rd Rougmeont NC 27572 Skills: School Principal Skills: Tutor Nick Galvez 403 N Elliott Road Chapel Hill NC 27514 Skills: Mrs Karen Schnell 4421 Lynch Store Rd Mebane NC 27302 Skills: Consultant Skills: Nurse Mr. Jerry Schreiber 1606 Pathway Dr Carrboro NC 27510 Skills: Day Phone: 919 732 -6974 Sex: Female Evening Phone: 919 732 -6974 Race: African American Cell Phone: Township: Little River E -mail: crewsez@aol.com Date Applied: 08/21/2011 Also Serves On: Adult Care Home Community Advisory Committee Day Phone: 7274189921 Sex: Male Evening Phone: 7274189921 Race: Other Cell Phone: 7274189921 Township: Chapel Hill E -mail: ngalvezl234@gmail.com Date Applied: 01/08/2014 Also Serves On: Board of Health Day Phone: 919 304 5880 Sex: Female Evening Phone: Race: Caucasian Cell Phone: Township: Cedar Grove E -mail: schnellkar @yahoo.com Date Applied: 06/06/2013 Also Serves On: Adult Care Home Community Advisory Committee Day Phone: 919 967 2962 Evening Phone: 919 967 2962 Cell Phone: 919 259 2359 E -mail: jrogerschreiber @gmail.com Also Serves On: Sex: Male Race: Caucasian Township: Chapel Hill Date Applied: 05/19/2014 Friday, August 15, 2014 Page 1 of 2