Agenda- 09-04-2018 11-a - Adult Care Home Community Advisory Committee - Appointments

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Applicant Interest Listing by Board Name and by Applicant Name Adult Care Home Community Advisory Committee Contact Person:Autumn Cox Contact Phone:919-558-9401 Race:African American Tiketha Collins 600 S. Churton Street Hillsborough NC 27278 9193329917 9193329917 9193329917 tikethacollins@gmail.com Day Phone: Evening Phone: Cell Phone: E-mail: Sex:Female Township:Hillsborough Date Applied:05/02/2018 Res. Eligibility:Hillsborough ETJ Also Serves On:Skills: Race:Other Shade Little 229 Weaver Road Chapel Hill NC 27514 9199677371 9199677371 none shadekslittle@gmail.com Day Phone: Evening Phone: Cell Phone: E-mail: Sex:Male Township:Chapel Hill Date Applied:08/09/2018 Res. Eligibility: Also Serves On:Skills: Also Serves On:Skills: Also Serves On:Skills: Race:white John Lyon 815 US Highway 70A East Unit 110 Hillsborough NC 27278 919-943-8764 919-943-8764 919-943-8764 lyonsden1974@yahoo.com Day Phone: Evening Phone: Cell Phone: E-mail: Sex:Male Township:Hillsborough Date Applied:05/30/2018 Mr. Res. Eligibility:Hillsborough Town Lim Also Serves On:Skills: Race:white Nancy McCormick 920 Edgewater Circle Chapel Hill NC 27516 8033312560 8033312560 8033312560 nancycm@live.com Day Phone: Evening Phone: Cell Phone: E-mail: Sex:Female Township:Chapel Hill Date Applied:05/22/2018 Res. Eligibility:C.H. City Limits Also Serves On:Skills: Race:white Stephanie Miller 105 Summerlin Drive Chapel Hill NC 27514 6108026368 6108026368 6108026368 stephjmiller@gmail.com Day Phone: Evening Phone: Cell Phone: E-mail: Sex:Female Township:Chapel Hill Date Applied:12/15/2017 Ms. Res. Eligibility:C.H. City Limits Also Serves On:Nursing Home Community Advisory CommitteeSkills: Monday, August 13, 2018 Page 1 of 2 12