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<br /> <br />Page 1 of 2 <br />rev. 20190926 <br />Membership Application for Community Advisory Council <br />The Community Advisory Council is chartered to keep the Regional Health Council informed about member <br />and family experiences and community health needs. This group is also intended to allow members and <br />community stakeholders to take an active role in improving their lives and community. <br />First Name: Deborah Last Name: Gilgor <br />Address: 800 Tinkerbell Rd <br />City: Chapel Hill County: Orange <br />State: NC ZIP: 27517 <br />Phone: 9192599974 Email: degilgor@gmail.com <br /> <br />How would you like us to contact you? Please check all that apply: <br />Phone, Email, Text Message <br />Age Range: <br />45-54 <br />I self-identify as: <br />Non-binary <br />I describe my race or ethnicity as: <br />White <br />Race: Other, if applicable: <br /> <br />Which spoken language to you prefer? <br />English <br />Do you require an interpreter? <br />No <br />Do you require any accommodations (handicap accessibility, space for service animal, etc.)? <br />No <br />Do you want written material in your spoken language? <br />Yes <br />Work Experience: <br />I have been an educator since 1989. <br />Education (for demographic purposes. No formal education required to participate): <br />Master's Degree <br />I am passionate about or have knowledge of (please check ALL that apply): <br />Housing, Community organizing, Education, Maternal/child health, Children/youth services, Early learning, <br />Community needs assessment, Health equity/disparities, LGBTQI communities, Domestic violence, <br />Communities of color <br />Passionate about: Other, if applicable: <br /> <br />13