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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: Heather Last Name: Griffin-Dolciney <br />Address: 104 New Stateside Drive <br />City: Chapel Hill County: Orange <br />State: NC ZIP: 27516 <br />Phone: 9199422803 Email: heather.g@fhrecovery.org <br /> <br />How would you like us to contact you? Please check all that apply: <br />Email, Text Message <br />Age Range: <br />45-54 <br />I self-identify as: <br />Female <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 currently serve as the Regional Operations Director of Freedom House Recovery Center, Inc. and President <br />of the OPC Provider Council. I have helped manage Freedom House's array of services (adult, child, and <br />family OPT and med management, MCT, FBCS, in-home therapies, PSS, and residential SUDs services)in the <br />Orange and Person communities for 13 years. Additionally, in years past, I have served on the board of the <br />Orange County Partnership to End Homelessness to extend my ability to serve those community members <br />most in need. <br />Education (for demographic purposes. No formal education required to participate): <br />Master's Degree, Other <br />I am passionate about or have knowledge of (please check ALL that apply): <br />Housing, Community organizing, Maternal/child health, Children/youth services, Addictions, Public <br />15