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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: Kim Last Name: Wanke <br />Address: 3815 Kenwood Drive <br />City: Hillsborough County: Orange <br />State: NC ZIP: 27278 <br />Phone: 919-732-0915 Email: kwanke28@gmail.com <br /> <br />How would you like us to contact you? Please check all that apply: <br />Email <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 />Currently a Grants Manager in Pediatrics at Duke University. Previous positions in grant management, <br />administrative, accounting. <br />Education (for demographic purposes. No formal education required to participate): <br />Bachelor'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, Community/public <br />health, Local government, Veteran’s services, Mental health services, Senior services, Other (please describe) <br />Passionate about: Other, if applicable: <br /> <br />25