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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: Allison Last Name: Zirkel <br />Address: 217 S Hillsborough Ave <br />City: Hillsborough County: Orange <br />State: NC ZIP: 27278 <br />Phone: 919-245-2304 Email: azirkel@orangecountync.gov <br /> <br />How would you like us to contact you? Please check all that apply: <br />Email <br />Age Range: <br />35-44 <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 />Community-based mental health - provision of state funded services (IIH, CST, outpatient therapy) Currently <br />work for the Orange County Criminal Justice Resource Dep't. I provide mental health and substance use <br />assessment and referral, along with some brief counseling and crisis management, to the county jail <br />population. I also collaborate with other agencies in the community including the Partnership to End <br />Homelessness, IFC, CEF, Freedom House, and UNC. I facilitate the "Familiar Faces" Task Force to try and <br />identify needs and service gaps relevant to community members with the highest utilization of emergency, <br />crisis, and law enforcement services. <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, Transitional age youth, Addictions, Local government, Mental health services, <br />27