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15 <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 /> How would you like us to contact you? Please check all that apply: <br /> Email, Text Message <br /> Age Range: <br /> 45-54 <br /> 1 self-identify as: <br /> Female <br /> describe my race or ethnicity as: <br /> White <br /> Race: Other, if applicable: <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 /> Page 1 of 2 • <br /> rev. 20190926 cardinalinnovations.org <br />