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17 <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: Lisa Last Name: Kaylie <br /> Address: 3914 SWEETEN CREEK RD <br /> City: CHAPEL HILL County: Orange <br /> State: NC ZIP: 27514 <br /> Phone: 6152896814 Email: lisakaylie@gmail.com <br /> How would you like us to contact you? Please check all that apply: <br /> Email <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 have an MBA from UNC Kenan-Flagler and have worked in the high tech industry since 1996. For the last 15 <br /> years I've been President of Frucon International. Frucon International is the US subsidiary of the Belgian <br /> company Nayan and runs retail online stores for brands. In addition to my paid employment, I have served on <br /> the boards of several local non-profits including the Autism Society of NC Orange and Chatham County <br /> chapter, the North Carolina Therapeutic Riding Center, and Kidzu - the Chapel Hill Children's Museum. I have <br /> also served as Parent Chair of Ephesus School Improvement Team, as President of the Chapel Hill Carrboro <br /> City Schools Special Needs Advisory Council, and as President of the Chapel Hill Carrboro City Schools PTA <br /> Council. <br /> Education (for demographic purposes. No formal education required to participate): <br /> Master's Degree <br /> Page 1 of 2 • <br /> rev. 20190926 cardinalinnovations.org <br />