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Home My WebLink About2004 1 eccEnfield Community Council, Inc. Quarterly Report October- December 2004 Enfield "Currents" — Newsletter: Editor Kim Albrecht The December 2004 newsletter was distributed to 990 households in the Enfield Community. This newsletter included community/organization news from the Town of Enfield, Enfield School Aged Program, Enfield Youth Program, Town Historian, a Local Church and Informational Meetings/Sports Activities. Our Enfield Area Business list has been updated. 17 of the 25 businesses made contributions to the 2004 Harvest Festival. A total of $985.75 was spent this quarter. $401.80 printing charges, $115.46 postage charge, $200 editor fee, $25.99 mailing labels, and $242.50 for a newsletter program (Adobe PageMaker). Summer Day Camp: Director Vera Howe -Strait The beginning preparations for Summer Camp 2005 have begun; updating the camp application, communicating with the Tompkins County Health Department, and submitting a school use form, to the Enfield Elementary School Principal, to request permission to use the School for Summer Camp 2005. A total of $23.97 was spent this quarter. Administrative: A total of $1,533.70 was spent this quarter for bookkeeping fees, stamps, printer paper, postage, liability insurance for the Enfield Elementary Basketball Teams, CCSNYS membership dues, IRS Department of Labor fees, and CPA fees Enfield Teen Program: Program Manager Beth Banister Students finished out the 5's Grade Focus program. This collaboration with the United Way had the goal to empower youth as leaders who will make a difference in their community today and be important leaders in the future. On December 2°d, several of the students announced their allocations at the United Way Grant Ceremony at the Clarion Hotel. As a group, they talked about their program, announced their decisions, and received certificates of participation. The 6t' grade girls' group continues to be a place for girls to talk about school and other parts of their lives, as well as participate in enrichment activities together. Our focus is on Belonging and Community. In our Primitive Pursuits group, students have been learning basic survival skills and practicing them. We work on team challenges — one of which was for students in small groups to boil water in paper cups using fires they built with only found natural materials. Besides having time to build friendships, make decisions, and work cooperatively, Monday Makers make things! Crafts include soap making, cookie baking, and safety pin head design pins, as well as a special trip to the Dynamic Designs Pottery studio. Funky Furniture was a successful program where students were able to refurbish old furniture as special treasures for themselves or as gifts. Many skills were learned including cleaning, painting, and carpentry skills. A total of $3,434.55 was spent this quarter. Teen Program: $2,739.23, Enrichment Program: $447.85 and the Youth Employment Program: $247.48. (2'0-4�J�Irn Carol Crivin _ Bookkeeper/Treasurer era Howe -Strait — Secre Enfield Community Council Enfield Community Council Attachment: Enfield Community Council Profit & Loss Statement (October December 2004) Cornell Cooperative Extension Statement of Operations (December 2004) Program Manager Report (October & November 2004) 2/7/05 Profit & Loss October through December 2004 Total Expense 12,126.35 Net Income 3,748.54 Page i Oct - Dec 04 Income 411 United Way 5,280.28 412 Town of Enfield 7,989.00 416 Fund Raising 452.22 4180 Camp BEF/AFT 116.00 4181 Summer Camp fees 1,232.00 419 Miscellaneous 805.12 421 Interest Income 027 Total income 15,874.89 Expense 5214 Camp Supplies & Expenses 23.97 5514 AFSCH Daycare Schlrship 1,025.00 6912 Bookkeeping 600.00 5913 General Supplies & Expense 33.70 5914 Newsletter Expenses 583.95 5915 Fund Raising Expenses 172.14 5918 Miscellaneous Expenses 240.00 6919 Insurance - All Programs 100.00 5920 Coop -Ext Teen Program 5,270.91 6921 Coop Ext -Youth Enrichment 1,382.60 5923 Municipal Job Fund 2,134.08 5924 NYS Inc Tax File Fee 60.00 5925 CPA Fee 500-00 Total Expense 12,126.35 Net Income 3,748.54 Page i k1L" L_1\1 I I I VL L -d% I L_AIJLLJ, I VVI L I /.. kj1_.V 4t11I \J Z_ VV - _-j Coop. EjcL Assoc. of YompWrts County Statement of Operahbrts 12 Months Ended December 31, 2004 Enfield Youth Program Program subtoml: 6 311.0(1 -Total F-Xpenditu!n_ 3,372.25 31,923.41 32.18.00 i 204.59" I NOTICE: *You have $361.28 left to opend of Community Beautifloation MIMI Grant funds. Current Y.T.D. Annualr) UnderflOve % Buftst Month I �IJO Eli x)w"!u i] 1C.C.E. Revenues: ITown of Enfield - County Funds 3,978.251 15,913.0011 15,913.001 0.00 100.00% lUnited Way Teen i 6,831.00 i 6,831-001 0.00, 10000% Program Parti Fees Eplayment 80.00 ; 0.00 1 (80.00)1 0*00% JEn field Youth 247 .481 2, 5w 1%. 0 0 2 5!)4 00 0-00 100.00% lEnrichment/Family Trips 447,851 1,752.41 2:175'.00 - 422.59 80.57% gram Pon-/ Entchm" 39.001 138-0010.00 (13800)1 0.00%leld EnfiCommunity Council 1 1,833.00 1,833.00 1,833.00 0.00 [ 100.0a./a ITown of Enfield - Town Funds 906.23 2,782. 00 0.001 100.00% Tota! Revenues i 7.461.81 ,� 31,923.41 201.691 T__ Pemonnef Expe ns" Salaries &-Wages 1,781.081 21,372.961 21.373.00 0.041 100 0Q% Tro-4i-im- Support Fee 984.75 _.3,9 939,00 0.0o � 100.0-00/0, �!nemo2yrrient Insurance 21.25 85.00 I 85.00 0.001 100.00%1 Workers'Compensation 55.00 220-00 220.00 o.00l ioo.00%j Liability Insurance 50.00 90n 200"00 0.001 IDO.00%1 Personnel Subto(al., 2.892.08 1 25,816.96 2.5,817.00 1 0,041 100,00% Program Expenses, Employment :Youth (64-10)1 2,594.00 2,594.001 0-00 1 00_D0% Emcee Dey- 35:4 0' 50-')o 14.6�0 70.80%1 FarnjILTni 3391 1 1,89041 1.11-2. 0-0 281.591 87.04%1 Twep no 1.'261 18.94 10-001 (8.94)! 189.406AI Pose E, 0.74 60.37 1 50.00 1 (10. . 27� 1 138.740/61 - 7-,00 160 41,67 16.86%1 tin s/Refreshments 011 An 18,53 221.90 3j00 . 00 1 340.00 78.101 73.97% IMites a van sage/Rentals 56.25 355.40 450.00 303.75- 12.50% 200.001 (155.40) 177.70% 10-201 173.00, 75.001 (98-00) 230.67% froqrer� Materials Program Presenters 58-651 124.10 559-25 I 300.00 - (259.25) 186-42% r 124.10; 6000 (64.10) 206.8395 Program subtoml: 6 311.0(1 -Total F-Xpenditu!n_ 3,372.25 31,923.41 32.18.00 i 204.59" I NOTICE: *You have $361.28 left to opend of Community Beautifloation MIMI Grant funds. :win uvil.iv� L% 1 {-I IJ l LA I 1 LL^ •% a i G I L I VtJI/ Youth Program Manager Report October 2004 Beth Bannister Mondav M : Monday makers continues to thrive and grow—this arts and crafts program started with 4 and currently has 12 students. Besides having tirm to build friendships, make decisions, and work cooperatively, Monday Makers make ti itigs! Creations in this group have been polymer clay figures and jewelry, decorated candies, and treasure boxes. This group thrives on activity—there is now time every day for some physical exercise. We have played cooperative football, basketball, and done lots of shoveling for our gardens! Students have many suggestions for what crafts they would like to leazm and create this year, so we will have no . shortage of possible activities. In December we plait to go to the Dynamic Designs Pottery studio. Primitive Pursuits: 8 students attending, 7 new students. Students have been learning basic survival skills and practicing them. So far we have learned about and practiced basic one -match fire building and learned several awarenesslcamoflage gauges. We have also played cooperative games working on teamwork, with physical exercise as a bonus. This group will be kept track of as part of an evaluation project at CCF, --one of our exercises was to list 10 things they would bring into a wilderness/survival situation. After 8 months of instruction and practice, I assume their 10 things will change and be more focused and thoughtful (ie no gameboys?). This group will be traveling this year to various parks and wild places to practice outdoor -skills, learn about wilderness survival and nature awareness, and work as a team to solve problems and work through challenges. We traveled to Treman Park to hike, begin learning basic survival concepts, and worked on our first challenge. Fifth Grade Focus &oun: 16 students enrolled and attending first session—all wanted to participate however only 12 could attend so 4 were put on await list. This collaboration with the United Way has the goal to empower youth as leaders who will make a difference in their community today and be impom3rt leaders in the future. Students have $2000 to allocate to organizations that offer human services to their community, and in the process gain leadership development and team skills, learn about needs and assets in their community, and learn budgeting and program development. Girls Grouos: These 60'grade girls' groups focus on Belonging and Community. They were formed to address a school need for Enfield and BJM girls to be completely welcomed and thought about in the school. Groups are currently 50150 Enfield1BJM and the goal is to keep it that way as the groups grow from 6 girls per group to 8 per group. I lead both groups, one morning session on my own, and co -leading with Wilma Martin in the afternoon. Girls will be worldng together for a common goallproject(possibly a Dewitt T -Shirt design?), and in the process welcome each other and themselves into the Dewitt Community. Girls will have the oppommity to get to know each other and support each other, learn about each others' strengths, cheer each other on in their challenges, and have fun and connecting times together. We will also be meeting once or twice a month with women community members to give them a chance to talk about their lives and for girls to ask them questions as well_ L.LN..y u \n i 1..V L- Lu % I LJ Yom/ LLA I - ..o,4 �a..•W7LILIWV 1WV 13 LC* -X* 11•JJ CrW$ Retreat: Five youth program manners have joined to offer a girFs Overnight retr November B-14. Each program manager will be inviting 6 girls to spend anovernight together, maldug homemade beauty products, moving, our bodies(yoga?j, making jewelry, Play outdoor/cooperative gams, cooking, creating a photodoeuaentary, and having a fashion show. High School Jobs: The two Enfield youth employees continue to work at the Sdencencer and PILL I met with one youth and his employer to evaluate him, and discuss future plans for his employment. The Sciencenter is pleased with his work, and hopes to employ him next year as he finishes bus job experience with Fkfield Youth Farnploymmt. Archery: In October there were 2 trips to Kleins Archery in Dryden for students to learn new skills, and practice their old slda in. archery. Safety and thoughtfulness of others became a focus, especially in the 2d group. Cavum Lake Cruise: On Sunday, October 24, two Enfield parents, four Enfield youth, and I boarded the W Haendal to exploreCayuga Lake with scientists from Cornell and Ithaca. We learned about water quality, tested for visibility, oxygen levels, and PH and Ngsited RUSS (Cornell's Remote Underwater Sensing Station). The sponsor of this program—Community Science Institute -plans to set up groups in conmiunaities of adults and youth to monitor the health of the lake and its tributaries, and is interested in a parent/youth group from Enfield. One of the parents expressed interest in continuing this spring with the director of this program, Stephen Penningroth s Total Unduplicated Count: 84 Male: 30 Female: 54 Total Duplicated Participation: 197 Distribution by Program Participation 1 Program: 44 2 Programs: 17 3 Programs: 7 4 Programs: 4 5 Programs: 2 6 Programs: 6 7 Programs: 1 8 Programs: 1 9 Programs: 1 10 Programs: 11 Programs: 12 Programs: 1 13 Programs: Distribution by Grade of Unduplicated Youth (Grade as of Fall 2004) Pre -K K Grade 1 Grade 2 Grade 3 Grade 4 Grade 5 Grade 6 Grade 7 Grade 8 Grade 9 Grade 10 Grade 11 Grade 12 post -HS 19 31 13 15 5 1 Enfield Youth Services 2004 Annual Report Program Manager: Beth Bannister Section 1: Youth Development Programs Number Of Program Title Sessions 5th Grade Outdoor 4 Program I Grade Total Youth �. Activities Life Skills/Outcomes Range I M I F Attending An outdoor adventure program. Students Teamwork 5 - 6 4 6 10 learn wilderness survival and outdoor living Critical Thinking skills, practice awareness and community Decision Making building, and learn respect for themselves, Learning to Learn S 'i 1 S ill their peers and the earth. Specific skills oc a k s Include basketmaking, firebuilding, and Leadership stalking/camoflage skills. Responsible Citizenship/Earth Stewardship Archery 1 Traveled to Kleins Archery in Dryden for Personal Safety 6 - 8 2 1 3 students to learn new skills, and practice Cooperation their old skills in archery. Safety and Communication thoughtfulness of others became a focus, Social Skills especially in the 2nd group. Self -Responsibility Archery Skills Cayuga Lake Cruise 1 On Sunday, October 24, two Enfield parents, Critical Thinking 6 - 6 1 3 4 four Enfield youth, and Beth Bannister Responsible Citizenship boarded the MV Haendal to explore Cayuga Contributions to a Group Effort Lake with scientists from Cornell and Keeping Records Ithaca. The group learned about water Leadership quality, tested for visibility, oxygen levels, and PH and visited RUSS (Cornell's Remote Underwater Sensing Station). The sponsor of this program—Community Science Institute—plans to set up groups in communities of adults and youth to monitor the health of the lake and its tributaries, and is interested in a parent/youth group from Enfield. One of the parents expressed interest in continuing this spring with the director of this program, Stephen Penningroth. Cryptology Funky Furniture Games and Gardening Hip Hop Dance 1 Made 7 dozen large cookies for a large Marketable skills (Baking) 6 - 7 2 3 5 community event: the Enfield Harvest Math skills Festival. Wrapped them sanitarily in plastic Following Directions/Teamwork wrap. 'Disease Prevention Community Service Contributions to a Group Effort Social Skills 4 Students both learned about nutritious food Healthy Lifestyle Choices 5 - 9 2 4 6 and science and math in this cooking class. Marketable Skills Dishes included popular dishes such as Contributions to a group effort pizza and spagetti, as well as food from Social Skills other cultures such as Mexican food and stir Cooperation fried veggies. Decision Making 1 Participants had the opportunity to create Marketable Skills 6 - 7 2 2 4 their own secret code, as well as to learn Mathematics Skills about codes, various methods of creating Critical Thinking secret messages, and highlight the history Problem Solving behind these methods. Special Instructor Learning to Learn was Professor David Brown from Ithaca College, who stressed appreciation of the mathematics of codes. 3 This group collected old furniture (i.e. Old - Marketable Skills 6 - 9 3 6 9 desks, bookshelves, small tables, etc.) and Decision Making brought furniture from home to transform Goal Setting Into cool, usable, and personal furniture. Planning Students learned new techniques for Wise Use of Resources furniture, such as painting, stenciling, Social Skills decoupage, marbling, and crackling. 1 Students planted bulbs and tubers in front of Marketbabie Skills 6 - 6 3 3 the Enfield Community Center and Personal Safety participated in group games as well. Decision Making Critical Thinking Service Learning Community Service/ Volunteering Teamwork Cooperation Social Skills 4 An Ithaca College dance student joined Healthy lifestyle choices/physical fitness 7 - 8 1 6 7 youth for 4 afternoons of dance. Students Stress management both followed routines led by her, and were Cooperation able to create their own moves. Jen also Leadership followed the lead of the students and their Self-esteem interests, and added some breakdancing to Self-discipline the hip hop steps. Students also worked in teams to choreograph together. it Jaws 1 This Reality Check -sponsored event Healthy Lifestyle Choices featured education about big tobacco Self -Esteem y" companies and their advertising tactics and Self-Discipline R the movie Jaws on a big screen being Critical Thinking watched in a swimming pool. Decision Making Personal Safety „ Monday Makers Fail 04 12 This group will be meeting weekly Social Skills 6-,8 6 1.2. 18 throughout the year, learning new craft skills, Marketable Skills making new friends, and making holiday Teamwork gifts. Also included was a trip to the Decision Making Dynamic Designs Pottery studio in Ithaca. Leadership Problem Solving Monday Makers Spring 18 An arts and crafts program focused on Social Skills 6 - 9 7 11 18 04 teaching new skills, including crafts, Marketable Skills cooking, and field trips. Teamwork Decision Making Leadership Problem Solving Pottery at Dynamic 1 Participants visited Dynamic Patterns, a Decision Making 6 - 8 2 7 9 Patterns studio where pottery pieces are chosen then Marketable Skills -painting, pottery painted. Students need to use their minds Social skills eye to imagine what they will look like when Goal Setting finished, as the paint colors are not the Wise use of resources colors they come out of the kiln with. The studio then fires them, and students have beautiful pottery! Primitive Pursuits Fall 04 12 This group will be, kept track of as part of an Teamwork 6-71 7 2 9 evaluation project at CCE -one of our Critical Thinking exercises was to list 10 things they would Decision Making bring Into a wilderness/survival situation. Learning to Learn After 8 months of Instruction and practice, I Social Skills assume their 10 things will change and be Leadership more focused and thoughtful (ie no Responsible Citizenship/Earth Stewardship" gameboys?). This group will be traveling this year to various parks and wild places to practice outdoor skills, learn about wilderness survival and nature awareness, and work as a team to solve problems and work through challenges. Primitive Pursuits Spring 11 An outdoor adventure program. Students Teamwork 6 - 9 5 1 6 04 learn wilderness survival and outdoor living Critical Thinking skills, practice awareness and community Decision Making building, and learn respect for themselves, Learning to Learn their peers and the earth. Social Skills Leadership Responsible Citizenship/Earth Stewardship (Section 2;; Youth Employment Program Title CIT Program High School Jobs Program Focus � Total Number of Youth Served I Grades. IMI F ❑Volunteerism ❑Subsidized Employment 9 Grades 5 - 8: 3 4 Career Exploration ❑Casual Employment Grades 9 - 10: 1 - t d❑ Job Skills Grades 11 & Up ❑ Volunteeri sm ❑�/ Career Exploration Q Job Skills Subsidized Employment ❑ Casual Employment 2 Grades 5 - 8: Grades 9 - 10: 1 1 Grades 11 & Up: Rock Climbing 1 Instructors with Cornell Outdoor Education Personal safety 6-9 t3 2 10 i ^d' taught climbing safety, climbing equipment Goal Setting use, stretching, and climbing skills. Decision Making Students were encouraged by staff when Social Skills h 4., climbing, and learned to cheer each other on Concern for others as well. Climbers had to chose from many Self-esteem {r 4a areas of the wall with various levels of Self-discipline r, difficulty. Many students found that when they wanted to give up, a little encouragement helped them climb higher. Swimming/Ithaca 1 Students swam in the pool at the YMCA and Healthy Lifestyle Choices 7-7 3• 3 Festival then traveled to the Ithaca Commons to Stress Management explore events at the Ithaca Festival. There Social Skills were food vendors, craft vendors, as well as music, singing and dance from many cultures, Winter Overnight 1 On a chilly February break, the night Teamwork 8-8 2 2 temperatures went down to near zero. Critical Thinking However students were thrilled to say that Decision Making they succeeded in building a snow and wood Learning to Learn shelter that was warmed to over 40degrees Social Skills with body heat. Leadership Responsible Citizenship/Earth Stewardship (Section 2;; Youth Employment Program Title CIT Program High School Jobs Program Focus � Total Number of Youth Served I Grades. IMI F ❑Volunteerism ❑Subsidized Employment 9 Grades 5 - 8: 3 4 Career Exploration ❑Casual Employment Grades 9 - 10: 1 - t d❑ Job Skills Grades 11 & Up ❑ Volunteeri sm ❑�/ Career Exploration Q Job Skills Subsidized Employment ❑ Casual Employment 2 Grades 5 - 8: Grades 9 - 10: 1 1 Grades 11 & Up: Youth Employment 04 Volunteerism FV� Subsidized Employment Q Career Exploration ❑ Casual Employment ❑d Job Skills Section 3: Collaborations Number Of Grade Total Youth Program Title Sessions Activities I Life Skills/Outcomes Range M F Attending Challenge Thisl II 5 Enfield. youth at Dewitt were joined by Problem solving 7 - 9 5 1 6 Dryden students for some team challenge Decision making activities. Students needed to work together Teamwork to unravel human knots, boil water in paper Social Skills cups, and accomplish challenges blindfolded. Communication Leadership Self-esteem Self -responsibility Dewitt 6th Grade Girls' 9 These 6th grade girls' groups focus on Communication 6 - 6 16 16 Groups Fall 04 Belonging and Community. They were Social Skills formed to address a school need for Enfield Accepting Differnences and BJM girls to be completely welcomed Nurturing Relationships and thought about in the school. There are Leadership two groups with a balance of Enfield, BJM Teamwork and one other girl; one has 7 students and Self -Esteem the other has 8. Beth Bannister leads both Healthy Choices groups --one morning session and co -leading with Wilma Martin In the afternoon. Girls have worked on craft activities together, such as painting treasure boxes, talked about girl/teen issues, played games focusing on communication and decision making, and have eaten lunch with women who work in the school office as well as the Ithaca Police Chief. pa 4P;` Focus Program , ��'�,��^� .8 This collaboration with Service Learning the goal to empower youth as leaders who Teamwork will make a difference In their community Focus o[Attention be Important leaders in the Self -Esteem and Empowerment future. .^°~~~~.~,~.~~'..~~~.~ Decision Making were made, and the group allocated $2000 Cooperation to organizations that offer human services to Responsible Citizenship their community. On December 2, sever_ Concern for others , ofthe students announced their allocations the United Way Grant Ceremony at the . Clarion Hotel. aua group, they talked about ' mei, program, announced their decisions, and received certificates of participation. Girl's Retreat I Five youth program managers joined to offer Teamwork overnightC»nmon Each program manager invited girls to Self -Esteem spend an overnight making Marketable Skills xom=maua beauty products, moving our Social Skills ,bodies, making jewelry, playing Critical Thinking outdoor/cooperative games, cooking, Contributions b,oGroup Effort - '.creating a photo -documentary, and having a ` fashion sho~ The pajama fashion show .' was a hit, with a surprise ending (program managers mut on the spot to do askitl>Thu retreat was popular with the girls, who both `exchanged phone numbers and requested =w"=".===. Oister2aiste, ' 1Teen Girls from around the were�, 'Invited to spend a day with each other Laaoommp talki--- Self-esteem— 'about issues In their lives. Topics included Managing Feelings body image,––_~food –_and Character . .positive nutrition, and friendship. Healthy Lifestyle Choices Stress Management Summer Primitives 1 Youth with a variety of experience with Teamwork Overnights outdoor living skills spent 3 days and 2 Critical Thinking nights lea | uUdskills such as Decision Making fir–e by friction, shelter building, flintknapping, Learning' outdoor cooking, finding potable water, and Social Skills boatmaking. There was also a primitive Leadership "Olympics" inwhich 2teams competed in Responsible Citizens hip/EarthStewardship events using those skills. Marketable Skills Village Camp 5 Enfield Youth joined others around the Teamwork county inCamp Earth Connections' Village Critical Thinking , Camp. Respect for each other, the earth, Decision Making and selves was obig theme, and campers Learning to Learn learned outdoor living skills uowell. This Social Skills weeklong day camp had one overnight on Loauo,omp Thursday night. Responsible Citizenship/Earth Stewardship ' ` a's 7� u 15 5'a 3 2 2 u 1.9 s Section 4: Special Events Program Title I Activities Life Skills/Outcomes Hangar Theater's CATS This Community Event invited all Enfield community Community Belonging members to a local production of CATS. People could Sharing either drive themselves or could join others to travel by Social Skills van to the Hangar Theater. This was Indeed a special Self-discipline event for Enflelders, as CATS has rarely been shown outside of Broadway. For several youth, it was their first theater event, WA 1 .1 Total Number of Participants 23 YOUTH Telephone E-mail TO: Gary Fisher, Town_ Supervisor FROM: Theresa Albert, Administrative Assistant DATE: December 23, 2004 RE: Youth Services Board - Town Representative Peggy Hubbell has been the Town of Enfield representative on the Tompkins County Youth Services Board since March of 2003. Her current term expires December 31, 2004. Mrs. Hubbell is willing and interested in continuing to represent the Town of Enfield; She has completed an Application/Resume to be re -appointed; a copy is enclosed for your information. Before she can be officially re -appointed, the Town needs to approve her "appointment". Therefore, I will need something in writing from the Town of Enfield showing the Town Board has approved Mrs. Hubbell to be the Town representative on the County Youth Services Board for another 3 -year term. This can be a very brief memo from you; copy of minutes recording the vote, etc. Please send the above to me at the Tompkins County Youth Services Department, 320 W. State Street, Ithaca, as soon as possible. Please contact me with any questions. Your immediate attention to this matter would be greatly appreciated. Thank you. cc: Peggy Hubbell Creating healthy youth and vital communities ... Since 1977. tD Recycled paper TOMPKINS COUNTY LEGISLATURE Courthouse, Ithaca NY 14850 Name of advisory group 3 L4 Seat designat "n represented %Term length Meeting time aAd place ADVISORY BOARD APPLICATION Please type or print in black ink (Revised October 2004) If you are interested in serving as a member of an advisory group please complete the form below. Please attach additional sheets if necessary. You maybe called for an interview and you may wish to attend a meeting of the advisory group if you have not yet done so. Please all the Legislature Office at 274-5434 if you have any questions. f , Name k4 . l Date of application Address (residence) stmt Ci.j Zip Cv-Je Telephone (home) (work) (mobile) (fax) Email address Length ofresidence in Tompkins County Occupations)/name and location of business Education schools (degrees) and specialties -- Why are you interested in this position? What particular strengths would- bring to this position? t 1'rii r� J� Y�-� Experience and community affiliations " Recommended by <�`f��-�'u If organization or municipalit include name of entity, (Vontact persoh, aid telephone number, • If another indivldual(s), give name(s) and telephone nur ber(s). ,/ References: (1)i�/rl 1 Ing .K . H f 11)4i f.l In add and to ep a number (2) „ S�J� �.1� �. ,Qi_�r�o7-z ,name, address, and telephone number Type of appointment rP,,, Replacing JU 4 Term expiration date 140 7 new or reappointment/� Seat designation ` —10tA J ti? of 4e Indicate specific area or constituency represented on this board / ` �fI Signature of Applicant Ofce use only Legislative Committee recommendation Date Legislature appointment date Appointment letter mailed date