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97-1078Council File $ 1` t� t� Green Sheet # 3 7�'/ S' �: � . . ��,'..,�, Presented By Referred To RESOLUTION �INT PAUL, NIINNESOTA 1 RESOLVED, that the Saint Paul City Council consents to and approves of 2 the appoinhnent, made by the Mayor, of James Jordan, M.D., to serve on the 3 Saint Paul-Ramsey County Community Health Services Advisory Committee. 4 5 This is a two-year term which will expire on June 26, 1999. Adopted bp Council: Date Adoption Certified by Council Secretary By: � ' \ a� ` � �.-�..T�l� 'T Approved by Mayor: Date "V�iJ � �- By: � Form Approved by City Attorney By: 4�� f �� 7 A Approved by Mayor for Submission to Council $Y , ��d�� Requested by Department of: , �t�l - to`l8' DEPARTMENT�DFFICErCOUNCII DATE INITIATED 3 7 8� 8 � Coleman's Office a-2�-9� GREEN SHEE CONTACTPERSON 8 PHONE INITIAVDATE INITIAVDATE �DEPARTMENTDIRE �GTYCOUNCIL Alberto Quintela 266-8529 ASSIGN �CITYATfORNEV OqTYCLERK NUMBERFOF b1UST BE ON CAUNCIL AGENUA BY (DATE) p��p� � 6UDGET OIRECTOR � 61N. 6 MGT. SERVIC DIR. ORDER � Mpypq (OR ASSISTANn � TOTAL # OF SIGNATURE PAGES 1 (CLIP ALL LOCATIONS FOR SIGNATURE) ACTION REQUESTEO: Approval of the appointment of James Jordan, M.D. to serve on the Saint Paul-Ramsey County Community Health Services Advisory Committee. pECOMMENDA7loNS: Approve (A) or Ra�ect (R) pERSONAL SERVICE CON7RACTS MUST ANSWER THE FOLLOWING QUESTIONS: _ PLANNING CQMMISSION _ CIVIL SERVICE COMMISSION 1. Ha5 this pe�SOn/firm eVef WOrked Untlef d COMIaC[ fOf tltis departmEnt? _ CIB COMMITfEE _ YES NO _ STAFF 2. Has this personRirm ever been a ciry employee? — YES NO _ oiSrqic7 cOURr _ 3. Does this person/firm possess a skill not normally possessed by any current city employee? SUPPORTS WHICH COUNCIL OBJECTIVE7 YES NO Explafn all yes answers on separete aheet and ettach to green sheet INITIATING PROBLEM, ISSUE, OPPOqTUNIN (Who, What. When, Where. Why): ��;"s�� 'y�»q.^�^P . m , c :�f¢$ �jE�� €�� i�g�' ADVANTAGES IF APPROVED: DISADVANTAGES IFAPPROVED� DISADVANTAGES �F NOTAPPROVED: TOTAL AMOUNT OF TRANSACTION $ COST/REVENUE BUDGETED (CIRCLE ONE) VES NO FUNDIIdG SOUflCE ACTIVITY NUMBER FINANCIAL INFORFnATION. (EXPLAIN) 3 n �/ � A 390 cITY E.AI,L � .� /t � � S�T.INT FaIIL� 2!INNESOTA 55102 �ti�'�v�'�i{✓ 266-8525,' FA%_ 266-8513 .c�Etiv� `�`1 l0`l8' 2va=e: James Jordan, M.D. � 2g �99( Hoae Address' S00 Frontenac Place St. Paul, MN �� - nV Q��04 St=eet Cizp Zip Telephone 2;,i,.ber: 61 Plazv*iing District Co�cil: 3 � Preferred Ljailing Address: 1 City Cocnc:l Aard: S7hat is yocr occnpatioa? Physician/Psychiatrist - Executive Director � Place o� F Co�ittee(s) Apolied For: Hamm Memorial Psychiatric Clinic Community Health Services Advisory Cosmittee :nzt sY_i11s/training oz er�eriance co �ou possess =or the co�ittee(s) �or cnich you seek appoin`�ert? I am a Boaxd Certified Psvchiatrist and the Director of Hamm Memorial Psvchiatric Clinic in St. Paul. I am a member of the Board of Directors of the Ramsey County Medical'Society repre sentin� mental health services Mv Health Policv Committee work included servinQ on the Minnesota Department of Health Advisory CommitCees for Integrated Service Networks and the Basic Benefit Set in 1994. Aamm Clinic provides affordable outpatient mental health services for adults in the diverse metropolitan Twin Cities community. The Clinic has operated for 43 years in Saint Paul and is supported by the Hamm Fund of the Saint Paul Foundation. Prior to assuming the position o irector at Hamm anic in , was t e irector o t e o escent emlca epen ency Program at St. Mary's Hospital in Nlinneapolis for the period of 1975 - 1985. I have taken course work in the MBA program at St. Thomas University in Health Care Policy Minnesota Medical Association. � The in�o�..ation inclnded in this application is coasic'ered pricate �eta acco�c��g to the Hinnesota Goverment Data Practices Act, As a result, this in`o�...ztion is r.ot =elease� to the genezzl public. (OV`R) �ec. 2i` 28/96 . .--.�......-u. c�c.r i-ttP.:V I.GJ Name: Address Phone St., St. Paul, MN 55101 224-5463 Name: Stuart Laird, Executive Director - Carondelet Foundation & Free Clinics 1884 Randolph Ave. Address• St. Paul, MN 55105 Phone 690-7029 Naae• Roger Sohnson, Executive Director - Ramsey County Medical Society roa way ace as , ui e Address: 3433 Broadway St., NE, Minneapolis, MN 12) 362-3700 Reasons for potzr interest i.n this particular coa:mittee: I believe that a Public Mental alth Long RanQe Planning Project requires inteQrated services of evaluationt and RRSPR4mant tation assures �na �� This iat our Saint Paul community is a heal work and pursue business initiatives. ect and its ive environment to raise a fa mil and Have you had previous contact vith the comittee for vhich yon are szking 2pplicatior. I£ so, chen, and circumstances7 No , In an attespt to ensure that co�nittee representation reflects the razkecp of our com�aunity, please check the line applicable to pou. This inforr..ation is strictly volvntary. � _ wThite (Caucasian) B1ack (African American) �15P2nic A�erican Indian or Alas�an Eskino Asian or Pacific Sslander X 2fale Fenale Date of Birth: 8/13/40 Disabled: yeS �, �A I£ special accocrmodatxons aze needed, please specifp.None Hov did you hear about this openingT Ramsev County Board Meeting q,rl-1o�8' 08-21-97 COMMITTEE APPLICANTS REPORT APPLICANTS.RPT PAGE 1 COMMITTEE : JCCEiSAC Health Services Adv. Comm. FOR APPLICATIONS DATED AFTER O1/O1/94 APPLICANT / REFERENCE CAMMENTS 003282 Belgea, Nicole 2223 W. County Road B Roseville, MN 55113 Home - 636-535� Full-time U of M Student WARD PLANNING SEP7ATE APP DATE ETH GEN DIS DISTRICT DISTRICT (PRIOR) (OTFiER COMMITTEES SERVZNG ON) ---- ---'----- -------- °------ --- --- --- 64J14/97 W F Food and Nutrition Commission Tom & Pay Lyons 568 Iona Lane Roseville, MN 55113 h) 484-7612 Gerald McCauley 1925 Jerrold Avenue Arden Hi11s, MN 55112 h) 633-3665 w) 631-1724 Debbie Wolf 1438 148th Avenue Andover, MN 55304 h) 434-2852 w) 631^1724 003316 Jordan, M.D., James 500 Frontenanc Place St. Paul, MN 55104 Home - 647-0432 Physician/PSychiatrist 4 13 07/28/97 W M Paul Verret, President The Saint Paul Foundation 600 Norwest Buildinq 55 East Fifth Street St. Paul, MN 55101 w) 224-5463 Stuart Laird Executive Director Carondelt Foundations and Free Clinics 1884 Randolph Avenue Saint Paul� Minnesota 55105 w) 690-7029 Roger Johnson Exec. Director Ramsey County Medical Society Suite 350 Broadway Place East 3433 Broadway St., N.E. Minneapolis, MN 55413 1761 . Q�- �o�t8' OS-21-97 COMMITTEE APPLICANTS REPORT PAGE 2 APPLICANTS.RPT COMMITTEE : JCCHSAC Health Services Adv. Comm. FOR APPLZCATIONS DATED AFTER O1/O1/94 _ APPLICANT / REFERENCE COMt�NTS WARD PLANNING SENATE APP DATE ETH GEN DIS DZSTRICT DISTRICT (PRIOR) (OTHER COMMITTEES SERVING ON) ----------------------------------- ---- -------- -------- -------� --- --- --- w) 362-3700 002964 Mitchell, Susan 16 03J30/95 W F Allina Health System 5601 Smetana Drive P.O. Box 9310 Minneapolis, MN 55440 Work - 992-3948 Director-COmmunity Health Joan Mishek 736 Osceola Avenue St. Paul H) 224-9381 Susan Haigh 910 Fairmount St. Paul, MN H) 224-3178 Rob Fulton Dir-Ramsey County Public Health W)266-2424 `�fl��l�' Interdepartmental Memorandum CTTY OF SAINT PAUL TO: Saint Paul City Councilmembers Council President Dave Thune Councilmember 7erry Blakey Councilmember Daniei Bostrom FROM: DATE: Councilmember Joseph Collins Councilmember Mike Harris Councilmember Roberta Megard Councilmember Gladys Morton Alberto Quintela Assistant to the Mayor August 21, 1997 � ►� RE: Saint Paul-Ramsey County Community Health Services Advisory Committee Mayor Coleman has recommended the appointment of Dr. 7ames 7ordan to serve on the Saint Paul-Ramsey County Community Health Services Advisory A copy of the resolution is attached and an applicant report listing all applicants on file since January 1, 1994. Ifyou have any questions, feel free to call me at 266-8529. AQ:drm Attachments c: Nancy Anderson, Council Reseuch Rob Fulton, Director, City-County Public Health Council File $ 1` t� t� Green Sheet # 3 7�'/ S' �: � . . ��,'..,�, Presented By Referred To RESOLUTION �INT PAUL, NIINNESOTA 1 RESOLVED, that the Saint Paul City Council consents to and approves of 2 the appoinhnent, made by the Mayor, of James Jordan, M.D., to serve on the 3 Saint Paul-Ramsey County Community Health Services Advisory Committee. 4 5 This is a two-year term which will expire on June 26, 1999. Adopted bp Council: Date Adoption Certified by Council Secretary By: � ' \ a� ` � �.-�..T�l� 'T Approved by Mayor: Date "V�iJ � �- By: � Form Approved by City Attorney By: 4�� f �� 7 A Approved by Mayor for Submission to Council $Y , ��d�� Requested by Department of: , �t�l - to`l8' DEPARTMENT�DFFICErCOUNCII DATE INITIATED 3 7 8� 8 � Coleman's Office a-2�-9� GREEN SHEE CONTACTPERSON 8 PHONE INITIAVDATE INITIAVDATE �DEPARTMENTDIRE �GTYCOUNCIL Alberto Quintela 266-8529 ASSIGN �CITYATfORNEV OqTYCLERK NUMBERFOF b1UST BE ON CAUNCIL AGENUA BY (DATE) p��p� � 6UDGET OIRECTOR � 61N. 6 MGT. SERVIC DIR. ORDER � Mpypq (OR ASSISTANn � TOTAL # OF SIGNATURE PAGES 1 (CLIP ALL LOCATIONS FOR SIGNATURE) ACTION REQUESTEO: Approval of the appointment of James Jordan, M.D. to serve on the Saint Paul-Ramsey County Community Health Services Advisory Committee. pECOMMENDA7loNS: Approve (A) or Ra�ect (R) pERSONAL SERVICE CON7RACTS MUST ANSWER THE FOLLOWING QUESTIONS: _ PLANNING CQMMISSION _ CIVIL SERVICE COMMISSION 1. Ha5 this pe�SOn/firm eVef WOrked Untlef d COMIaC[ fOf tltis departmEnt? _ CIB COMMITfEE _ YES NO _ STAFF 2. Has this personRirm ever been a ciry employee? — YES NO _ oiSrqic7 cOURr _ 3. Does this person/firm possess a skill not normally possessed by any current city employee? SUPPORTS WHICH COUNCIL OBJECTIVE7 YES NO Explafn all yes answers on separete aheet and ettach to green sheet INITIATING PROBLEM, ISSUE, OPPOqTUNIN (Who, What. When, Where. Why): ��;"s�� 'y�»q.^�^P . m , c :�f¢$ �jE�� €�� i�g�' ADVANTAGES IF APPROVED: DISADVANTAGES IFAPPROVED� DISADVANTAGES �F NOTAPPROVED: TOTAL AMOUNT OF TRANSACTION $ COST/REVENUE BUDGETED (CIRCLE ONE) VES NO FUNDIIdG SOUflCE ACTIVITY NUMBER FINANCIAL INFORFnATION. (EXPLAIN) 3 n �/ � A 390 cITY E.AI,L � .� /t � � S�T.INT FaIIL� 2!INNESOTA 55102 �ti�'�v�'�i{✓ 266-8525,' FA%_ 266-8513 .c�Etiv� `�`1 l0`l8' 2va=e: James Jordan, M.D. � 2g �99( Hoae Address' S00 Frontenac Place St. Paul, MN �� - nV Q��04 St=eet Cizp Zip Telephone 2;,i,.ber: 61 Plazv*iing District Co�cil: 3 � Preferred Ljailing Address: 1 City Cocnc:l Aard: S7hat is yocr occnpatioa? Physician/Psychiatrist - Executive Director � Place o� F Co�ittee(s) Apolied For: Hamm Memorial Psychiatric Clinic Community Health Services Advisory Cosmittee :nzt sY_i11s/training oz er�eriance co �ou possess =or the co�ittee(s) �or cnich you seek appoin`�ert? I am a Boaxd Certified Psvchiatrist and the Director of Hamm Memorial Psvchiatric Clinic in St. Paul. I am a member of the Board of Directors of the Ramsey County Medical'Society repre sentin� mental health services Mv Health Policv Committee work included servinQ on the Minnesota Department of Health Advisory CommitCees for Integrated Service Networks and the Basic Benefit Set in 1994. Aamm Clinic provides affordable outpatient mental health services for adults in the diverse metropolitan Twin Cities community. The Clinic has operated for 43 years in Saint Paul and is supported by the Hamm Fund of the Saint Paul Foundation. Prior to assuming the position o irector at Hamm anic in , was t e irector o t e o escent emlca epen ency Program at St. Mary's Hospital in Nlinneapolis for the period of 1975 - 1985. I have taken course work in the MBA program at St. Thomas University in Health Care Policy Minnesota Medical Association. � The in�o�..ation inclnded in this application is coasic'ered pricate �eta acco�c��g to the Hinnesota Goverment Data Practices Act, As a result, this in`o�...ztion is r.ot =elease� to the genezzl public. (OV`R) �ec. 2i` 28/96 . .--.�......-u. c�c.r i-ttP.:V I.GJ Name: Address Phone St., St. Paul, MN 55101 224-5463 Name: Stuart Laird, Executive Director - Carondelet Foundation & Free Clinics 1884 Randolph Ave. Address• St. Paul, MN 55105 Phone 690-7029 Naae• Roger Sohnson, Executive Director - Ramsey County Medical Society roa way ace as , ui e Address: 3433 Broadway St., NE, Minneapolis, MN 12) 362-3700 Reasons for potzr interest i.n this particular coa:mittee: I believe that a Public Mental alth Long RanQe Planning Project requires inteQrated services of evaluationt and RRSPR4mant tation assures �na �� This iat our Saint Paul community is a heal work and pursue business initiatives. ect and its ive environment to raise a fa mil and Have you had previous contact vith the comittee for vhich yon are szking 2pplicatior. I£ so, chen, and circumstances7 No , In an attespt to ensure that co�nittee representation reflects the razkecp of our com�aunity, please check the line applicable to pou. This inforr..ation is strictly volvntary. � _ wThite (Caucasian) B1ack (African American) �15P2nic A�erican Indian or Alas�an Eskino Asian or Pacific Sslander X 2fale Fenale Date of Birth: 8/13/40 Disabled: yeS �, �A I£ special accocrmodatxons aze needed, please specifp.None Hov did you hear about this openingT Ramsev County Board Meeting q,rl-1o�8' 08-21-97 COMMITTEE APPLICANTS REPORT APPLICANTS.RPT PAGE 1 COMMITTEE : JCCEiSAC Health Services Adv. Comm. FOR APPLICATIONS DATED AFTER O1/O1/94 APPLICANT / REFERENCE CAMMENTS 003282 Belgea, Nicole 2223 W. County Road B Roseville, MN 55113 Home - 636-535� Full-time U of M Student WARD PLANNING SEP7ATE APP DATE ETH GEN DIS DISTRICT DISTRICT (PRIOR) (OTFiER COMMITTEES SERVZNG ON) ---- ---'----- -------- °------ --- --- --- 64J14/97 W F Food and Nutrition Commission Tom & Pay Lyons 568 Iona Lane Roseville, MN 55113 h) 484-7612 Gerald McCauley 1925 Jerrold Avenue Arden Hi11s, MN 55112 h) 633-3665 w) 631-1724 Debbie Wolf 1438 148th Avenue Andover, MN 55304 h) 434-2852 w) 631^1724 003316 Jordan, M.D., James 500 Frontenanc Place St. Paul, MN 55104 Home - 647-0432 Physician/PSychiatrist 4 13 07/28/97 W M Paul Verret, President The Saint Paul Foundation 600 Norwest Buildinq 55 East Fifth Street St. Paul, MN 55101 w) 224-5463 Stuart Laird Executive Director Carondelt Foundations and Free Clinics 1884 Randolph Avenue Saint Paul� Minnesota 55105 w) 690-7029 Roger Johnson Exec. Director Ramsey County Medical Society Suite 350 Broadway Place East 3433 Broadway St., N.E. Minneapolis, MN 55413 1761 . Q�- �o�t8' OS-21-97 COMMITTEE APPLICANTS REPORT PAGE 2 APPLICANTS.RPT COMMITTEE : JCCHSAC Health Services Adv. Comm. FOR APPLZCATIONS DATED AFTER O1/O1/94 _ APPLICANT / REFERENCE COMt�NTS WARD PLANNING SENATE APP DATE ETH GEN DIS DZSTRICT DISTRICT (PRIOR) (OTHER COMMITTEES SERVING ON) ----------------------------------- ---- -------- -------- -------� --- --- --- w) 362-3700 002964 Mitchell, Susan 16 03J30/95 W F Allina Health System 5601 Smetana Drive P.O. Box 9310 Minneapolis, MN 55440 Work - 992-3948 Director-COmmunity Health Joan Mishek 736 Osceola Avenue St. Paul H) 224-9381 Susan Haigh 910 Fairmount St. Paul, MN H) 224-3178 Rob Fulton Dir-Ramsey County Public Health W)266-2424 `�fl��l�' Interdepartmental Memorandum CTTY OF SAINT PAUL TO: Saint Paul City Councilmembers Council President Dave Thune Councilmember 7erry Blakey Councilmember Daniei Bostrom FROM: DATE: Councilmember Joseph Collins Councilmember Mike Harris Councilmember Roberta Megard Councilmember Gladys Morton Alberto Quintela Assistant to the Mayor August 21, 1997 � ►� RE: Saint Paul-Ramsey County Community Health Services Advisory Committee Mayor Coleman has recommended the appointment of Dr. 7ames 7ordan to serve on the Saint Paul-Ramsey County Community Health Services Advisory A copy of the resolution is attached and an applicant report listing all applicants on file since January 1, 1994. Ifyou have any questions, feel free to call me at 266-8529. AQ:drm Attachments c: Nancy Anderson, Council Reseuch Rob Fulton, Director, City-County Public Health Council File $ 1` t� t� Green Sheet # 3 7�'/ S' �: � . . ��,'..,�, Presented By Referred To RESOLUTION �INT PAUL, NIINNESOTA 1 RESOLVED, that the Saint Paul City Council consents to and approves of 2 the appoinhnent, made by the Mayor, of James Jordan, M.D., to serve on the 3 Saint Paul-Ramsey County Community Health Services Advisory Committee. 4 5 This is a two-year term which will expire on June 26, 1999. Adopted bp Council: Date Adoption Certified by Council Secretary By: � ' \ a� ` � �.-�..T�l� 'T Approved by Mayor: Date "V�iJ � �- By: � Form Approved by City Attorney By: 4�� f �� 7 A Approved by Mayor for Submission to Council $Y , ��d�� Requested by Department of: , �t�l - to`l8' DEPARTMENT�DFFICErCOUNCII DATE INITIATED 3 7 8� 8 � Coleman's Office a-2�-9� GREEN SHEE CONTACTPERSON 8 PHONE INITIAVDATE INITIAVDATE �DEPARTMENTDIRE �GTYCOUNCIL Alberto Quintela 266-8529 ASSIGN �CITYATfORNEV OqTYCLERK NUMBERFOF b1UST BE ON CAUNCIL AGENUA BY (DATE) p��p� � 6UDGET OIRECTOR � 61N. 6 MGT. SERVIC DIR. ORDER � Mpypq (OR ASSISTANn � TOTAL # OF SIGNATURE PAGES 1 (CLIP ALL LOCATIONS FOR SIGNATURE) ACTION REQUESTEO: Approval of the appointment of James Jordan, M.D. to serve on the Saint Paul-Ramsey County Community Health Services Advisory Committee. pECOMMENDA7loNS: Approve (A) or Ra�ect (R) pERSONAL SERVICE CON7RACTS MUST ANSWER THE FOLLOWING QUESTIONS: _ PLANNING CQMMISSION _ CIVIL SERVICE COMMISSION 1. Ha5 this pe�SOn/firm eVef WOrked Untlef d COMIaC[ fOf tltis departmEnt? _ CIB COMMITfEE _ YES NO _ STAFF 2. Has this personRirm ever been a ciry employee? — YES NO _ oiSrqic7 cOURr _ 3. Does this person/firm possess a skill not normally possessed by any current city employee? SUPPORTS WHICH COUNCIL OBJECTIVE7 YES NO Explafn all yes answers on separete aheet and ettach to green sheet INITIATING PROBLEM, ISSUE, OPPOqTUNIN (Who, What. When, Where. Why): ��;"s�� 'y�»q.^�^P . m , c :�f¢$ �jE�� €�� i�g�' ADVANTAGES IF APPROVED: DISADVANTAGES IFAPPROVED� DISADVANTAGES �F NOTAPPROVED: TOTAL AMOUNT OF TRANSACTION $ COST/REVENUE BUDGETED (CIRCLE ONE) VES NO FUNDIIdG SOUflCE ACTIVITY NUMBER FINANCIAL INFORFnATION. (EXPLAIN) 3 n �/ � A 390 cITY E.AI,L � .� /t � � S�T.INT FaIIL� 2!INNESOTA 55102 �ti�'�v�'�i{✓ 266-8525,' FA%_ 266-8513 .c�Etiv� `�`1 l0`l8' 2va=e: James Jordan, M.D. � 2g �99( Hoae Address' S00 Frontenac Place St. Paul, MN �� - nV Q��04 St=eet Cizp Zip Telephone 2;,i,.ber: 61 Plazv*iing District Co�cil: 3 � Preferred Ljailing Address: 1 City Cocnc:l Aard: S7hat is yocr occnpatioa? Physician/Psychiatrist - Executive Director � Place o� F Co�ittee(s) Apolied For: Hamm Memorial Psychiatric Clinic Community Health Services Advisory Cosmittee :nzt sY_i11s/training oz er�eriance co �ou possess =or the co�ittee(s) �or cnich you seek appoin`�ert? I am a Boaxd Certified Psvchiatrist and the Director of Hamm Memorial Psvchiatric Clinic in St. Paul. I am a member of the Board of Directors of the Ramsey County Medical'Society repre sentin� mental health services Mv Health Policv Committee work included servinQ on the Minnesota Department of Health Advisory CommitCees for Integrated Service Networks and the Basic Benefit Set in 1994. Aamm Clinic provides affordable outpatient mental health services for adults in the diverse metropolitan Twin Cities community. The Clinic has operated for 43 years in Saint Paul and is supported by the Hamm Fund of the Saint Paul Foundation. Prior to assuming the position o irector at Hamm anic in , was t e irector o t e o escent emlca epen ency Program at St. Mary's Hospital in Nlinneapolis for the period of 1975 - 1985. I have taken course work in the MBA program at St. Thomas University in Health Care Policy Minnesota Medical Association. � The in�o�..ation inclnded in this application is coasic'ered pricate �eta acco�c��g to the Hinnesota Goverment Data Practices Act, As a result, this in`o�...ztion is r.ot =elease� to the genezzl public. (OV`R) �ec. 2i` 28/96 . .--.�......-u. c�c.r i-ttP.:V I.GJ Name: Address Phone St., St. Paul, MN 55101 224-5463 Name: Stuart Laird, Executive Director - Carondelet Foundation & Free Clinics 1884 Randolph Ave. Address• St. Paul, MN 55105 Phone 690-7029 Naae• Roger Sohnson, Executive Director - Ramsey County Medical Society roa way ace as , ui e Address: 3433 Broadway St., NE, Minneapolis, MN 12) 362-3700 Reasons for potzr interest i.n this particular coa:mittee: I believe that a Public Mental alth Long RanQe Planning Project requires inteQrated services of evaluationt and RRSPR4mant tation assures �na �� This iat our Saint Paul community is a heal work and pursue business initiatives. ect and its ive environment to raise a fa mil and Have you had previous contact vith the comittee for vhich yon are szking 2pplicatior. I£ so, chen, and circumstances7 No , In an attespt to ensure that co�nittee representation reflects the razkecp of our com�aunity, please check the line applicable to pou. This inforr..ation is strictly volvntary. � _ wThite (Caucasian) B1ack (African American) �15P2nic A�erican Indian or Alas�an Eskino Asian or Pacific Sslander X 2fale Fenale Date of Birth: 8/13/40 Disabled: yeS �, �A I£ special accocrmodatxons aze needed, please specifp.None Hov did you hear about this openingT Ramsev County Board Meeting q,rl-1o�8' 08-21-97 COMMITTEE APPLICANTS REPORT APPLICANTS.RPT PAGE 1 COMMITTEE : JCCEiSAC Health Services Adv. Comm. FOR APPLICATIONS DATED AFTER O1/O1/94 APPLICANT / REFERENCE CAMMENTS 003282 Belgea, Nicole 2223 W. County Road B Roseville, MN 55113 Home - 636-535� Full-time U of M Student WARD PLANNING SEP7ATE APP DATE ETH GEN DIS DISTRICT DISTRICT (PRIOR) (OTFiER COMMITTEES SERVZNG ON) ---- ---'----- -------- °------ --- --- --- 64J14/97 W F Food and Nutrition Commission Tom & Pay Lyons 568 Iona Lane Roseville, MN 55113 h) 484-7612 Gerald McCauley 1925 Jerrold Avenue Arden Hi11s, MN 55112 h) 633-3665 w) 631-1724 Debbie Wolf 1438 148th Avenue Andover, MN 55304 h) 434-2852 w) 631^1724 003316 Jordan, M.D., James 500 Frontenanc Place St. Paul, MN 55104 Home - 647-0432 Physician/PSychiatrist 4 13 07/28/97 W M Paul Verret, President The Saint Paul Foundation 600 Norwest Buildinq 55 East Fifth Street St. Paul, MN 55101 w) 224-5463 Stuart Laird Executive Director Carondelt Foundations and Free Clinics 1884 Randolph Avenue Saint Paul� Minnesota 55105 w) 690-7029 Roger Johnson Exec. Director Ramsey County Medical Society Suite 350 Broadway Place East 3433 Broadway St., N.E. Minneapolis, MN 55413 1761 . Q�- �o�t8' OS-21-97 COMMITTEE APPLICANTS REPORT PAGE 2 APPLICANTS.RPT COMMITTEE : JCCHSAC Health Services Adv. Comm. FOR APPLZCATIONS DATED AFTER O1/O1/94 _ APPLICANT / REFERENCE COMt�NTS WARD PLANNING SENATE APP DATE ETH GEN DIS DZSTRICT DISTRICT (PRIOR) (OTHER COMMITTEES SERVING ON) ----------------------------------- ---- -------- -------- -------� --- --- --- w) 362-3700 002964 Mitchell, Susan 16 03J30/95 W F Allina Health System 5601 Smetana Drive P.O. Box 9310 Minneapolis, MN 55440 Work - 992-3948 Director-COmmunity Health Joan Mishek 736 Osceola Avenue St. Paul H) 224-9381 Susan Haigh 910 Fairmount St. Paul, MN H) 224-3178 Rob Fulton Dir-Ramsey County Public Health W)266-2424 `�fl��l�' Interdepartmental Memorandum CTTY OF SAINT PAUL TO: Saint Paul City Councilmembers Council President Dave Thune Councilmember 7erry Blakey Councilmember Daniei Bostrom FROM: DATE: Councilmember Joseph Collins Councilmember Mike Harris Councilmember Roberta Megard Councilmember Gladys Morton Alberto Quintela Assistant to the Mayor August 21, 1997 � ►� RE: Saint Paul-Ramsey County Community Health Services Advisory Committee Mayor Coleman has recommended the appointment of Dr. 7ames 7ordan to serve on the Saint Paul-Ramsey County Community Health Services Advisory A copy of the resolution is attached and an applicant report listing all applicants on file since January 1, 1994. Ifyou have any questions, feel free to call me at 266-8529. AQ:drm Attachments c: Nancy Anderson, Council Reseuch Rob Fulton, Director, City-County Public Health