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John Howe has extensive experience in the field of child care and social services. John began their career in 1988 as Vice President of Child Care at Boys and Girls Homes of NC, Inc, overseeing various child care programs and providing counseling services. In 2001, they joined Youth Homes, Inc as Director of Research, Training and Development, where they implemented a quality improvement system and developed training and assessment programs for foster parents. Since 2010, John has served as Vice President of Quality Improvement at Children's Home Society of North Carolina, where they are responsible for managing the agency's quality improvement system, conducting research and evaluation, and ensuring adherence to industry standards.

John Howe obtained a Bachelor of Arts degree in Psychology from Augustana College, where they studied from 1969 to 1972. John then pursued a Master of Social Work (MSW) degree from the University of Iowa, completing their studies between 1980 and 1985. In July 2019, John obtained a certification as a Licensed Clinical Social Worker from the North Carolina Social Work Certification and Licensure Board.