Application for the position Occupational Therapy Assistant

Part I: Position Sought


Agency Name: Board of Occupational Therapy Practice
Position: Occupational Therapy Assistant

Part II: Applicant Information


Name: Donna Coughlin
Phone: (507) 951-5178
Mailing Address: 4454 COPPERFIELD LN NW Rochester 55901
Email: coughlin5@charter.net
County: Olmsted
Mn House District: 25A
US House District: 1
Recommended by the Appointing Authority: False

Part III: Appending Documentation


Cover Letter and Resume

Type File Type
Cover Letter application/vnd.openxmlformats-officedocument.wordprocessingml.document

Additional Documents (.doc, .docx, .pdf, .txt)

Type File Name
No additional documents found.

Part IV: Optional Statistical Information


Gender: Female
Disability: No
Age:
Political Affiliation: No Party Preference
Ethnicity: White or Caucasian
Hispanic, Latino or Spanish origin: No Answer

Part V: Signature


Signature: Donna Coughlin
Date: 7/31/2017 8:07:52 PM