Application for the position Non-audiologist Hearing Instrument Dispenser

Part I: Position Sought


Agency Name: Speech-language Pathologist And Audiologist Advisory Council
Position: Non-audiologist Hearing Instrument Dispenser

Part II: Applicant Information


Name: Taiha Wagner
Phone: (612) 309-0407
Mailing Address: 17296 Pavelka Drive Eden Prairie 55346
Email: taiha.wagner@gmail.com
County: Hennepin
Mn House District: 48A
US House District: No Answer
Recommended by the Appointing Authority: False

Part III: Appending Documentation


Cover Letter and Resume

Type File Type
Resume application/msword

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

Type File Name
No additional documents found.

Part IV: Optional Statistical Information


Gender: No Answer
Disability: No Answer
Age:
Political Affiliation: No Answer
Ethnicity: No Answer
Hispanic, Latino or Spanish origin: No Answer

Part V: Signature


Signature: Taiha Wagner
Date: 9/22/2017 8:47:01 AM