Application for the position Member Application Date: 12/26/2018 10:52:26 AM
Note: If your application needs to be amended, including updates to any uploaded documents, contact open.appointments@state.mn.us. Please provide your
name, board, position you've applied to, and any other documentation you'd like included in your application along with a brief summary of your request.
Part I: Position Sought
Agency Name: Advisory Task Force On Uniform Conveyancing Forms
Position: Member
Part II: Applicant Information
Name: Mr. Dale John Moe
Phone: (952) 894-6400
County: Hennepin
Recommended by the Appointing Authority: False
Mn House District: 33B
US House District: 3
Part III: Appending Documentation
Cover Letter and Resume
Additional Documents (.doc, .docx, .pdf, .txt)
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Part V: Signature
Signature: Dale Moe
Date: 12/26/2018 10:52:26 AM