Application for the position Parent/Guardian/Unpaid Primary Caregiver Application Date: 10/24/2019 8:51:13 PM

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: Early Intensive Developmental and Behavioral Intervention (EIDBI) Benefit Advisory Group
Position: Parent/Guardian/Unpaid Primary Caregiver

Part II: Applicant Information

Name: Kristen Merrill-Brenizer
Phone: (651) 783-2227
County: Washington
Recommended by the Appointing Authority: False
Mn House District: 38B
US House District: No Answer

Part III: Appending Documentation

Cover Letter and Resume

Type File Type

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

Type File Name
No additional documents found.

Part V: Signature

Signature: Kristen Merrill- Brenizer
Date: 10/24/2019 8:51:13 PM