Application for the position Parent/Guardian/Unpaid Primary Caregiver Application Date: 11/2/2019 12:23:26 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: Early Intensive Developmental and Behavioral Intervention (EIDBI) Benefit Advisory Group

Position: Parent/Guardian/Unpaid Primary Caregiver

Part II: Applicant Information

Name: Kara Ann Mensink

Phone:

County: Dakota

Recommended by the Appointing Authority: True

Mn House District: 57B
US House District: 2

Part III: Appending Documentation

Cover Letter and Resume

Type	File Type
Resume	application/msword

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

Type	File Name
Cover Letter	EIDBI Statement of Interest_2020_2022.doc

Part V: Signature

Signature: Kara A Mensink

Date: 11/2/2019 12:23:26 AM