Applicant's Name |
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Degrees, if applicable |
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Title, if applicable |
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Member Organization, if applicable |
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Phone Number |
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E-mail Address |
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Please indicate that you have the time and commitment to serve a 3-year term. |
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Describe your knowledge, experience, or expertise relating to Cancer Plan Minnesota |
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Describe ways in which you or your organization has contributed to or supported the Alliance (such as serving on committees, implementing objectives, participating in membership activities, etc.) |
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List previous leadership and/or volunteer positions that you have held within your organization, profession, or community (such as board or committee service) |
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Provide a brief statement describing what you hope to contribute to the Steering Committee and how you plan to support the Alliance and its priorities during your 3-year term |
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Please include a brief biography |
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