Community Member Application & Skills Assessment

Community Member Application & Skills Assessment

Candidate Questionnaire  

To make the selection criteria as transparent as possible, ANMN will solicit appliations for the six members of the community. Each interested community member will be requested to provide some basic information and information relevant to MNCC as it relates to functional qualification described in Part III. should complete the same questionnaire.  

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Section A — Basic Information 

Name *

First

Last

Address *

Address Line 1

Address Line 2

City

--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

Phone

Email *

Profession / current occupation  *

Organization or employer, if applicable 

Number of years you have lived in Minnesota 

Selected Value: 0

Fescribe briefly your involvement with the Nepali community or other community/nonprofit organizations.  *

Section B — Interest in the Community Center 

Why are you interested in serving on the Minnesota Nepali Community Center Steering Committee?  *

B Minnesota  Nepali

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