Name _____________________________________________Date ____________
Phone _______________________________Email_______________________________
Address _________________________________________________________________
City _________________________________________Zip Code____________________
Have you served on the DCFCCA Executive Board within the past 5 years?
Yes ____ No____
If yes, which position did you hold and what term? ____________________________
Have you been a member of DCFCCA for at least one year? Yes ____ No _____
Are you a legally licensed provider by Dakota County? Yes ____ No _____
Board Position you are running for: _________________________________________
Why are you running for this position?
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Phone _______________________________Email_______________________________
Address _________________________________________________________________
City _________________________________________Zip Code____________________
Have you served on the DCFCCA Executive Board within the past 5 years?
Yes ____ No____
If yes, which position did you hold and what term? ____________________________
Have you been a member of DCFCCA for at least one year? Yes ____ No _____
Are you a legally licensed provider by Dakota County? Yes ____ No _____
Board Position you are running for: _________________________________________
Why are you running for this position?
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
| Please send completed application form to: Attn: Board Elections DCFCCA P.O. Box 22065 Eagan, MN 55122 Or email to: boardelections@dcfcca.org |
| Dakota County Family Child Care Association P.O. Box 22065 Eagan, MN 55122 952-985-3495 Board Election Application |
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Office use only:
Membership checked____ License checked_____ Board Position checked____
Qualified to run for position- yes/no Checked by _______________ Date ______
Office use only:
Membership checked____ License checked_____ Board Position checked____
Qualified to run for position- yes/no Checked by _______________ Date ______
