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CSBG Consultant Interest Form

NASCSP is looking to expand our Training and Technical Consultant base. Do you have CSBG state, association or local management experience or fiscal management experience? If you are interested in working as a NASCSP consultant, please complete this form.
1.Name:(Required.)
2.Email address:(Required.)
3.Phone number:(Required.)
4.How many years have you worked with the CSBG?(Required.)
5.Have you served as a CSBG Manager or Fiscal Manager for a state or local agency?(Required.)
6.Please describe your history working with CSBG and elaborate on previous roles you've held at the State or local agency level.(Required.)
7.What program improvements did you make to CSBG in your State or in your agency?(Required.)
8.What is your greatest accomplishment as a CSBG Professional?(Required.)
9.What is your current work status?(Required.)
10.Current job title (or most recent CSBG job title)(Required.)
11.Select the topics you are experienced in and feel confident providing training on (check all that apply).
12.Describe your availability to create and conduct CSBG training and technical assistance as a NASCSP consultant. How many hours would you be willing to commit per month?(Required.)
13.What is your preferred hourly rate?(Required.)
14.Please provide a reference that can speak to your experience with CSBG (name and email address).(Required.)
Thank you for completing the survey!