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* 1. Contact

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* 2. Do you live in the Winnebago, NE community?

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* 3. Has your child or children attended any of the services provided through Educational Pathways to Student Success?

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* 4. Please list your child or children's names that attended any services through Educational Pathways to Student Success.

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* 5. Preferred communication method.

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* 6. List your background experience pertaining to any skills, qualifications or experience relevant to this application.

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* 7. Why are you interested in this position and what would you bring to the Parent Liaison position?

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* 8. As the Parent Liaison, what is one goal you hope to accomplish?

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* 9. If selected for the position, what days would you be available to meet with the EPSS Project Coordinator? (Select all that apply)

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* 10. If selected for the position, what TIMES would you be available to meet with the EPSS Project Coordinator? (Select all that apply)

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