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* 1. Name (First and Last)

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* 2. City and State of Residence

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* 3. Current or Past Occupation

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* 4. What is your relationship to PANDAS/PANS/AE? 

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* 5. Why are you interested in being on the Board of Directors for Northwest PANDAS/PANS Network?

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* 6. What skillsets would you bring to the organization that could help us fulfill our mission?

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* 7. In your own words, why do you feel it is important to have a local/regional non-profit for PANDAS/PANS/AE?

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* 8. We expect board members to attend monthly board meetings that last an hour. Would you be able to commit to attending the majority of these meetings?

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* 9. Which of these areas would you have interest in supporting?

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* 10. Does NWPPN have permission to publish a photo and bio of you to their website and social media if chosen to join the BOD?

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