Please complete this form with the requested information.  Because our specialists have credentials that are based on life experience, and possibly formal training, there are questions that will allow you to provide information about your background.

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* 1. First and Last Name

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* 2. Address (please include street, city, zip)

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* 3. Email

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* 4. Primary Phone Number

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* 5. Date of Birth

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* 6. Do you speak other languages?  If so, please list:

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* 7. Are you a US Citizen

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* 8. What skills, information and experience as a parent do you bring to the role?

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* 9. Please share any leadership roles you might have:  boards, committees, presentations, etc.

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* 10. Please provide any official credentials you have (if applicable):  college degree, training, etc.

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* 11. Please provide 2 references (name, phone number and email) that have knowledge of your relevant skills.  Alternatively, you may submit written references with your resume

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* 12. Submit your resume (not required)

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Thank you for your interest in the position of Family Resource Specialist.  If you have any questions, please email lisaku@aboutspecialkids.org

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