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* 1. Are you currently a KCSEA member?

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* 2. What is your name?

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* 3. What is your work title?

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* 4. What agency/company/organization are you employed by?

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* 5. What is your address?

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* 6. What city/town do your reside in?

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* 7. What state do you reside in?

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* 8. What is your zip code?

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* 9. What is your email address?

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* 10. What is your phone number?

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* 11. How long have you been in your current position?

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* 12. Provide a description of your job as it relates to child support. Include prior experience/employment.

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* 13. Do you have previous experience with KCSEA as a director, officer, committee chair/co-chair or committee member?

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* 14. Do you have the approval/support of your supervisor or manager for the commitment required to be a Board of Director? (Four in-person meetings a year in Topeka approximately 3 – 4 hours each and a monthly virtual meeting approximately one hour each. These do not include committee meetings and/or committee work.)

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* 15. List other volunteer positions you have held, including your role and name of the organization.

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* 16. Are there special ideas and/or issues you want to bring to the KCSEA leadership?

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* 17. What contributions or skills do you feel you can bring to the KCSEA Board as a Director?

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