Application for the position Provider Application Date: 1/31/2023 12:52:22 PM

If you have questions related to your application, would like to amend your application or upload additional documents, contact the Board Staff Support listed on the Early Intensive Developmental and Behavioral Intervention (EIDBI) Benefit Advisory Group agency page. The name and email link for the Board Staff Support person are listed in the upper right-hand corner of the board's website under CONTACT and again in the Board Staff Support section of the page.

Part I: Position Sought

Agency Name: Early Intensive Developmental and Behavioral Intervention (EIDBI) Benefit Advisory Group
Position: Provider
Seat: Not specified

Part II: Applicant Information

Name: Dr Julia Louise Conkel-Ziebell PhD
County: Washington
Recommended by the Appointing Authority: No
Mn House District: 39B
US House District: 4

Part III: Appending Documentation

Cover Letter and Resume

Type File Type
Cover Letter application/vnd.openxmlformats-officedocument.wordprocessingml.document
Resume application/msword

Additional Documents (.doc, .docx, .pdf, .txt)

Type File Name
No additional documents found.

Part V: Signature

Signature: Julia Conkel-Ziebell
Date: 1/31/2023 12:52:22 PM