Application for the position Individual Currently Receiving Disability Waiver Services Who Are Under Age 65 Application Date: 8/4/2025 4:25:15 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 Advisory Task Force on Waiver Reimagine 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: Advisory Task Force on Waiver Reimagine
Position: Individual Currently Receiving Disability Waiver Services Who Are Under Age 65
Seat: Member #1

Part II: Applicant Information

Name: Saudade SammuelSon
County: Hennepin
Recommended by the Appointing Authority: No
Mn House District: 46A
US House District: 5

Part III: Appending Documentation

Cover Letter and Resume

Type File Type

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

Type File Name
No additional documents found.

Part V: Signature

Signature: Saudade SammuelSon
Date: 8/4/2025 4:25:15 PM