Application for the position Service Providers Application Date: 8/7/2025 2:22:46 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 Long-Term Services and Supports Advisory Council 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: Long-Term Services and Supports Advisory Council
Position: Service Providers
Seat: Home & Community-Based Disability Service Provider

Part II: Applicant Information

Name: JAY A JOHNSON
County: Stearns
Recommended by the Appointing Authority: Yes
Mn House District: 14A
US House District: 6

Part III: Appending Documentation

Cover Letter and Resume

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

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

Type File Name
No additional documents found.

Part V: Signature

Signature: jay a. johnson
Date: 8/7/2025 2:22:46 PM