Application for the position Managed Care Organization Representative Application Date: 10/27/2025 12:37:32 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 Community First Services and Supports Development and Implementation 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: Community First Services and Supports Development and Implementation Council
Position: Managed Care Organization Representative
Seat: No preference

Part II: Applicant Information

Name: Annette Helen Fagerlee
County: Hennepin
Recommended by the Appointing Authority: No
Mn House District: 39B
US House District: No Answer

Part III: Appending Documentation

Cover Letter and Resume

Type File Type
Resume application/pdf

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

Type File Name
No additional documents found.

Part V: Signature

Signature: Annette Fagerlee
Date: 10/27/2025 12:37:32 PM