Application for the position Committee Members Application Date: 12/9/2025 8:16:33 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 The Ombudsman Committee for Mental Health & Developmental Disabilities 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: The Ombudsman Committee for Mental Health & Developmental Disabilities
Position: Committee Members
Seat: Consumer Representative A

Part II: Applicant Information


Name: Dawn Bly
County: Polk
Recommended by the Appointing Authority: Yes
Mn House District: 01B
US House District: 7

Part III: Appending Documentation


Cover Letter and Resume

Type File Type
Cover Letter application/pdf
Resume application/pdf

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

Type File Name
No additional documents found.

Part V: Signature


Signature: Dawn D Bly
Date: 12/9/2025 8:16:33 PM