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LEADERSHIP POSITION(S) APPLYING FOR:
President-Elect
Secretary-Treasurer
Editor
Delegate
Alternate Delegate
Member-At-Large: North SLO County (above the grade)
Member-At-Large: Central SLO County (below the grade)
Member-At-Large: South (cities of Santa Maria/Guadalupe)
BCR - CCDS Representative to the CDA Board of Component Representatives
Why are you interested in this position or positions?
Please describe any skills & experience you have relevant to the position(s) you are applying for
What is your practice type?
If your primary interests are not available, are you open to serving in another capacity, such as a committee?
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By checking the box below, you agree that you understand the qualifications and time required for the position(s) you are interested in, and are willing to make this commitment if elected/appointed
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