Panel 73 Corrections Committee Member Information/Panel 73 Información del miembro del comité de correccionales
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Email *
EMAIL
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PHONE NUMBER/NUMERO DE TELEPHONO
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SPEAK SPANISH? HABLA ESPANOL

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Required
Any special skills? What do you want to bring to the table ?/¿Alguna habilidad especial? ¿Qué quieres traer a la mesa? *
NAME/NOMBRE
WHERE DO YOU ATTEND MEETINGS?/¿DÓNDE ASISTIR A LAS REUNIONES?
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HOME/CASA OR MOBILE *
Required
CURRENT SERVICE POSITION?/¿POSICIÓN DE SERVICIO ACTUAL? *
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