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NCCDD Council Membership Application

Application for Endorsement to the Governor for Appointment to the North Carolina Council on Developmental Disabilities
(Additionally, Application for Board and Commissions (pdf) required by the Office of the Governor)

APPLICANT NAME:

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ADDRESS:

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TELEPHONE:

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BACKGROUND INFORMATION

This endorsement is for the following category:

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DEMOGRAPHIC INFORMATION: (optional)

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POSITION QUESTIONS
(Please give brief answers.)

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Please submit this application and other requested material (resumé, vita, or personal/family history, optional) and letters of recommendation by clicking the SUBMIT button below (email address required), or you can print this document and send to the following address:

(*)
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JoAnn Toomey, Director of Operations
NC Council on Developmental Disabilities
3125 Poplarwood Court, Suite 200
Raleigh, NC 27604
(Voice/TDD) (919) 850-2901
(Toll Free Voice/TDD) (800) 357-6916
(FAX) (919) 850-2915

When you submit an application online, please let us know you have sent it by emailing JoAnn Toomey at joann.toomey@dhhs.nc.gov

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Contact Us

Contact Us

North Carolina Council on Developmental Disabilities
3125 Poplarwood Court
Suite 200
Raleigh, NC 27604
Info@nccdd.org
919-850-2901 (voice/tdd)
800-357-6916 (voice/tdd)
800-357-6916 (TTY)
919-850-2915 fax