Upload File

sex: 6. *race: native-american/alaskan native asian/pacific islander 8. 9. hispanic-american...

  • Home
  • Documents
  • Sex: 6. *Race: Native-American/Alaskan Native Asian/Pacific Islander 8. 9. Hispanic-American African-American Do you now, or have you, within the last three years, been a member of
24

Upload: vuthuy

Post on 31-Mar-2018

215 views

Category:

Documents


0 download

Report

TRANSCRIPT

Page 1: Sex: 6. *Race: Native-American/Alaskan Native Asian/Pacific Islander 8. 9. Hispanic-American African-American Do you now, or have you, within the last three years, been a member of
Page 2: Sex: 6. *Race: Native-American/Alaskan Native Asian/Pacific Islander 8. 9. Hispanic-American African-American Do you now, or have you, within the last three years, been a member of
Page 3: Sex: 6. *Race: Native-American/Alaskan Native Asian/Pacific Islander 8. 9. Hispanic-American African-American Do you now, or have you, within the last three years, been a member of
Page 4: Sex: 6. *Race: Native-American/Alaskan Native Asian/Pacific Islander 8. 9. Hispanic-American African-American Do you now, or have you, within the last three years, been a member of
Page 5: Sex: 6. *Race: Native-American/Alaskan Native Asian/Pacific Islander 8. 9. Hispanic-American African-American Do you now, or have you, within the last three years, been a member of
Page 6: Sex: 6. *Race: Native-American/Alaskan Native Asian/Pacific Islander 8. 9. Hispanic-American African-American Do you now, or have you, within the last three years, been a member of
Page 7: Sex: 6. *Race: Native-American/Alaskan Native Asian/Pacific Islander 8. 9. Hispanic-American African-American Do you now, or have you, within the last three years, been a member of
Page 8: Sex: 6. *Race: Native-American/Alaskan Native Asian/Pacific Islander 8. 9. Hispanic-American African-American Do you now, or have you, within the last three years, been a member of
Page 9: Sex: 6. *Race: Native-American/Alaskan Native Asian/Pacific Islander 8. 9. Hispanic-American African-American Do you now, or have you, within the last three years, been a member of
Page 10: Sex: 6. *Race: Native-American/Alaskan Native Asian/Pacific Islander 8. 9. Hispanic-American African-American Do you now, or have you, within the last three years, been a member of
Page 11: Sex: 6. *Race: Native-American/Alaskan Native Asian/Pacific Islander 8. 9. Hispanic-American African-American Do you now, or have you, within the last three years, been a member of
Page 12: Sex: 6. *Race: Native-American/Alaskan Native Asian/Pacific Islander 8. 9. Hispanic-American African-American Do you now, or have you, within the last three years, been a member of
Page 13: Sex: 6. *Race: Native-American/Alaskan Native Asian/Pacific Islander 8. 9. Hispanic-American African-American Do you now, or have you, within the last three years, been a member of
Page 14: Sex: 6. *Race: Native-American/Alaskan Native Asian/Pacific Islander 8. 9. Hispanic-American African-American Do you now, or have you, within the last three years, been a member of
Page 15: Sex: 6. *Race: Native-American/Alaskan Native Asian/Pacific Islander 8. 9. Hispanic-American African-American Do you now, or have you, within the last three years, been a member of
Page 16: Sex: 6. *Race: Native-American/Alaskan Native Asian/Pacific Islander 8. 9. Hispanic-American African-American Do you now, or have you, within the last three years, been a member of
Page 17: Sex: 6. *Race: Native-American/Alaskan Native Asian/Pacific Islander 8. 9. Hispanic-American African-American Do you now, or have you, within the last three years, been a member of
Page 18: Sex: 6. *Race: Native-American/Alaskan Native Asian/Pacific Islander 8. 9. Hispanic-American African-American Do you now, or have you, within the last three years, been a member of

Contact

1- General

Title First Name

Middle/Maiden Last Name

Cell PhoneEmail Address

GenderRace

DisabilityFax

2- Residence

Address Line 1

City State

County

Phone Number

Zip / Postal Code

Addresses

Speficy the preferred mailing address:

3- Business

Address Line 1 Address Line 2

City State

Phone NumberZip / Postal Code

Carlos

Beruff

941-376-4400

Male

No

M

[email protected]

Hispanic-American

Business

34239

11527 30th Cove East

FloridaParrish

Manatee

1651 withfield avenue

SARASOTA

34243

Florida

941-567-2602

Mr.

Other Residences

4-A. List all your places of residence for the last ten (10) years.

As a general matter, applications for all positions within state Government are public records, which may be viewed by anyone upon request. However, there are some exemptions from the public records law for identifying information relating to past and present law enforcement officers and their families, victims of certain crimes, etc. If you believe an exemption from the public records law applies to portions of your application, please check this box. No

Address Line 2

1 of 7PageApplication2/22/2016 11:16:10 AM

GOVERNOR'S OFFICEBoards and Appointments

Application

Date Submitted: 2/11/2013 12:00:00 AM

Page 19: Sex: 6. *Race: Native-American/Alaskan Native Asian/Pacific Islander 8. 9. Hispanic-American African-American Do you now, or have you, within the last three years, been a member of
Page 20: Sex: 6. *Race: Native-American/Alaskan Native Asian/Pacific Islander 8. 9. Hispanic-American African-American Do you now, or have you, within the last three years, been a member of
Page 21: Sex: 6. *Race: Native-American/Alaskan Native Asian/Pacific Islander 8. 9. Hispanic-American African-American Do you now, or have you, within the last three years, been a member of
Page 22: Sex: 6. *Race: Native-American/Alaskan Native Asian/Pacific Islander 8. 9. Hispanic-American African-American Do you now, or have you, within the last three years, been a member of
Page 23: Sex: 6. *Race: Native-American/Alaskan Native Asian/Pacific Islander 8. 9. Hispanic-American African-American Do you now, or have you, within the last three years, been a member of
Page 24: Sex: 6. *Race: Native-American/Alaskan Native Asian/Pacific Islander 8. 9. Hispanic-American African-American Do you now, or have you, within the last three years, been a member of

Introduction to ASEicsps.illinoisstate.edu/wp-content/...Introduction-Class-Part-1.pdf · Amer. Indian/Alaskan Native Asian Black/African American Native ... Improve basic literacy

littlecarver.dadeschools.netlittlecarver.dadeschools.net/info/CRCPosters.pdf · categories are American Indian or Alaskan Native, Asian, Black or African American, Hawaiian or Other

Building Drinking Water Capacity in Native Alaskan Villages

LA&S-MA : American Sign Language and Deaf Studies › sites › collegedean.ku.edu › files › docs... · Governance of the program comes from SLLC in ... Native American/Alaskan

Application for Services - Rochester Institute of … · Web viewAmerican Indian/Alaskan Native Black or African American Native Hawaiian or other Pacific Islander Asian White Education

Welcome to the Future of Nursing: Campaign for Action ......Native Hawaiian or Pacific Islander Asian American Indian or Native Alaskan White African American Non-US Residents International

INDIVIDUAL & FAMILY MEDICAL EVIDENCE OF COVERAGE Flex …info.kaiserpermanente.org/healthplans/plandocuments/washington/pdf/... · Flex Bronze - 20 American Indian/Alaskan Native

Cultural Considerations in Health Research...Cultural Considerations in Health Research Rosalie A. Torres Stone ... American/Pacific Islander, American Indian/Alaskan Native or from

Basic instructions on how to begin your family tree research by Stephanie Reynolds American Indian / Alaskan Native Patient Relations Indian Health Center

From Brotherhood to Federation: Native Alaskan Organizing

Ethnicity · Web viewRace (Check all that apply) Asian Hispanic or Latino Black or African American White American Indian or Alaskan Native Native Hawaiian or Other Pacific Islander

THE MEDICAL BENEFITS IN THIS POLICY CONTAIN A …...Cigna Health and Life Insurance Company (“Cigna”) Cigna Connect 1200 Plan . Native American / Alaskan Native Over 300% Plan

PROGRAMA DE BENEFICIOS (QUIÉN PAGA QUÉ)€¦ · 1 Cigna Health and Life Insurance Company (“Cigna”) Cigna Connect Flex Bronze 6400 . Native American/Alaskan Native Under 300%

CONFIDENTIAL PATIENT HEALTH HISTORY · CONFIDENTIAL PATIENT HEALTH HISTORY ... Asian/Black or African American / American Indian or Alaskan Native ... Nervousness Eye Disease or Injury

INTRODUCTION PATIENT CASE HISTORY - … · American Indian or Alaskan Native Spanish Asian ... Medical Doctor _____ Physical ... High School College Grad. Post Grad

Evaluation and the Academy: Are We Doing the Right …©2002 by the American Academy of Arts and Sciences ... Asian, American Indian/Alaskan Native). ... propriate for a professor

Programs for Native Alaskan and Native Hawaiian Students · 2016-02-12 · 2012 EDI April 17, 2012 Programs for Native Alaskan and Native Hawaiian Students Dr. Doug Goering Dean,

American Indian/Alaskan Native Leadership Initiative on · PDF fileare Healers” vignette for Dr. Erik Brodt’s series to ... 2015 American Indian ... and teachers in the American

ENCORE: UTILIZING CRITICAL LITERACY STRATEGIES IN … · 2019-12-14 · AIAN = American Indian and Alaskan Native; NHPI = Native Hawaiian or Pacific Islander NOTE: Data reflects only

Quarterly Report on Faculty Diversity...Asian / Native Hawaiian / Other Pacific Islander American Indian / Alaskan Native White Italian American Female Male Puerto Rican Full-Time

Medical Group/Forms... · Inova Medical Group Neurosurgery ... Eye Discharge Eyes itching Eye Pain ... Cl Black/African American American Indian/Alaskan Native Marital Status:

Native Americans By Kim OHehir. Introduction Native American Clothing True Or False Native American History Native American Food Native American Myths

ALAMEDA HEAD START & EARLY HEAD START Annual Report · diversity within the program: 26% Asian 21% Black/African American 13% Caucasian/White 0% Native American/Alaskan 2% Pacific

Alaskan Native Villages and Their Sanitation Problems

SAP Crystal Reports · American Indian/Alaskan Native Asian Black/African American White Unknown Race of Victims Age Analysis Twenty‐six percent of the victims were between the

Native American Birth Totem _ Native American Encyclopedia

New-Patient-Forms - Hurst Chiropractic & Acupuncturehurstchiropracticllc.com/.../uploads/2017/09/New-Patient-Forms-.pdf · American Indian or Alaskan Native Asian ... Medical Doctor

Disruptive Demographics and North Demographics and North ... American Indian & Alaskan Native ... Net Importers and Exporters of Population, 2010-2012

TOOLKIT - CA Census€¦ · Native American Tribes and Tribal-serving organizations and agencies have participated ... (Internet & Phone). Note: American Indian / Native Alaskan

AMERICAN INDIAN/ALASKAN NATIVE NEWSLETTER€¦ · Page 1 of 5 The 2018‐2019 academic school year was very evenul for the American Indian/ Alaskan Nave community at Porterville College

Women in the Workplace - Fundacja Liderek Biznesu · WHITE MEN MEN OF COLOR 4 In this study, Black, Hispanic, Asian, American Indian or Alaskan Native, Native Hawaiian or Pacific

Identity Informed by Native Alaskan Sculpture Dr. Jean L. Langan

American Indian/Alaskan Native Heritage Month Booklet

Alaskan Native Culture

PROTECTIVE FACTORS SURVEY - Ohio Native American or Alaskan Native B Asian C African American D African Nationals/Caribbean Islanders E Hispanic or Latino F Middle Eastern