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Employment Information
If you are currently employed, please complete the following section:
Current Employer
Employer Address
Same as Home Address
Street Address Address Line 2 City State ZIP
Employer Phone
Current Position/Title
2nd job /prior employment
Highest level of education achieved*
Please list your main responsibilities or provide a current resume.*
Please upload your resume/vitae here. (Optional)
Accepted file types: txt, pdf, doc, docx, pages, rtf, Max. file size: 15 MB.

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FTF Regional Partnerships Councils
Based on your home and work addresses, you are eligible to serve on the First Things First regional partnership council(s) listed below. If you regularly work in a region that does not correspond to the work address of your employer, you may select “Other” and apply to serve on one additional regional partnership council.)
Please select the regional partnership council(s) to which you are applying.*
- Home Region
- Employer Region
- Other
Additional Regional Partnership Council*

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Personal/Vision Statement
Please provide a brief statement about why you are interested in serving on a First Things First regional partnership council. Please explain your interest in early childhood development and health, your vision for Arizona's children, and your view of the need for community collaboration.*

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Assurances
By checking the boxes below, you are confirming that you understand the required conditions to serve on a First Things First regional partnership council. You must check all boxes in order to submit your application.
Area of Service*
I live or work in the region.
Time Commitment*
I have time available to fulfill this commitment (approximately 10 hours per month).
Volunteer Position*
I understand that this is an unpaid position, but I will be reimbursed for travel expenses, as requested.
Term of Service*
I understand that each regional council membership is a four-year term of service.
Training and Documentation*
If selected, I understand I will need to complete the Arizona Department of Administration requirements for Board and Commission volunteerism, including Conflict of Interest training, Open Meeting Law training and public service ethics training. I further understand I will need to complete documentation including a W-4 Federal Tax Withholding form, A4-Arizona State Tax Withholding form, and a I-9 Income Eligibility Form.

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Personal Information