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St. Charles 708 Mental Health Board Application 2021-2022

Applications are due by January 15, 2021

Please complete all portions of the application. We will only be accepting applications electronically. The application is in Word format; all required fields are in an extended format. The form must be submitted electronically at the end of the business day on January 15, 2021 to Sharon Bringelson at ( 630-377-4422). Applications received past this deadline will not be accepted. If you have questions about the content of the application, please contact Brian Travilla via Sharon. On February 23, 2021, sessions regarding this application will be scheduled for the 708 Board. At that time, 708 Board members will have the opportunity to ask questions or seek clarification about the application. Attendance at the scheduled presentation is mandatory. 

updated Jan 07, 2021