CANDIDATE INTEREST FORM
FOR POSITION OF
CHAIRMAN
CANDIDATE’S NAME
TELEPHONE NO
MAILING ADDRESS
FAX NO
CITY
ST
ZIP
E-MAIL ADDRESS
What is your current affiliation with AMERIND’s member housing authority/TDHE?
Employee (job title: ___________________________)
Housing Board of Commissioner
Tribal Official
Other: _____________________________________
Education
Years
Professional Background
Years
Institution
Major
Organization
Job Title
Platform (issues and other information to present to AMERIND members)
Required Documents:
1) Letter of Intent
2) Proof of Tribal Enrollment
3) Candidate Interest Form
4) Wallet-size Photograph
Candidate is required to submit all documents by January 8, 2016 to
Ron Ryan, Secretary
AMERIND Risk
502 Cedar Drive
Santa Ana Pueblo, NM 87004