NATIVE AMERICAN EMPLOYMENT AND TRAINING COUNCIL

NOMINATION FORM

Please complete the nomination form and return to the Department of Labor's Employment and Training Administration, Division of Indian and Native American Programs U. S. Postmarked, or electronically dated (e-mail), no later than March 11, 2005.

NOMINEE'S NAME:

REGION I MEMBER:Term expires 6/30/07

(only Region I grantees and organizations may nominate for this position)

REGION II MEMBER:Term expires 6/30/07

(only Region II grantees and organizations may nominate for this position)

REGION III MEMBER:Term expires 6/30/07

(only Region III grantees and organizations may nominate for this position)

HAWAII MEMBER:Term expires 6/30/07

(only Hawaii grantees and organizations may nominate for this position)

OTHER DISCIPLINE MEMBER:Term expires 6/30/07

GRANTEE NAME AND ADDRESS:

 

Mail to: ATHENA R. BROWN, Chief, Division of Indian and Native American Programs, Department of Labor, Employment and Training Administration, 200 Constitution Avenue, N.W., Room C-4312, Washington, D.C. 20210. All nominations must be submitted no later than March 11, 2005 (U.S. Postmarked or electronically dated (e-mail)).