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ICC Member and Community Representatives Applications

The Department of Developmental Services is soliciting applications for appointment to the California Interagency Coordinating Council (ICC) on Early Intervention and as community representatives to the ICC. ICC members are appointed by and serve at the pleasure of the Governor. Community representatives are appointed by the ICC Chair.

ICC Member Application Instructions:

• Review the ICC Roles & Responsibilities at:
  

  ICC Member Roles & Responsibilities (PDF)

• Apply for ICC Membership on-line at:
  

  Governor Application Form (Source: Office of the Governor)

• Indicate "Interagency Coordinating Council, State" as the position sought (Item #3 on electronic application).
• You may explain your answers to particular questions on the appointments application by use of attachments. The attachments should be numbered according to the question asked on the application. You may submit these attachments with your completed application authorization form and resume.
• After completing the on-line appointments application, you must hit Submit. If you do not hit Submit, your application for appointment will not be captured by the Governor's appointments system.
• Print , sign and date the authorization form (last page of appointment application) and mail or fax it to the Governor's appointments office:
  

  Governor Edmund G. Brown Jr.
  Attn: Appointments Secretary
  State Capitol Building
  Sacramento, CA 95814
  (Fax): (916) 558-3160

• DO NOT mail or fax a full copy of your completed appointments application to the Governor's office.
• Please provide a full copy of your completed appointments application and related attachments and resume to the Interagency Coordinating Council on Early Intervention by mailing a copy of it to:

  Department of Developmental Services
  Patric Widmann, ICC Staff Supervisor
  1600 9th Street, Room 330, MS 3-8
  Sacramento, CA 95814

• Review the ICC Community Representative Roles and Responsibilities (PDF)
• Print out and complete Community Representative Application Form (PDF)
• Mail completed application to:

  Department of Developmental Services
  Patric Widmann, ICC Staff Supervisor
  1600 9th Street, MS 3-8
  Sacramento, CA 95814

Please share this information with others that may also be interested. If you have any questions about ICC membership, please contact Patric Widmann, ICC Staff Supervisor, Early Start State Services Unit at (916) 654-3722.