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  • Certificate of Entry - AMERIND Risk | Tribes Protecting Tribes … ·  · 2017-10-04Title: Microsoft Word - 2018 SPC - Entry Form Hsg Auth.docx Created Date: 10/3/2017 8:05:51 PM
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Certificate of Entry Regional Association Contacts* Authority Mailing Address City / ST / Zip Code Poster Contest Locations (check all that apply) School Community/Youth Center Church Housing Office Safety Camp Boys & Girls Club Other Total number of posters received by the housing authority for each category K-3: 4-6: 7-8: Total: Number of posters submitted to regional housing association: List ALL individuals who have coordinated the poster contest(s): Coordinator 1 Full Name Job Title Email Address Telephone No. Coordinator 2 Full Name Job Title Email Address Telephone No. Coordinator 3 Full Name Job Title Email Address Telephone No. Coordinator 4 Full Name Job Title Email Address Telephone No. Coordinator 5 Full Name Job Title Email Address Telephone No. Coordinator 6 Full Name Job Title Email Address Telephone No. Region 1: United South & Eastern Tribes Susan Wicker (251) 368-9136 Region 2: Great Lakes Regional Hsg. Assoc. Kevin Fitzgibbons (847) 894-1113 www.GLIHA.org Region 3/5: United Native American Hsg. Assoc. Jason Adams (406) 675-4491 www.UNAHA.org Region 4: Southern Plains Indian Hsg. Assoc. Kelly Cook (580) 421-8800 ext. 8880 www.SPIHA.org Region 6: Northwest Indian Hsg. Assoc. Jolie Estes (425) 789-1075 www.NWIHA.org Region 7: Nevada/California Indian Hsg. Assoc. Phil Bush (530) 596-4127 www.NV-CAL.org Region 8: Southwest Tribal Hsg. Alliance Michael Chavez (505) 782-4550 Region 9: Assoc. of Alaska Hsg. Authorities Colleen Anshkin (907) 330-8398 www.AAHAAK.org *Deadlines to submit your entries to Regional Associations vary. Contact your regional representative to verify the due dates before you hold your contest to ensure your posters are submitted on time. Fax completed form to AMERIND Risk, Attn: Safety Team at (800) 388-7475

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Page 1: Certificate of Entry - AMERIND Risk | Tribes Protecting Tribes … ·  · 2017-10-04Title: Microsoft Word - 2018 SPC - Entry Form Hsg Auth.docx Created Date: 10/3/2017 8:05:51 PM

CertificateofEntry RegionalAssociationContacts*

Authority MailingAddress City/ST/ZipCode

PosterContestLocations(checkallthatapply)

School Community/YouthCenter Church HousingOfficeSafetyCamp Boys&GirlsClub Other

Totalnumberofpostersreceivedbythehousingauthorityforeachcategory

K-3: 4-6: 7-8: Total:

Numberofposterssubmittedtoregionalhousingassociation:

ListALLindividualswhohavecoordinatedthepostercontest(s):

Coordinator1FullName

JobTitle

EmailAddress

TelephoneNo.

Coordinator2FullName

JobTitle

EmailAddress

TelephoneNo.

Coordinator3FullName

JobTitle

EmailAddress

TelephoneNo.

Coordinator4FullName

JobTitle

EmailAddress

TelephoneNo.

Coordinator5FullName

JobTitle

EmailAddress

TelephoneNo.

Coordinator6FullName

JobTitle

EmailAddress

TelephoneNo.

Region1:UnitedSouth&EasternTribesSusanWicker(251)368-9136

Region2:GreatLakesRegionalHsg.Assoc.KevinFitzgibbons(847)894-1113www.GLIHA.org

Region3/5:UnitedNativeAmericanHsg.Assoc.JasonAdams(406)675-4491www.UNAHA.org

Region4:SouthernPlainsIndianHsg.Assoc.KellyCook(580)421-8800ext.8880www.SPIHA.org

Region6:NorthwestIndianHsg.Assoc.JolieEstes(425)789-1075www.NWIHA.org

Region7:Nevada/CaliforniaIndianHsg.Assoc.PhilBush(530)596-4127www.NV-CAL.org

Region8:SouthwestTribalHsg.AllianceMichaelChavez(505)782-4550

Region9:Assoc.ofAlaskaHsg.AuthoritiesColleenAnshkin(907)330-8398www.AAHAAK.org

*DeadlinestosubmityourentriestoRegionalAssociationsvary.Contactyourregionalrepresentativetoverifytheduedatesbeforeyouholdyourcontesttoensureyourpostersaresubmittedontime.

FaxcompletedformtoAMERINDRisk,Attn:SafetyTeamat(800)388-7475

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