Complete application (please type). Make two copies. Send one copy to the HOSA State Directions: Advisor along with a verifying membership, copy of form and member roster chapter’s affiliation postmarked by Retain one copy for the chapter files. Email a photograph (headshot only with December 13. a neutral background) of the state officer candidate to the HOSA State Advisor by Pages 6 December 13. and 7 of this document (Officer Candidate Qualifications) will be distributed at the HOSA State Leadership Conference for assessing qualifications of State Officer candidates. Please check spelling and grammar. DO NOT ADD ANY ADDITIONAL PAGES TO THE APPLICATION. Candidates must currently be enrolled in Grade 9, 10, or 11 when running for office. Candidate Information Name Age DOB Cum G.P.A. Current Grade level (on 4.0 scale) E-mail Home Mailing Address City ZIP Cell Phone Parent/Guardian Home Phone Mailing Address (if different from above) Cell Parent’s City ZIP Phone Jacket / Pant / Unisex Shirt Size Blazer Size Skirt Size School Candidate’s Name of School Mailing Address City/ZIP School Phone County Department School Fax Phone Superintendent Principal Career and Technical Education Administrator Chapter Advisor Name Home Mailing Address City/ZIP Home Phone Number Cell Phone Number E-mail Address HOSA STATE OFFICER CANDIDATE QUALIFICATIONS * You must use space provided. Do not add extra pages.
Directions: Complete application (please type). Make two copies. Send one copy to the HOSA State Advisor along with a copy of chapter’s affiliation form and member roster verifying membership, postmarked by December 13. Retain one copy for the chapter files. Email a photograph (headshot only with a neutral background) of the state officer candidate to the HOSA State Advisor by December 13. Pages 6 and 7 of this document (Officer Candidate Qualifications) will be distributed at the HOSA State Leadership Conference for assessing qualifications of State Officer candidates. Please check spelling and grammar. DO NOT ADD ANY ADDITIONAL PAGES TO THE APPLICATION. Candidates must currently be enrolled in Grade 9, 10, or 11 when running for office. Candidate Information Name Age DOB Current Grade level Cum G.P.A. (on 4.0 scale) E-mail Home Mailing Address City ZIP Cell Phone Parent/Guardian Home Phone Mailing Address (if different from above) City ZIP Parent’s Cell Phone Unisex Shirt Size Jacket / Blazer Size Pant / Skirt Size Candidate’s School Name of School Mailing Address City/ZIP School Phone County School Fax Department Phone Superintendent Principal Career and Technical Education Administrator Chapter Advisor Name Home Mailing Address City/ZIP Home Phone Number Cell Phone Number E-mail Address HOSA STATE OFFICER CANDIDATE QUALIFICATIONS * You must use space provided. Do not add extra pages.