HOSA: Future Health Professionals
Officer Application
Read the following pages of information very carefully. If you have any questions please email the HOSA Regional Advisor – . Or HOSA Regional Co-Advisor
Fill out the attached application and make a copy for your records. Send the original and other required forms to the HOSA Regional Advisor by the published deadline.
All HOSA officer candidates and elected officers:
• Must be an active member of their local HOSA chapter.
• Must maintain a cumulative average of 3.5 in Health Science
All Regional Officers will attend the Fall Leadership Development Academy in High Springs, Florida November 17th thru the 19th 2017. The approximate cost is $150.00
Failure of elected officers to meet grade requirements will result in one term of probation and evaluation by the Regional Advisor and other selected advisors.
Applicants who pass the screening process will be allowed to give a 3 to 5-minute speech during the first HOSA meeting on September 20, 2017 (tentative location Plantation HS). Verbal campaigning is allowed; however, NO campaign materials (i.e., flyers) are allowed.
The following items must be included as part of the officer application and received by the deadline of September 13, 2017.
1. Officer Candidate form
2. Officer Application form
3. Completed Nomination form
4. Transcript of grades (Printout from virtual counselor will be accepted)
5. One-page handwritten essay on “What I Can Contribute to HOSA”
Mail to: Richard Boulger, HOSA Region VIII Advisor
C/O Cypress Bay HS, 18600 Vista Park Blvd, Weston, Fl 33332
Health Occupation Students of America
Region VIII Officer Application
Name:______Grade:______
Home Address:______
______
Home Phone # :______Cell #:______
School:______
Advisor:______
1. HOSA Offices Held Year______
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______
______
2. Honors /Awards received ( HOSA and others) Year______
______
______
______
3. Participation in Other Activities (School, Community) Year______
______
______
______
4. Offices Held in Other Organizations Year______
______
______
______
______
______
Signature Date
Health Occupation Students of America
Region VIII Officer Nomination Form
Serving as a HOSA Officer demands a commitment to the organization.
Therefore, it is vital that all members who aspire to become HOSA officers are highly qualified, able and willing to assume the responsibilities required of all HOSA officers.
Read carefully and study the statement below before submitting this form to the HOSA regional advisor. After discussing the responsibilities of a HOSA officer with parents or guardians, your HOSA advisor, the officer candidate should submit this form along with the other required materials to the HOSA Regional Advisor.
Candidate Statement
If elected as a HOSA officer, I will dedicate my year to serving the organization, will serve my entire term of office, will promote the goals and objectives of HOSA, will project a desirable image of HOSA at all times, and will abide by the policies of my local and state organization.
Candidate’s Signature:______
Local Advisor Statement
It is my belief that this candidate will fulfill the responsibilities of a HOSA officer and I highly recommend this applicant.
Advisor’s Signature:______
Statement of Support
I approve of my son/daughter applying for a HOSA office and if elected, agree that he/she will be able to spend the time and provide transportation necessary to carry out the duties of a HOSA officer.
Parent’s (Guardian’s) Signature:______
Health Occupation Students of America
Region VIII Officer Applicant Questionnaire
Please answer the following questions.
1. Specify the position you are seeking and why you are interested in being a Regional Officer. ______
2. What previous experience as a leader have you had?
______
3. List any speech or public speaking courses you have had?
______
4. Are you a better leader or a follower? Explain your answer?
______
5. Describe what you think your duties will be if you are elected to office?
Health Occupation Students of America
Region VIII Officer Applicant Questionnaire (con’t)
Please answer the following questions:
6. I understand the duties and responsibilities
of the office for which I am a candidate? YES NO
7. I will be able to attend all scheduled meetings? YES NO
8. I will be able to travel as necessary to attend
meetings as required of an officer? YES NO
9. I have read and keep current of the HOSA
state and national web sites? YES NO
10. I have permission from my guardians, advisor
to attend and will attend the following:
a. Regional officer meetings YES NO
b. Fall Leadership Conference YES NO
c. State Fall Leadership Conference (Camp K) YES NO
d. Regional Competition YES NO
f. State Leadership Conference YES NO
11. List any information that you think may be relevant to your
candidacy.
______
______
Candidate Signature Advisor Signature
Parent signature ______