Locust Grove High School: “Be the Future of Healthcare”

2016– 2017HOSA Membership Registration

Deadline to Join HOSA: Friday,September 9, 2016

1. WHAT? = HOSA is a student organization whose mission is to enhance the delivery of compassionate, quality health care by providing opportunities for knowledge, skill and leadership development of all healthcare students, therefore, helping students to meet the needs of the health care community. Locust Grove HOSA will participate in:

  • Monthly chapter meetings
  • Community service opportunities
  • Regional, State, and National Competitions – NOT Required
  • Leadership training

2.COST = $35.00

  • Covers: local, state, and national dues for current school year + t-shirt
  • Send cash or check (payable to LGHS HOSA – include phone number and student’s name/HOSA). This registration fee is nonrefundable.

3.Active Membership is required to participate in competitive events and for receiving honor cords at graduation. Active membership will consist of: attending meetings, participating in monthly community service events, and competing in events.

4.Good Behavioris required to participate in any HOSA events. HOSA is a professional organization designed to provide training and networking for students wishing to enter the health field. Poor behavior will not be tolerated and membership can be denied or be dismissed. There will be NO refund of membership fee.

5.Communication:

  • Remind 101 = TEXT to: 81010Message: @6178
  • This is a great way to be reminded of upcoming meetings and events
  • HOSA Website – located under Activities on the Locust Grove High School Website
  • Social Media – ONLY ACCEPTING MEMBERS AND PARENTS

Twitter: @hosa_lghs

Intagram: LGHSHOSA

Snapchat: lghshosa

Email:

Membership Registration

First Name: ______Last Name: ______Grade: ______

Address: ______City: ______State ______Zip: ______

Phone: ______E-mail: ______

Healthcare Class Period? ______Homeroom Teacher (1st period): ______

Can you receive text messages? Yes/NO (please circle) Birthday: ______

Circle Grade Level: 9th 10th 11th 12thCircle Gender: Male Female

Circle Shirt Size: XS S M LG XL XXL

I understand that HOSA represents Future Healthcare Professionals that are well respected and are goal driven. By joining HOSA, I agree to be an active member who is responsible for his/her own actions. I pledge to uphold professional and mature character in and out of the classroom. I understand that poor behavior decisions could cause me to be dismissed from this organization and any events that occur with it. I also understand that I must maintain active membership status by attending meetings and community service in order to compete at any level.

Student Signature: ______Date: ______

Parent Signature: ______Date: ______

(Chapter Officer/Advisor Use Only)

This member has paid dues: Date: ______

Cash

 Check # ______RECEIPT written