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______

______

______

______

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 ______