2016-17 Mountain Shadows FCCLA District Officer Application

APPLICATION MUST BE TYPED

Must be an affiliated FCCLA member who will be in 8th-12th grade during the 2016-17 school year.

Personal Information

______

Last NameFirst NamePresent School Grade

Home Address:

StreetCityZip Code

Contact Information:

Home PhoneStudent Cell Phone

Student Email Address

Chapter Information

Chapter:

Adviser’s Name:

Adviser’s Email:

General Questions

How long have you been involved in FCCLA?

What type of activities have you participated in with FCCLA?

Summarize your involvement in the following areas:

  • School:
  • Community:
  • Other:

Why do you want to be an FCCLA district officer?

What are some leadership skills you bring to a team?

If you had to name one personality trait that you have tried to change about yourself, what would you say and why have you worked to change it?

Select three officer positions you would like to hold in order of preference. See attached sheet for position descriptions.

_____President

_____Vice President

_____Secretary

____VP of Finance

____VP of Public Relations

__VP of Community Service

____VP of Recognition

____VP of Hospitality

Signatures

Student: If selected, I agree that Mountain Shadows District FCCLA will be a priority and that I will complete my obligations. It is my responsibility to attend required meetings. I will help plan and implement the Fall and Winter District Conferences and any other activities planned for Mountain Shadows FCCLA. I understand the Colorado FCCLA Bylaws and the Policies and Disciplinary Procedures.

______

Applicant Signature Date

Parents: Your son or daughter is applying for District Officer consideration. It is an honor and responsibility to be a FCCLA District Officer. Responsibilities include fall planning and winter planning and the conferences that follow each. I understand the commitment my student will make as a FCCLA District Officer.

______

Parent Signature Date

Advisers: Your signature is verification of the qualifications of this candidate. Your assistance is required in completing the duties assigned to your District Officer during his/her term of office.

Yes, I am willing to accept the responsibilities of a Local Adviser to a District Officer and will give my support to the student during his/her term of office.

______

Local Adviser Signature Date

Mountain Shadows District Officer Application

Student Checklist

______Please place your application items in a bound folder, arranged IN THE ORDER LISTED BELOW:

  • Cover page, including your name, chapter name, school, and adviser name
  • Completed application
  • Current official school transcript—signed by your counselor
  • A collage (on 8 ½” X 11” paper) of pictures, words, or graphics that depicts your personality and interests.
  • 2 sealed envelopes with recommendation forms from your adviser and one other adult at school

______RSVP that you will be applying for district office to Debbie Nelson, NO LATER than Tuesday, March 1, 2016 at 3:30 pm.

______Interviews will be on Tuesday, March 8, 2016 @ 3:30 pm at Pomona High School in room FACS 1. Bring your completed application folder with you.