Deadline is February 13, 2020
Please make a copy of your application prior to su

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* 1. What is your first name?

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* 2. What is your last name?

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* 3. What is your chapter name?

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* 4. My Address: Street, PO Box, Town, State and Zipcode 

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* 5. Home phone number:

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* 6. Cell phone number:

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* 7. My email address:

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* 8. My upcoming grade in school 2020-2021:

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* 9. What is my date of birth?

Date

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* 10. Candidate Parent (s) names:

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* 11. Candidate's Parent Address ( if different from your own) 

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* 12. Parent Email Address:

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* 13. School address: Street, town, state  and Zipcode

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* 14. School phone number:

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* 15. Adviser's name:

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* 16. Adviser home address:

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* 17. Adviser phone number at school:

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* 18. Adviser cell phone:

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* 19. Adviser email address:

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* 20. Principal's Name:

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* 21. Superintendent's name:

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* 22. Which FCCLA Area is your chapter in?

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* 23. What FCCLA Jacket size would you expect to need for your Jacket size? Indicate men's or women's size.

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* 24. Essay 1- Please complete this essay question with 50-100 words.
How could you promote this year's MN FCCLA State Theme in your Area or
chapter?

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* 25. Essay 2 Question: Please complete this essay in 50-100 words.
List one National or State FCCLA program and describe a project you have completed in your chapter or you could complete in the future.

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* 26. Ask 2 persons who know you well to write a sentence about your strengths and include (copy and paste) their statements here. Include their names and titles or relationship to you.

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* 27. Check the events you have attended for FCCLA.

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* 28. We will attempt to fill the 4 officer positions first before Peer Educators are added to the team. On a scale from 1 ( low interest) to 3 (high interest), please rate how you regard each position.  The higher ranking number you give each position, the higher you would rate it. If you do not want or are not eligible for a position, please leave that rating box blank.

  1-Lowest ranking 2-Medium ranking 3-High ranking 0-I am not eligible for this by my grade level
Area JHC
(Current member in grades 6,7,8)
Area Treasurer
Area President
Area Vice President
Area Secretary

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* 29. Peer Educator position- Yes I am interested in this position if the Area officer positions are all filled for my Area.
If you do not want or are not eligible for a position, please leave that rating
box blank.

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* 30. Please complete this section:

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* 31. Please upload the Candidate Agreement page with candidate, adviser parent and school administrator signatures.

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.
Choose File

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* 32. Please upload the Adviser Agreement page with signature.

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.
Choose File

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* 33. Please upload a copy of the Agreement to use Your Photographic Likeness Release Form

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.
Choose File

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