FCCLA State Officer Application 2024-2025

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* 1. Contact Information

Name *

Age *

Address *

Address 2

City/Town *

State/Province *

ZIP/Postal Code *

Birth date *

Email Address *

Phone Number *

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* 2. Chapter Name

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* 3. District

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* 4. Adviser Contact Information

Name

School

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

E-mail Address

School Phone Number

Home Phone Number

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* 5. Check grades applicant has taken Family and Consumer Sciences

6th grade

7th grade

8th grade

9th grade

10th grade

11th grade

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* 6. Briefly describe your involvement at the chapter level.

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* 7. Briefly describe your involvement at the district level.

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* 8. Briefly describe your involvement at the state level.

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* 9. List evidences showing your leadership ability. Include offices held and participation in school and community organizations (other than FCCLA).

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* 10. Student Transcript

Upload the student transcript showing GPA and attendance

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

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* 11. Adviser Letter of Recommendation

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

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* 12. Signature Pages

Upload all signature pages from the application

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