Deadline is February 22, 2022
 Please make a copy of your application prior

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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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* 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. Please list a numeric size and whether men's or women's jacket.

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* 24. I agree to these candidate events and assurances.

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* 25. Essay 1: List at least 3-4 strategies or activities you would suggest to encourage FCCLA especially in situations that may include distance learning, limited in person events and using technology. 

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* 26. Essay 2: FCCLA is relevant to the needs of students. List one National or State FCCLA program and describe a project you have completed in your chapter or you could complete in the future. How is this a project to meet the needs of teens? Please complete this essay in 50-100 words.

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* 27. Essay 3: Choose a quote about leadership and tell why that statement is something you believe about your own leadership. 50-100 words.

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* 28. 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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* 29. How have you been involved in FCCLA?

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* 30. We will attempt to fill the 4 officer positions. 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 Vice President
Area Treasurer
Area President
Area Secretary
Area JHC
(Current member in grades 6,7,8)

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

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

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

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

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