Please make a copy of your application prior to submitting

What is your first name?

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* 1. What is your first name?

What is your last name?

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* 2. What is your last name?

What is your chapter name?

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* 3. What is your chapter name?

My Address: Street, PO Box, Town, State and Zipcode 

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

Home phone number:

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* 5. Home phone number:

Cell phone number:

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* 6. Cell phone number:

My email address:

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* 7. My email address:

Candidate Parent (s) names:

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* 9. Candidate Parent (s) names:

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

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

Parent Email Address:

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* 11. Parent Email Address:

School address: Street, town, state  and Zipcode

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

School phone number:

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* 13. School phone number:

Adviser's name:

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* 14. Adviser's name:

Adviser home address:

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* 15. Adviser home address:

Adviser phone number at school:

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* 16. Adviser phone number at school:

Adviser cell phone:

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* 17. Adviser cell phone:

Adviser email address:

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* 18. Adviser email address:

Principal's Name:

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* 19. Principal's Name:

Superintendent's name:

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* 20. Superintendent's name:

Which FCCLA Area is your chapter in?

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* 21. Which FCCLA Area is your chapter in?

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

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

Essay- 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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* 23. Essay- 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?

Essay 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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* 24. Essay 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.

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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* 25. 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.

Check the events you have attended for FCCLA.

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

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.

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* 27. 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 Treasurer
Peer Educator ( Working with the Area Officers to promote the National FCCLA Programs)
Area JHC (Current member in grades 6,7,8)
Area President
Area Vice President
Area Secretary
Please complete this section:

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* 28. Please complete this section:

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

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

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.
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No file chosen
Please upload the Adviser Agreement page with signature.

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

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.
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Please upload a copy of the Agreement to use Your Photographic Likeness Release Form

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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.
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No file chosen

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