2019 Area Officer, JHC, Peer Ed Candidate Application Deadline is February 13, 2019Please make a copy of your application prior to submitting Question Title * 1. What is your first name? Question Title * 2. What is your last name? Question Title * 3. What is your chapter name? Question Title * 4. My Address: Street, PO Box, Town, State and Zipcode Question Title * 5. Home phone number: Question Title * 6. Cell phone number: Question Title * 7. My email address: Question Title * 8. My upcoming grade in school 2019-2020: Grade 6 Grade 7 Grade 8 Grade 9 Grade 10 Grade 11 Grade 12 Question Title * 9. Candidate Parent (s) names: Question Title * 10. Candidate's Parent Address ( if different from your own) Question Title * 11. Parent Email Address: Question Title * 12. School address: Street, town, state and Zipcode Question Title * 13. School phone number: Question Title * 14. Adviser's name: Question Title * 15. Adviser home address: Question Title * 16. Adviser phone number at school: Question Title * 17. Adviser cell phone: Question Title * 18. Adviser email address: Question Title * 19. Principal's Name: Question Title * 20. Superintendent's name: Question Title * 21. Which FCCLA Area is your chapter in? Northern Area Southwest Area Southeast Area Central East Area Central West Area Question Title * 22. What FCCLA Jacket size would you expect to need for your Jacket size? Indicate men's or women's size. Women's size 0 Women's size 2 Women's size 4 Women's size 6 Women's size 8 Women's size 10 Women's size 12 Women's size 14 Women's size 16 Women's size 18 Women's size 20 Women's size 22 Women's size 24 Men's size regular 36 Men's size regular 37 Men's size regular 38 Men's size regular 39 Men's size regular 40 Men's size regular 42 Men's size regular 44 Men's size regular 46 Men's size regular 48 Men's size regular 50 Men's size regular 52 Men's size short 36 Men's size short 38 Men's size short 40 Men's size short 42 Men's size short 44 Men's size short 36 Men's size short 38 Men's size short 40 Men's size short 42 Men's size short 44 Men's size short 46 Men's size short 48 Men's size short 50 Men's size long 38 Men's size long 40 Men's size long 42 Men's size long 44 Men's size long 46 Men's size long 48 Men's size long 50 Men's size long 52 Men's size long 54 Other (please specify) Question Title * 23. 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? Question Title * 24. 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. Question Title * 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. Question Title * 26. Check the events you have attended for FCCLA. Fall Area FCCLA Conference FCCLA Local Leadership Training State FCCLA Conference Midwinter Meetings and STAR Events National FCCLA Conference MN FCCLA Shadow Day National Capitol Leadership Training National Cluster Meeting Fall Summit Other (please specify) Question Title * 27. 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 Treasurer Area Treasurer 1-Lowest ranking Area Treasurer 2-Medium ranking Area Treasurer 3-High ranking Area Treasurer 0-I am not eligible for this by my grade level Area JHC (Current member in grades 6,7,8) Area JHC (Current member in grades 6,7,8) 1-Lowest ranking Area JHC (Current member in grades 6,7,8) 2-Medium ranking Area JHC (Current member in grades 6,7,8) 3-High ranking Area JHC (Current member in grades 6,7,8) 0-I am not eligible for this by my grade level Area Secretary Area Secretary 1-Lowest ranking Area Secretary 2-Medium ranking Area Secretary 3-High ranking Area Secretary 0-I am not eligible for this by my grade level Area Vice President Area Vice President 1-Lowest ranking Area Vice President 2-Medium ranking Area Vice President 3-High ranking Area Vice President 0-I am not eligible for this by my grade level Area President Area President 1-Lowest ranking Area President 2-Medium ranking Area President 3-High ranking Area President 0-I am not eligible for this by my grade level Question Title * 28. 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. Yes No Question Title * 29. Please complete this section: YES, I will be able to attend Leadership Camp Training June 17-19, 2019. YES, I agree to attend planning sessions of the AREA Officers. YES, I will be at the 2019 and 2020 State FCCLA Conference. YES, I will promote a positive image of FCCLA in my Area and in the State. YES, I will refrain from the use or possession of alcohol, drugs or tobacco during my entire term. YES, I will abide by the code of conduct set by the State FCCLA association. YES, I realize that I must remain eligible for the entire term of office (academically eligible by my school rules and standards) YES, I agree not to post social media or videos, pictures that would be disapproved by MN FCCLA as conduct not becoming of an officer. I agree to cooperate with state staff in their ability to view my social media and monitor my social media. YES, I realize that any violation of the above list could be reason for removal from office, according to MN FCCLA policies. Question Title * 30. Please upload the Candidate Agreement page with candidate, adviser parent and school administrator signatures. Upload a copy of the page with signatures as a PDF, DOC, PNG, JPEG or GIF type file. DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only. Choose File Choose File No file chosen Remove File Upload a copy of the page with signatures as a PDF, DOC, PNG, JPEG or GIF type file. Question Title * 31. Please upload the Adviser Agreement page with signature. Upload the Adviser Agreement page as a PDF, DOC, PNG, JPG or GIF file. DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only. Choose File Choose File No file chosen Remove File Upload the Adviser Agreement page as a PDF, DOC, PNG, JPG or GIF file. Question Title * 32. Please upload a copy of the Agreement to use Your Photographic Likeness Release Form Upload this page as a PDF, DOC, PNG, JPG or GIF file. DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only. Choose File Choose File No file chosen Remove File Upload this page as a PDF, DOC, PNG, JPG or GIF file. Done