SkillsUSA South Carolina State Officer Application

1. Contact Information

Question Title

* 1. Personal Contact Information

First Name *

Last Name *

Home Address *

Home Address 2

City/Town *

ZIP/Postal Code *

Personal Email Address *

Cell Phone Number *

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* 2. Parent/Guardian Contact Information

First Name *

Last Name *

Home Address *

Home Address 2

City/Town *

ZIP/Postal Code *

Email Address *

Cell Phone Number *

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* 3. School Contact Information (If your home high school is where you take your CTE courses, just enter the information twice)

Advisor's Name

Home High School

Career Center

Career Center Address

City/Town

ZIP/Postal Code

Advisor's Email Address

Advisor's Cell Phone Number

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* 4. Current Grade

9th

10th

11th

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* 5. Date of Birth

Date of Birth

Date

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* 6. Shirt Size

Small

Medium

Large

1X-Large

2X-Large

3X-Large

4X-Large