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* 1. Judge Name and Title:

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* 2. Organization:  

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* 3. Telephone (CELL):  

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* 4. Email Address:  

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* 5. I am able to judge any of the following events on Monday afternoon/evening (3/27/23) and am available for the Judge Orientation beginning at 4:00 pm at Rolla High School.

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* 6. I am able to judge any of the following events on Tuesday (3/28/23) and am available for Judge Orientation beginning at 8:00 am at Rolla High School.

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* 7. I am able to judge any of the following events on Tuesday morning (3/28/23) and am available for Judge Orientation beginning at 8:00 am at Rolla Technical Center.

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* 8. I am able to judge any of the following events on Tuesday afternoon (3/28/23) beginning at 12:00 pm at Rolla Technical Center.  I understand that I will have an individual judge orientation on site.

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* 9. Meals will be provided throughout the Missouri HOSA State Leadership Conference.  In order to better serve you, please describe any dietary restrictions you may have or place N/A in the textbox below.

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* 10. Briefly describe your area(s) of expertise.  This information will help place you in the most appropriate event to utilize your skills.

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