Adviser Years of Service/Retiring Teacher

 
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1. Chapter Name
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2. Chapter ID #
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3. Region
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4. Adviser Name
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5. Number of years as an adviser of an affiliated chapter (affiliated is defined as paying regional, state, and national dues)
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6. Please indicate the school district(s), state(s), and dates for your years of service as an FCCLA adviser.
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7. Are you retiring?
8. List the number of officers you have advised at each level:
9. What do you feel are your greatest accomplishments as an FCCLA adviser?
10. Will you be attending the annual state FCCLA leadership conference this spring?
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