NC HOSA ILC 2019 Intent Form
Please indicate if students plan to attend the ILC so we can provide as many students as possible with the opportunity.
Email address *
School Name *
Your answer
Advisor Name *
Your answer
Advisor Cell Phone *
Your answer
Students Competing at ILC (List ONE student name with event per line) *
Your answer
Students who will compete if spot available (List ONE student name with event per line) *
Your answer
Students NOT competing at ILC (List ONE student name with event per line) *
Your answer
Students you would like to compete in Health Care Issues Exam (first come first serve basis - list ONE student per line)
Your answer
Event/Option Selection (All Advisors and available chaperones traveling with the chapter are requested to help in at least one area) *
Required
A copy of your responses will be emailed to the address you provided.
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