Nebraska's Virtual Collegiate HOSA Chapter Membership Application
Join Nebraska HOSA in the pilot year of our virtual chapter. Once you have paid your dues at https://squareup.com/store/nebraska-hosa, please complete this form.
First and Last Name *
Your answer
Email Address *
Your answer
Phone Number *
Your answer
College, University, or Post-Secondary School *
Your answer
Area of Collegiate Study *
Your answer
Career Goals
Your answer
Have you previously Participated in HOSA *
If so, where were you previously a HOSA Member?
Your answer
How do you plan to get involved with HOSA? *
Required
What do you hope to get out of your experience as a HOSA member?
Your answer
How can Nebraska HOSA better prepare you for your career as a future health professional?
Your answer
Have you paid your $14 dues at https://squareup.com/store/nebraska-hosa ? *
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