HOSA State Leadership Conference Intent to Judge Form - 2019
Please complete this form if you are interested in assisting students pursuing healthcare careers by judging HOSA competitive events.
Judging will take place at the Renaissance Hotel and Spa in Montgomery, Alabama February 21-22, 2019.
Event information can be found at http://www.hosa.org/guidelines
I am interested in judging the following events on Thursday, February 21 at 9:30 am. Please check ALL that apply:
I am interested in judging the following events on Thursday, February 21 at 1:30 pm. Please check ALL that apply:
I am interested in judging the following events on Friday, February 22 at 7:45 am. Please check ALL that apply:
Name: *
Your answer
Contact phone number: *
Your answer
Email address: *
Your answer
Job Title: *
Your answer
Do you have an active relationship with any school, student, or teacher who may be associated with the chosen event(s)? Please do not volunteer to judge an event with a competitor in which you have an association. *
If yes to the question above, please describe the relationship.
Your answer
I grant permission to Alabama HOSA and its staff/contractors, State Department of Education, and sponsors/supporters to use the above volunteers’s name and likeness (including photographs, video footage, silhouettes, and audio clips) in publications, productions, promotions and on websites for informational, promotional and other related purposes without further consideration, and acknowledge the right of Alabama HOSA to crop, treat, edit, or otherwise modify the photographs, video footage, silhouettes, and audio clips at their discretion. *
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