2018 HOSA State Qualifying Events Intent to Judge Form
Please complete this form if you are interested in assisting students pursuing healthcare careers by judging HOSA competitive events. You should not be directly associated with any school or student who may be competing.

Judging will take place in Montgomery, Alabama, at a location to be determined, unless otherwise indicated, and will be scheduled during the week of December 8-15. Event submissions are digital and you will need to bring your laptop or tablet. Students will not be present.
Event information can be found at http://www.hosa.org/guidelines

I am interested in judging the following events. Please check ALL that apply: *
Required
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)? *
If yes to the question above, please describe the relationship.
Your answer
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