2019 WA HOSA SLC Judge Registration Form
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 Spokane Convention Center in Spokane, Washington on March 8th.

Event information can be found at the following links:
Specific Guidelines--http://www.hosa.org/guidelines

Email address *
First Name: *
Your answer
Last Name: *
Your answer
Cell Phone Number (or best number to reach you)
Your answer
Street Address
Your answer
City
Your answer
State
Your answer
Zip Code
Your answer
Employer
Your answer
Position
Your answer
Please briefly describe your area(s) of expertise. This information will help us place you in the most appropriate event to utilize your skills. For example, are you a CPR instructor, a nurse, do you have experience conducting interviews or evaluating artwork? We will do our best to place you accordingly.
Your answer
Have you judged before?
Do you have an active relationship with any school, student, or teacher who may be associated with HOSA or a HOSA Chapter? Or have you graduated high school within the last 4 years? (Please type in the school name below so we can ensure local schools receives a credit towards registration by helping provide assistance at the conference. )
If you answered YES to the question above, please list the high school(s) and a very brief description of the relationship.
Your answer
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