WI Outstanding HOSA Advisor Nomination Form
HOSA will give special recognition to one (1) Secondary HOSA Advisor, one (1) Postsecondary/Collegiate HOSA Advisor and (1) Middle School HOSA Advisor representing each state association during the International Leadership Conference. This is a means of recognizing advisors for the time and effort they expend to provide successful HOSA Chapter activities for their members.  Please nominate a local chapter advisor you feel should represent Wisconsin as our Outstanding HOSA Advisor.

Nomination Requirements:

1. The Advisor nominee must be a member in good standing with Wisconsin HOSA and currently serve as a local advisor to an affiliated HOSA chapter, and may not have received this award in the previous five years.

2. Three (3) references are required with this nomination.  Please submit up to one reference from each of the following references categories: fellow HOSA advisor, HOSA member, HOSA chapter industry partner, nominee’s school CTE coordinator, nominee's school administrator. Three reference names and email addresses must be provided for the nomination form to be complete.

3. Advisor nominations will be reviewed by at least four members of the Wisconsin HOSA Board of Directors.  No reviewers may be a candidate for this award.  If no nominations are received, the recipient will be selected by the Wisconsin HOSA Board of Directors.

4. The recipient of this honor will be recognized at the Wisconsin HOSA State Leadership Conference and the HOSA International Leadership Conference. Travel expenses will be the responsibility of the recipient.

6. Submit advisor nominations and 3 references by March 1, 2021. References will be contacted, via email, to complete a brief online reference form due by March 15, 2021.

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Your Name (first and last name of individual nominating the advisor): *
Your Email Address: *
Your Relationship to the Advisor Being Nominated: *
Required
HOSA Advisor Nominee Name (first and last name of the advisor being nominated): *
Advisor Nominee's School Name: *
HOSA Advisor Nominee Years of Service, if known (include current year of service):
Why is this individual an Outstanding HOSA Advisor? *
Reference #1 Name (first and last) *
Reference #1 Email Address: *
Reference #2 Name (first and last) *
Reference #2 Email Address: *
Reference #3 Name (first and last): *
Reference #3 Email Address: *
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