10 to Win Individual Application

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All participants that meet the qualifications and deadline will be entered into a drawing for one of the three prizes. Five awardees will be picked at random from those that qualify. All awardees will be provided with an electronic certificate of achievement.

Rules and Guidelines:
Members recruited must be NEW FCCLA members.
Advisers are not eligible for the prize options.
The same student cannot apply twice.
The ten students that are recruited must be on an invoice by March 1, 2022

Please complete the following contact information. Please note that the address you provide will be where the prize is mailed if you are selected as the random awardee.

Applicant First & Last Name *

Member ID Number (this is the number you use to login to the FCCLA student portal) *

Chapter Name *

School Name *

Adviser First and Last Name *

School Mailing Address *

School City *

School Zip Code *

Email - [where the electronic certificate will be emailed] *

Chapter Number *

Please list the first and last name of the first chapter member that you recruited exactly how he/she appears in the FCCLA Portal. Please note that misspellings that do not correlate with the Portal will result in disqualification *

Please list the first and last name of the second chapter member that you recruited exactly how he/she appears in the FCCLA Portal. Please note that misspellings that do not correlate with the Portal will result in disqualification *

Please list the first and last name of the third chapter member that you recruited exactly how he/she appears in the FCCLA Portal. Please note that misspellings that do not correlate with the Portal will result in disqualification *

Please list the first and last name of the fourth chapter member that you recruited exactly how he/she appears in the FCCLA Portal. Please note that misspellings that do not correlate with the Portal will result in disqualification *

Please list the first and last name of the fifth chapter member that you recruited exactly how he/she appears in the FCCLA Portal. Please note that misspellings that do not correlate with the Portal will result in disqualification *

Please list the first and last name of the sixth chapter member that you recruited exactly how he/she appears in the FCCLA Portal. Please note that misspellings that do not correlate with the Portal will result in disqualification *

Please list the first and last name of the seventh chapter member that you recruited exactly how he/she appears in the FCCLA Portal. Please note that misspellings that do not correlate with the Portal will result in disqualification *

Please list the first and last name of the eighth chapter member that you recruited exactly how he/she appears in the FCCLA Portal. Please note that misspellings that do not correlate with the Portal will result in disqualification *

Please list the first and last name of the ninth chapter member that you recruited exactly how he/she appears in the FCCLA Portal. Please note that misspellings that do not correlate with the Portal will result in disqualification *

Please list the first and last name of the tenth chapter member that you recruited exactly how he/she appears in the FCCLA Portal. Please note that misspellings that do not correlate with the Portal will result in disqualification *

Please describe in detail all recruitment efforts used to recruit new members. *

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