Wisconsin HOSA NEW Chapter Request Form

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Thanks for your interest in HOSA-FHP! Please note, the following criteria to complete this form and request new chapter start-up.

I will be serving as...
1.) the Middle or High School Chapter Advisor OR lead contact for a Post-Secondary Chapter, AND
2.) have received administration approval to start a HOSA chapter at my school.

Please provide the following information to initiate the process to charter your school with the state and international organizations. You will receive a follow-up communication from the State Advisor once your chapter has been established through HOSA-FHP.

Email *

New Chapter Advisor or Post-Secondary Lead Contact Name *

School Name *

My school administration has approved the start-up of a local HOSA Chapter. *

Yes

I am in the process of obtaining approval.

Name of HOSA Chapter (if different than school name)

Phone Number *

School Mailing Address (Street, City, Zip Code to received mailed items) *

Send me a copy of my responses.

Submit

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