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HOSA Membership Application - 2022-2023
* Indicates required question
Email
*
Your email
First Name
*
Your answer
Last Name
*
Your answer
Gender (HOSA affiliation question)
*
Male
Female
Personal Email (HOSA requires)*
*
Your answer
Race (HOSA affiliation question)
*
Asian
Black
Hispanic
Native American
Other
White
Class
*
Freshman
Sophomore
Junior
Senior or Super Senior
Why are you interested in joining HOSA?
*
Your answer
As a HOSA member, I'm interested in participating in
*
Competition
Community Service
Both
Neither
Unsure
Are you interested in purchasing a WECHS HOSA t-shirt?
*
Yes
No
Maybe
Please indicate your t-shirt size. (This information may be needed for future ordering of member's and/or conference t-shirts. Including this information does NOT require you to purchase a shirt.)
*
XS
S
M
L
XL
XXL
Other:
What are your career aspirations?
*
Your answer
Pay dues by September 7th!
*
I have paid my dues for 2022-2023
I have not paid my dues for 2022-2023 and recognize that I cannot be affiliated with HOSA unless dues are paid by September 7, 2022 by 11:00 PM.
Required
A copy of your responses will be emailed to the address you provided.
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