Please include your area code and extension if it applies.
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Are you aware of any new Health Science Cluster teachers being hired at your school/career center? *
If you know of any being hired, do you know the name of the teacher(s)? Please list the teacher(s) and their school or home email address here. Pass this along to the new Health Science Cluster teachers and ask them to complete as soon as possible.
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Do you have a HOSA Chapter at your School/Career Center? *
Are you a HOSA Advisor? *
HOME information
Home EMAIL ADDRESS *
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Home Street or PO Box
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HOME City, State & Zip Code
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Cell Phone *
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Health Science Courses
Please check all courses you will be teaching in the
2023-2024 school year.
Public Health
Please check all courses you will be teaching in the 2023-2024 school year.
EMT Courses
Please check all courses you will be teaching in the 2023-2024 school year.
Sports Medicine Courses
Please check all courses you will be teaching in the
2023-2024 school year.
Project Lead The Way Biomedical Science Courses
Please check all courses you will be teaching in the
2023-2024 school year.