HOSA Student Application

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Complete the questions in Section 1. Then in Section 2, submit your payment using the online payment link

Email *

First and Last name *

DOB *

YYYY

Grade currently in *

Other email address you use that is not school email address *

Student Cell Phone number *

Parent(s) Name and Contact Number *

Sports/Extracurricular involved in if any *

HOSA Ideas: Please come up with one or more ideas you would like to see HOSA do *

I am joining HOSA and have the consent of a parent(s). I understand that my membership fees must be paid before I become a member. I understand that I must attend monthly meetings whether virtual or face to face. I understand I must join at least one committee and actively participate in HOSA. *

Yes

Required

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