2022-2023 Health Science CLUSTER Teacher Updates

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Name *

Is this a name change (you got married)? *

Yes

School/Career Center (2022-2023 school year) *

School Email Address *

CLASS Phone Number

Please include your area code and extension if it applies.

Are you aware of any new Health Science Cluster teachers being hired at your school/career center? *

Yes

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.

Do you have a HOSA Chapter at your School/Career Center? *

Yes

Are you a HOSA Advisor? *

Yes

HOME information

Home EMAIL ADDRESS *

Home Street or PO Box

HOME City, State & Zip Code

Cell Phone

Health Science Courses

Please check all courses you will be teaching in the 2022-2023 school year.

5550 Health Science 1

5551 Health Science 2

5552 Health Science 3

Health Science, work-based credit

5560 Health Science Clinical Study (Any clinical program with or without Nurse Aide certification)

5540 Medical Terminology

5570 Pharmacy Medical Careers

Practical Nursing

EMT Courses

Please check all courses you will be teaching in the 2022-2023 school year.

5531 Emergency Medical Services 1

5532 Emergency Medical Services 2

5533 Emergency Medical Services 3

Other:

Sports Medicine Courses

Please check all courses you will be teaching in the 2022-2023 school year.

5555 Sports Medicine 1

5556 Sports Medicine 2

5591 Sports Medicine, work-based credit

Other:

Project Lead The Way Biomedical Science Courses

Please check all courses you will be teaching in the 2022-2023 school year.

5583 Biomedical Innovation

5581 Human Body Systems

5582 Medical Interventions

5580 Principles of the Biomedical Sciences

Other:

What is your medical certification(s)?

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