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2020 State HOSA judge interest form
Thank you for your interest in being a judge for the 2020 State HOSA Leadership Conference, that will be held in Galveston, Texas. Please fill out this short survey and we will be in touch. Thanks!
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Name
Your answer
Email Address
Your answer
Phone Number
Your answer
Which healthcare certifications do you hold?
Nurse
Dental professional
Certified nurses aide
Pharmacist/pharmacy technician
Athletic trainer
Veterinarian/Vet. Tech
AHA CPR Instructor
Paramedics
Other:
Clear selection
What other skills to you have?
CERT
Medical Reserve Corp
Art
Photography
Human Resources
Speech
Toastmaster
Debate
Parliamentarian
Other:
Clear selection
Which day(s) and time would you be available?
Wednesday, April 1, 2020 (evening)
Thursday, April 2, 2020 (morning)
Thursday, April 2, 2020 (afternoon)
Thursday, April 2, 2020 (evening)
Are you interested in judging multiple events and/or days or just one?
Multiple events on same day
Multiple events on different days
One event on one day
One event on different days
Other
Clear selection
Are you interested in being a:
Judge
Patient
Clear selection
Additional information we should know.
Your answer
Submit
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