2023 AR HOSA State Leadership Conference Intent to Judge Form
Please join us for the premier event for Future Health Professionals in Arkansas!  

HOSA' s mission is to empower HOSA-Future Health Professionals to become leaders in the global health community, through education, collaboration, and experience.

Please complete this form if you are interested in assisting students pursuing healthcare careers by judging HOSA competitive events.

Judging will take place at the Hot Springs Convention Center on March 6th, 2023 from 1:00 PM to 4:30 PM.

Some Leadership Events will begin at 10:00 AM

Each judge will judge one event, for smaller events (small number of competitors) judges may judge two similar events back to back.

Event information can be found at http://www.hosa.org/guidelines.  This includes the structure for each event, rubrics that you will be provided,  and skill scenarios for events that include a skill round two.
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Email *
First Name: *
Last Name: *
Contact Phone Number: *
Email Address: *
Job Title: *
Do you have an active relationship with any school, student, or teacher who may be associated with the chosen event(s)? Please do not volunteer to judge an event with a competitor in which you have an association. *
If yes to the question above, please describe the relationship.
Please select T-Shirt size: *
I am interested in judging the following Health Professions competitive events.  

(You will be will be judging the round two skill portion for competitors that have advanced after the round one written test in the morning. Please check ALL events that you have an interest in judging, we will place you in 1-2 events for the conference)
I am interested in judging the following Emergency Preparedness competitive events on Monday, March 6th at 1:00 PM:  

(This will be a round two skill portion for competitors/teams of two students that have advanced after the round one written test in the morning.  Please check ALL events that you have an interest in judging, we will place you in 1-2 events for the conference.)
I am interested in judging the following Leadership competitive events on Monday, March 6th at 10:00 AM:  

(These events typically include a submission of materials to be judged then a presentation or speech.  Please check ALL events that you have an interest in judging, we will place you in 1-2 events for the conference.)
I am interested in judging the following Teamwork competitive events on Monday, March 6th at 1:00 PM.

(These events include teams of 2-6 students, and you will judge either a round two skill portion for competitors that have advanced after the round one written test in the morning or a submission of materials and presentation or speech.  Please check ALL events that you have an interest in judging, we will place you in 1-2 events for the conference.) 
A copy of your responses will be emailed to the address you provided.
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