HOSA Membership Form
After completing this form, please bring your dues of $40.00 to Mrs. Bernard's room (M-122).  Membership dues need to be turned in by Friday, September 18th.  By joining HOSA you may also compete in a variety of healthcare events at the Area, State, and National level.  The HOSA organization is one of emerging health care providers who desire to develop leadership and technical skill competencies through motivation, awareness, and recognition.  You may visit the HOSA, TA website at www.texashosa.org or the national HOSA website at www.hosa.org.
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Last Name *
First Name *
Current Grade *
Student ID *
Street Address *
City *
Zip Code *
Your Cell Phone Number *
Your Email Address *
Parent/Guardian's Name *
Parent/Guardian's Email Address *
T-Shirt Size *
Are you interested in joining the HOSA Competition Team? *
Please select which event you are interested in competing in.
Competition is not required, however it is a great experience!  Just ask someone who competed last year!
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