Form Option 1:

Document Sample
Form Option 1: Powered By Docstoc
					Form Option 1: Print out the form and complete by typing or printing in blue or black ink.
Form Option 2: Complete this form on-screen. Do not add extra lines in the form.

       Georgia Association of Family, Career and Community Leaders of America
                       Application for Student Members of the
                         State Officer Selection Committee
                      (Must be from Region 1, 2, 3, 4, 7, 8 or 9)
                             Return completed form by February 15

If selected, you must be willing to attend an:
     Orientation Meeting - Thursday, March 14       4:45pm (Headquarters)
     Voting Delegates Interviews - Thursday, March 14 5:15-5:45pm (Athena F)
     State Officer Interviews - Friday, March 15 8:00am – 12:00pm


Section I:
                                       General Information
Candidate’s Name:

Georgia Region:            ___ Region 1 ___ Region 2        ___ Region 3 ___ Region 4
                            ___ Region 7 ____Region 8       ___ Region 9

Home Address
City/State/Zip

Phone/Email:

School Name:
County
School Address
City/State/Zip:
Phone/Fax:
Chapter Adviser (s)
Home Address
City/State/Zip
Phone/Email:

Number of years in
Family and Consumer
Sciences
Number of years in
FCCLA
Current Grade Level
Cumulative GPA
Section II:
                    Major Contributions/Accomplishments in FCCLA


Power of One Units                                    Dates Completed
A Better You
Family Ties
Take the Lead
Working on Working
Speak out for FCCLA
5 Unit State/National Recognition

Projects and Meetings                                 Dates Completed or Attended
STAR Events or State Events
  Events Entered:

Local Offices
  Offices Held:

State Offices
  Offices Held:

Step One
Attended FCCLA Summer Leadership Camp
Attended B.A.S.I.C. Training
Attended Fall Leadership Rally
Attended Leadership Conference
Attended Region STAR Events
Attended State Leadership Meeting
Served as a Voting Delegate at State Meeting
Attended FCCLA Day at the Capitol
Attended National Cluster Meeting
Participated in Georgia National Fair FCCLA
Events (Knowledge Bowl, Booths, Chili Cook-off,
Culinary Arts, Brochure)
Participated in Leadership Conference Events
(Membership Recruitment, Lapel Pin, T-shirt Design)




Section III:

                                    Recommendation Letters

Recommendation letter should briefly attest to the applicant’s maturity, fairness,
trustworthiness, leadership ability, ability to assume responsibility, ability to work with
people they do not know, interest in FCCLA and Family and Consumer Sciences, and
understanding of the role of a State Officer.
Attach recommendation from the following:
       1. Family and Consumer Sciences Teacher
Section IV:
                                      Signatures
Being a State Officer Selection Team member is a responsibility that requires firm
commitment and cooperation. State Officer Selection Team members are expected to:
    Read all material sent to the State Officer Selection Committee in advance of
       State Leadership Meeting.
    Attend a State Officer Selection Committee Orientation/Training on Thursday
       March 14.
    Attend the Voting Delegates Round Robin Interview Session with State Officer
       Candidates on Thursday March 14.
    Attend the State Officer Selection Team meeting with candidates on Friday
       March 15.
    Use an objective rubric (provided) to evaluate the candidates for State Office.
    Maintain confidentiality before during and after the selection process.
    Approach the responsibility with seriousness and fairness.

The undersigned certify that the above candidate for State Officer Selection Team is
qualified for position and has approval to hold the position if selected.



________________________________________________________________________
Candidate                                       Date

________________________________________________________________________
Chapter Adviser                                 Date

________________________________________________________________________
Parent/Guardian                                 Date

________________________________________________________________________
Technology/Career Supervisor                    Date

________________________________________________________________________
School Principal                                Date


                       Send completed application by February 15th to:
                                    Georgia FCCLA 283
                                 Swanson Drive Suite 204
                                 Lawrenceville GA 30043

				
DOCUMENT INFO
Shared By:
Categories:
Tags:
Stats:
views:0
posted:9/18/2012
language:Unknown
pages:3