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18 th Annual Idaho HOSA State Leadership Conference Registration Guide Boise, Idaho April 10-12, 2019

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Page 1: Form Deadlines - Idaho · Web viewcollect their student fees and pay with a school check, Idaho HOSA does not accept credit cards or personal checks. There is NO CHARGE for State

18th Annual Idaho HOSAState Leadership Conference

Registration Guide

Boise, IdahoApril 10-12, 2019

Page 2: Form Deadlines - Idaho · Web viewcollect their student fees and pay with a school check, Idaho HOSA does not accept credit cards or personal checks. There is NO CHARGE for State

Table of ContentsForm Deadlines and Checklist.................................................................................................................................3

SLC Registration Information...................................................................................................................................4

Online Registration Instructions..............................................................................................................................5

Competitive Event Information...............................................................................................................................6

Photo ID Required for all testing events

Registration Add-ons...............................................................................................................................................7

T-shirts.................................................................................................................................................................7

HOSA Lapel Pins...................................................................................................................................................7

Conference Logistics and Procedures......................................................................................................................8

Dress Code...............................................................................................................................................................9

Online Testing Information...................................................................................................................................10

Online Proctoring Instructions..............................................................................................................................10

Online Proctor Code of Ethics Forms.....................................................................................................................11

SLC Event List.........................................................................................................................................................12

Hotel Information..................................................................................................................................................13

Hotel Reservation Form.........................................................................................................................................13

Medical Liability Release Form..............................................................................................................................14

Idaho HOSA Code of Conduct Form.......................................................................................................................15

Idaho HOSA Advisor Code of Conduct Form.........................................................................................................16

Image Policy and Opt-Out Provision Form............................................................................................................17

Updated: 2/5/2019

“Speak without offending, Listen without defending!”-- Unknown

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Form Deadlines and Checklist

Task or Form Deadline

Online National Membership February 1

State Leadership Conference Registration Open February 1

State Leadership Conference Registration Closes March 1

State Scholarship Applications UPLOADED TO STEM Uploaded to STEM by February 15

Identify Online Proctor –Idaho HOSA Website February 15

Proctor Code of Ethics Form – Idaho HOSA WebsiteSend to Tammy Ackerland by: February 20 February 20

Online Testing (open and closing dates) March 1-15

Last Day to Submit Hotel Reservations/ Rooming Lists March 10

State Leadership Conference Cancellations for Refund March 20

State Officer Application UPLOADED TO STEM Uploaded to STEM by February 15

Substitutions for State Leadership Conference Events March 15

Recognition Portfolios Turned in at Advisor Meeting April 10

Accommodation Form(s) for IEP Events as Applicable Turned in at Advisor Meeting April 10

Medical Liability/Code of Conduct Forms Turned in at Advisor Meeting (keep a copy for yourself) (Emailed prior if possible) April 10

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Page 4: Form Deadlines - Idaho · Web viewcollect their student fees and pay with a school check, Idaho HOSA does not accept credit cards or personal checks. There is NO CHARGE for State

State Leadership Conference Registration Information

Registration Online Registration Opens February 1, 2019

Registration Deadline Closes at midnight Mountain Time (MST) on March 1, 2019NO late r e g i s tr a ti o n a cc epted.

Registration Fee $60.00 per Student Delegate, Advisor, Chaperone, or Guest.Each Chapter MUST collect their student fees and pay with a school check, Idaho HOSA does not accept credit cards or personal checks. There is NO CHARGE for State Officers.

Non-rooming FeeREDUCED!!

$15 per Student Delegate and Advisor that does not stay at the conference hotel. Please indicate upon registration.

Mail Payments Checks payable to: “Idaho HOSA” Mail to: Idaho HOSACTSO Accounting; PO Box 83720; Boise, Idaho 83720-0095

Refunds No refunds will be made for cancellations after midnight Mountain Time (MST) on March 20, 2019.

National Affiliation Chapters must be affiliated with National HOSA by February 1st, 2019.

Important Notes Advisors need to make sure student names are spelled correctly in the online system. Idaho HOSA will not reprint name badges onsite for spelling errors.

Flag Bearers Identify two flag bearers to represent your chapter and identify them as “Flag Bearers” on the online registration form. They will be presenting your schools flag/banner at the beginning of opening ceremonies. Be sure to bring your HOSA banner or sign.

Voting Delegates

Courtesy Corp

Identify two voting delegates from your chapter and two alternates to serve as at the Delegate Assembly to vote for State Officers and Bylaw Changes. Please identify them on your online registration form.

Options: Headquarters; Backstage HOSA Store; Workshops; Keynote assistance; Opening Session; Closing Session (students will be assigned as needed in one or more of the areas listed above).

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Page 5: Form Deadlines - Idaho · Web viewcollect their student fees and pay with a school check, Idaho HOSA does not accept credit cards or personal checks. There is NO CHARGE for State

Online Registration Instructions1) Go to: http://apps.hosa.org/hosaconf/login.jsp

2) Log in as a Local Chapter Advisor using your affiliation login (charter #) and password If you do not have your login or password please contact Tammy Ackerland at

[email protected] or call 208-429-5502 or Stephany Garcia at: [email protected] or call 208-429-5536

3) Select “Conference Registration”

4) Select “18th Annual State Leadership Conference 2019”

5) “Begin Registration” Select

6) Select the name of you first participant and select “Register” NOTE: If your participant name does not show up, then they are NOT an affiliated member with

National HOSA and you must go back and complete the member affiliation Indicate whether the participant is Male/Female Indicate whether the participant is Secondary/Postsecondary/Advisor etc. Please note ALL DIETARY RESTRICTIONS

7) Advance to activities/options and select activities for that student

8) Go to events and select the competitive events the student will participate in See the RULES in the “Events List 2019” to make sure your students are registered correctly Students may participate in as many recognition events as they choose

9) In the team number box, please indicate the team number for team events Team numbers only apply to the specific events (example: Team #1 in CPR/First Aid and

another Team #1 in CERT Skills)

10) After registration for this student is complete, click “Submit”

11) Continue to register all SLC participants in the same manner

12) Also register all advisors, chaperones and guests (registration fees will also apply)

13) After completing your online registration, be sure to print your invoice. Mail a copy of your invoice along with your school’s payment to:

Idaho HOSA, CTSO Accounting, PO BOX 83720; Boise, ID 83720-0095

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Competitive Event InformationConference Eligibility Students must be affiliated and paid members to compete at the State

Leadership Conference. Students must place at the State Conference in the top three (3) of their event and attend the Closing Awards Ceremony in order to qualify to compete at the International Leadership Conference (ILC); however, delegates are eligible to attend ILC.

Event Guidelines Student Delegates must have a copy of the event guidelines with them upon checking into their event. This CAN be an electronic copy on their smart phone/electronic device. All testing events will require a Photo ID.

Substitutions Substitutions may be done, provided the Student Delegate meets the requirements of the SLC delegate, is entering the same event, and the information is received by the state office by March 15, 2019.

Recognition Events All “Recognition Event” portfolios mu s t be turned in at SLC on April 10, 2019 at the Advisors Meeting. No Exceptions.

Event Finalist Process Certain competitive events consist of two rounds. Round one is a written, multiple-choice test of knowledge and understanding, and Round two is a performance/skill. Depending on the number of competitors, the Idaho HOSA testing process may lead to only the top scoring competitors proceeding to Round two. Competitors are encouraged to be prepared for both rounds, even though they may not participate in Round two.

Policy on Cell Phone/ Electronic Devices

A student CAN show event guidelines to event judge on their electronic device. Once this is done the phone or smart watch must be turned off and placed face-down on the table in front of them.

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Page 7: Form Deadlines - Idaho · Web viewcollect their student fees and pay with a school check, Idaho HOSA does not accept credit cards or personal checks. There is NO CHARGE for State

Registration Add-onsWahooz Fun Night Activity – NEW THIS YEAR!!Wristbands for Wahooz can be purchased during online registration only for a discounted price of $10 each. Wristbands will be included in your conference registration packets. Cost at the door is $21.99 + tax.

T-shirtsConference t-shirts can be purchased during online registration for $10 apiece. This year’s design and color has not been finalized. We will offer sizes extra-small through 3X-large. T-shirts will not be available after online registration has closed.

Front – Left - Chest

DESIGN COMING SOON!!

HOSA Lapel Pins Each registered Student Delegate and Advisor will receive a complementary HOSA State Lapel Pin. Some students may want more than one pin to trade at International Conference. Additional pins may be ordered during online registration for $1.00 each.

DESIGN COMING SOON!!

Conference Logistics and Procedures Page | 7

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Registration Materials Conference packets will be available for pickup upon arrival at the Riverside Hotel between 1:00 a.m. – 3:00 p.m. on Wednesday, April 10, 2019. Packets will contain official programs, name badges, Wahooz wristbands, advisor information and assignments.

State Officer Applications

Applications can be found on the Idaho HOSA website: https://cte.idaho.gov/students/student-organizations/hosa/ Applications must be uploaded to STEM Premier no later than February 15, 2019.

Advisor / Chaperones All Conference Delegates must have an Advisor in attendance. It is recommended to have one Advisor or chaperone for every 10 Student Delegates.

Raffle Gift Baskets All chapters are asked to bring a gift basket to be raffled during the conference. All money raised will go to the Idaho HOSA Scholarship Fund.

Code of ConductYou can email your forms prior to conference

Signed Code of Conduct forms will be turned in at Advisors meeting on April 10, 2019. It is the Advisors responsibility to keep a copy of these forms with them at all times during the conference.

Medical Release FormsYou can email your forms prior to conference

It is required that each Student Delegate complete the Medical Release Form. It is the Advisor’s responsibility to keep these with them at all times during the conference.

Dress Code Student Delegates must adhere to National HOSA’s dress code guidelines. See following page.

Wahooz Fun Night Activity7:00 – 10:00 pm

Prepaid conference participants ONLY! Cost: $10 per person. Participants will receive a wristband in their conference registration packet. Cost at the door without your wristband will be $21.99 + tax. Bussing will be available to transport to and from the hotel between 6:00 pm-11:00 pm. Participants who leave the premises will not be allowed to return to Wahooz. No wristbands will be sold during the conference.

Dress Code----PLEASE SHARE WITH YOUR STUDENTS----

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Page 9: Form Deadlines - Idaho · Web viewcollect their student fees and pay with a school check, Idaho HOSA does not accept credit cards or personal checks. There is NO CHARGE for State

HOSA is an organization for Future Health Professionals and professional appearance is paramount in branding itself as such. It is the responsibility of all HOSA members to follow dress requirements for SLC. During conference, Idaho HOSA follows International Conference Guidelines:

All General Sessions HOSA Uniform: Tailored navy blazer with emblem, white dress shirt, matching slacks or skirt, maroon HOSA scarf or tie (optional). Skirts must be tasteful length (not too short). All closed toed, polished dress shoes. -OR-Basic Black or Navy Suit: Matching black or navy jacket and pants/skirts, white dress shirt. Males must wear a tie and socks. Hose optional for women. All closed toed, polished dress shoes.

Competitive Events Professional

All competitors shall wear HOSA uniform or proper Business Attire. Bonus points will be awarded in both rounds if all team members are dressed in appropriate attire. See National HOSA Website for Dress Code Guidance.

National HOSA Dress Code

Competitive Events Clinical

For skilled events, competitors may wear professional clinical attire appropriate to profession for the skill and test. Know the guidelines for your specific events.

Thursday Night Activity - Wahooz

Casual slacks, knee length shorts, jeans, polo, HOSA t-shirt, or tasteful/modest athletic wear. Dresses and skirts not recommended at Wahooz.

Unacceptable Items(any time during conference, on or offsite)

Skin-tight clothing, revealing or midriff baring attire Swimwear, beachwear or flip flops (unless at pool) Extremely short skirts or shorts (shorter than 2” above knee) Clothing with obscene, illegal or potentially offensive content Nightwear/pajamas (never to be worn outside of hotel room)

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Page 10: Form Deadlines - Idaho · Web viewcollect their student fees and pay with a school check, Idaho HOSA does not accept credit cards or personal checks. There is NO CHARGE for State

Online Testing Information

Online Testing Online testing must be completed March 1 – 15, 2019 at your home school. See the attached Event List for these selected events.

Finding a Proctor Advisors cannot serve as a proctor for online testing. Each Advisor is responsible for selecting a proctor at their school for online testing. This proctor must be a 3rd party entity, not connected to HOSA. A faculty member or other administrator from your school will be fine.

Submission of Proctor Information

Once a proctor is identified, the advisor must SUBMIT their proctor’s information online by following these steps:

1) Login to www.hosa.org2) Under ‘Conference Registration’ click on “Identifying proctors for

Online Testing” and fill in the Proctor information3) The proctor is required to sign the “Proctor’s Code of Ethics” form

and must agree to fulfill the role of proctor during online testing.4) The Code of Ethics form must be scanned and emailed to Tammy

Ackerland by February 20, 2019.

Online Proctoring Instructions

Dear Online Proctors,Thank you for agreeing to proctor online testing for our HOSA State Leadership members. The local chapter HOSA Advisor has identified you as the proctor. Upon receiving your Code of Ethics, you will receive an email with your username and password.

Follow these steps to proctor a test:1) www.hosa.org2) Click “Login” on the upper right corner3) Go to “Online Testing Proctor” and Click “Proctor A Test”4) Login using your username and password5) You will find detailed testing instructions once you login 6) Your student’s names and passwords will be displayed. If the student

is in multiple tests, they will have separate passwords for each test.7) Any questions contact: Tammy Ackerland or call 208-429-5502.

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Idaho HOSA Proctor Code of Ethics Form (Online Proctors)

I, ____________________________________, will proctor the Idaho HOSA On-Line testing in such a manner to ensure valid and reliable results; and to ensure test security and integrity. The tests will be administered in a positive and quiet testing environment and will ensure that test-takers adhere to online testing rules:

No talking No cell phone/smart watch use No textbook use No internet use No notes No electronic devices

Signatures

______________________________________ ______________________________________ Proctor Chapter Advisor

Advisors: After you register your proctor in the registration system on the National HOSA website (in the same place as conference registration) the proctor’s will receive an email from HOSA with all the student passwords and the school password so they can then access the testing site and administer the tests.

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Please return completed form (scanned and e-mailed) toTammy Ackerland [email protected] by February 20, 2019.

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SLC EVENTS LIST

Student may register for one (1) of either these events (May choose only one below):

Health Sciences EventsOR

Health Professions Events/Emergency Preparedness

ANDStudent may register for one (1) of either these events (May choose only one below):

Leadership EventsOR

Teamwork EventsANDStudents may register for ANY Recognition Events

Health Science Events(All online, top 20 proceed to SLC)

MS Medical Spelling – OnlineKB Behavioral Health – OnlineDT Dental Terminology – OnlineKG Human Growth & Development – OnlineMM Medical Math – OnlineMR Medical Reading – OnlineMT Medical Terminology – OnlineKP Pathophysiology – OnlineKH Pharmacology – OnlineKM Medical Law and Ethics – OnlineKN Nutrition – OnlineKT Transcultural Healthcare – Online

Health Professions Events/ Emergency Preparedness Events(All online, top 10 proceed to SLC)

BT Biomedical Laboratory Science – OnlineDS Dental Science – OnlineHH Home Health Aide – OnlineNA Nursing Assisting – OnlinePC* Personal Care* – OnlinePT Physical Therapy – OnlineSM Sports Medicine – OnlineVS Veterinary Science– OnlineCL*** Clinical Specialty***CT CERT Skills – OnlineCP CPR/First Aid – OnlineEM Emergency Medical Technician – OnlineEP Epidemiology – OnlineLS* Life Support Skills* – OnlineMC*** Medical Reserve Partnership***

Leadership EventsEH Extemporaneous Health Poster EW Extemporaneous WritingIS* Interview SkillsHP*** Heath Career Photography***HL Health Lifestyles – Online--(Top 10 proceed to SLC)JS*** Job Seeking Skills***PS/SS* Prepared Speaking/Speaking Skills* 2019 Topic: “Define Your Purpose”RS*** Researched Persuasive Writing & Speaking

Topics: 1. 3D Printing-Based Technology Should Be

Used to Create Human Organs. 2. Police Officers Should Be Required to Carry

Naloxone.

Teamwork Events (Top 10 of online testing proceed to round 2 @ SLC)

CA*** Community Awareness ProjectHD Health Career Display HE*** Health EducationPA*** Public Service Announcement Topic: “Be the First… Tobacco Free Generation”***BD Biomedical Debate – OnlineFS Forensic Science – OnlineCS Creative Problem Solving – OnlineHB HOSA Bowl – Online(Top 8 of online testing proceed to round 2 @ SLC)PP Parliamentary Procedure – OnlineMIE*** Medical Innovations-ExistingMIO*** Medical Innovations-Original

Recognition Events BJ** Barbara James Services Award***HC Healthcare Issues Exam – *On-Line ONLYOC Outstanding HOSA Chapter NL HOSA HappeningsMV** MRC Volunteer Recognition**NS** HOSA Service Project**OL Outstanding State Leader

*Only for students classified under the federal regulation, Individuals with Disabilities Education Act of 1997-Ammeded IDEA. A special needs Student Eligibility Form is included in the guidelines and must be uploaded to STEM Premier.

**Must register for hours on the HOSA Activity Tracking System Website. Due: March 30th. *** Please visit the STEM Premier (“Tallo”) page for details:http://hosa.org/STEMPremier Due: March 30 th .

Page 13: Form Deadlines - Idaho · Web viewcollect their student fees and pay with a school check, Idaho HOSA does not accept credit cards or personal checks. There is NO CHARGE for State

Hotel Information - Registration form attached to email and on website

Hotel The Riverside HotelLisa Becker, Sales Manager2900 Chinden Boulevard Boise, ID [email protected]

Hotel Room Rate The Riverside Hotel - $112.00 plus 13% tax per night (single/double) unless you have a signed ST101/ST104 on file.

Non-rooming fee There is a $15.00 room fee per person for those N O T staying at the designated conference hotel(s): This is to assure that we cover convention center costs.

Reservation Procedure Please email the completed Hotel Reservation and Rooming List Form (attached) to: Lisa Becker, Sales Manager at [email protected] . In the email subject line, please put “School Name, HOSA Rooming List”. Room lists are due to Lisa by March 10th. This form must be emailed as an excel document and will not be accepted as a PDF . If you are traveling with another school/chapter – please note on form and in email.

Payment Options P.O.’s are due prior to check-in. Please email all P.O.’s to Lisa at the address above. If paying by check, these must be turned in at time of check-in. Credit Cards are accepted, see Credit Card Authorization Form. Hotel Notes : ** The hotel will not split room charges between schools for billing purposes. **Email Lisa if you are unsure of your schools direct billing status. 

Late Checkout Request You can request 1(one) room for a late checkout for Friday afternoon until 4:00 pm. (based on availability)

Current State Officers Current HOSA State Officer’s rooms have been reserved by Tammy Ackerland and are paid by Idaho HOSA.

Bus Driver Rooms When reserving rooms for your bus drivers, do so as you normally would with your group. Please indicate “Bus Driver” next to their name on the rooming form. The hotel will make effort to place your drivers in a quieter location of the hotel. Please pay the conference hotel as normal. It is recommended that the bus driver(s) stay at the hotel.

Hotel Reservation Form –attachedPlease email completed form as an Excel form to Lisa Becker at [email protected]

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Medical Liability Release Form

Participant Name: Parent/Guardian Name:

Address:

Parent/Guardian Phone: Cell: Work: Home:

Alternate Contact Phone

Personal Physician: Phone

Physician Address:

Local Advisor: School Name

Student covered by medical insurance? (please check one): Yes No

Name of Insured Insurance Company

Group # Policy #

Please check and describe any medical condition which may recur or be a factor in medical treatment: Allergies ___________________________________ Convulsions_______________________________________ Blackouts ___________________________________ Heart/Lung problems_______________________________ Physical Handicap ____________________________ Medicine Reactions________________________________ Disease of any kind __________________________ Other____________________________________________

If currently taking any medication, please provide the following information:Medication(s)______________________________________________________________________________________

Parent/Guardian/Participant: Please check one of the following and sign your name: I give permission for immediate medical treatment as required in the judgement of the attending physician. I do NOT give permission for medical treatment until I have been contacted.

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Liability Release, I certify that the information described above is accurate and complete to the best of my knowledge. I understand that each individual is responsible for his/her own insurance coverage during this conference. I hereby release IDAHO HOSA Board of Directors, State and Local Chapter Advisors, Idaho Career & Technical Education, and any designated individual in charge of the HOSA chapter group or specific activity from any legal or financial responsibility with respect to my personal or my student delegate’s/child’s participation in or contact with any known element associated with an activity including competitive events.

Due to legal restrictions, it is necessary that all student delegates, parent/guardians, guests and IDAHO HOSA Advisors complete this form to be eligible to attend any Idaho HOSA State Leadership Conference. This form should be completed and a copy submitted to advisor. Medical Release Forms need to be kept with the advisor at all times during the conference.

PLEASE TYPE OR PRINT ALL INFORMATION

Parent/Guardian/Participant Signature: ______________________ ______________ Date: ___________(required for student delegates under the age of 18)Student’s Signature: _______________________________________________________________________

Advisor’s Signature: _______________________________________________________________________

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Idaho HOSA Code of Conduct FormCode of Conduct Form must be completed and given to the Chapter Advisors, who must keep a copy on hand at all times during the conference. All chapter Code of Conduct Forms will be turned in at SLC Headquarters upon arrival at SLC.

A good reputation enables members to take pride in their organization. Idaho HOSA members have an excellent reputation. Your conduct at any Idaho HOSA function should make a positive contribution to the reputation that has been established.

1) Your behavior at all times should be such that it reflects credit to you, your school/college, your state and Idaho HOSA.

2) The general session should be enthusiastic but we must be courteous to those in the audience or on stage. It is important to remain seated and in attendance until the end of the session. Students who do not adhere to general session protocol will be asked to leave the conference.

3) You are expected to attend all general sessions and other scheduled conference activities. Please be prompt and show respect to audience and those on stage.

4) Student delegates are to abide by the SLC Attire Policy at all business sessions, general sessions, competitive events and other conference activities. Please refer to Dress Code Policy on Page 9. Student Delegates not adhering to the dress policy during the conference will NOT be admitted.

5) School tags, state badges or ID’s must be removed or completely covered during competition.6) Student Delegates are to report any accidents, injuries or illness to their local or State Advisor immediately.7) Student Delegates shall keep their Advisors informed of their activities and whereabouts at all times. (Idaho

HOSA Conference Name Badges shall be worn at all times.)8) Student Delegates are to observe the designated curfew (curfew means being in your assigned hotel room by

the designated hour).9) If a Student Delegate is responsible for stealing, damage to property or vandalism, the student and his/her

parents will be expected to pay any and all damage costs.10) Any participants at the HOSA State Leadership Conference may not purchase, consume or be under the

influence of alcohol or drugs at any time. Violators will be subject to disciplinary action.11) No weapons of any sort will be allowed in student’s possession, room, transportation or luggage.12) Smoking is prohibited at the conference and at offsite, conference-related activities.13) Any long distant phone call or other charges to rooms etc. will be the responsibility of the individual students

and/or parents.

Student Delegates who disregard the rules will be subject to disciplinary action and will be sent home at their own expense. Parents will be notified. By signing below, you confirm that you have read the above Code of Conduct for Idaho HOSA Conferences and agree to abide by these rules.

Print Name of Student Student Delegate Signature Date

Print Name of Parent/Guardian Parent/Guardian Signature Date

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(required for student delegates under the age of 18)

Idaho HOSA Advisor Code of Conduct FormAdvisor Code of Conduct

1) Idaho HOSA Advisors project a positive and professional image of Health Professions Education and Idaho HOSA to all those whom they interact.

2) Idaho HOSA Advisors promote Idaho HOSA as a positive student experience; therefore, will act as a positive role model for students. This will be portrayed and not limited to the way they dress, tone of voice, attitude, actions and demeanor.

3) Idaho HOSA Advisors are first in line to ensure that their Student Delegates are dressed in appropriate HOSA attire (see page 9) and are practicing professional etiquette and behavior.

4) Idaho HOSA Advisors are accountable to and for their students during all Idaho HOSA related activities. 5) Idaho HOSA Advisors will notify the State CTSO Manager, Tammy Ackerland or the State Advisor,

Stephanie Mai of any accidents or injuries of Student Delegates, Advisors, chaperones or guests that take place during Idaho HOSA activities or conference.

6) Idaho HOSA Advisors understand and follow established processes within the organization that protect the rights of all members.

Idaho HOSA advisors are proud of the standards of excellence they maintain for themselves and their students. Attendance of any Idaho HOSA function implies acceptance and practice of these standards.

I HAVE READ THE ABOVE CODE OF ETHICS FOR IDAHO HOSA ADVISORS AND AGREE TO ACCEPT AND PRACTICE THESE STANDARDS.

Advisor Signature: Date: ___

______________________________________ ______________________________________ High School / HOSA Chapter Date

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Image Policy and Opt-Out Provision Form – Give these to the CTSO manager or state advisor along with a current photo of student.

“Idaho HOSA, as part of the National HOSA Organization, asks that Idaho chapter HOSA Advisors notify the state HOSA office of photo/video release objections from their students. Idaho HOSA reserves the right to take photo and video images at its public events when its members are engaged in related activities held in public venues. Idaho HOSA reserves the right to own, alter, reproduce, and distribute its images. Participants engaged in the activities of the Idaho HOSA assume that their image may be taken at one of its many public events. Members and Advisors that wish to op t ou t an d de cli n e their image being released must fill out the bottom section of this form and submit it to the state HOSA office at least 24 hours before the next state event. It is the responsibility of the chapter Advisor to adhere to his/her local school district policies and procedures related to image releases. If a local school district prohibits the release of its students’ images, the chapter Advisor must notify the state HOSA office. Local school district policy supersedes state HOSA policy as related to image release.

Please complete this section only to opt-out and decline and image being released to Idaho HOSA or Idaho Career & Technical Education.

Student Delegate Name

School/Chapter Name

Member Signature Date

Guardian Signature Date

Advisor Signature Date

Length of time to keep the opt-out/image non-release on file

Advisors, it will be your responsibility to make sure student’s photos are not taken during SLC events.

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