HOSA Challenge Registration Form HOSA Challenge Registration Form Complete the form below and submit to register your chapter in the 2024 HOSA Challenge. Chapter DetailsNombre del capítulo(Requerido)Number of toolkits needed(Requerido)HOSA Chapters that include multiple schools may request a toolkit for each school where students will be implementing the challenge. I.e. Copper Country HOSA includes six high schools, so they request six toolkits.Select number of toolkits needed12345678910Number of comfort blanket kits neededAs part of the HOSA Challenge, your chapter can earn activity points by creating no-sew fleece tie comfort blankets for new donor families. Up to 10 free kits will be provided upon request. Select number of comfort blanket kits needed12345678910Mailing address(Requerido)Please provide a physical mailing address where we can send your toolkit(s) and comfort blanket kits (if requested). Dirección Línea de dirección 2 Ciudad Estado AlabamaAlaskaSamoa AmericanaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrito de ColumbiaFloridaGeorgiaGuamHawaiIdahoIllinoisIndianaIowaKansasKentuckyLuisianaMaineMarylandMassachusettsMichiganMinnesotaMisisipíMisuriMontanaNebraskaNevadaNew HampshireNew JerseyNuevo MexicoNueva YorkCarolina del NorteDakota del NorteIslas Marianas del NorteOhioOklahomaOregónPensilvaniaPuerto RicoRhode IslandCarolina del SurDakota del SurTennesseTexasUtahIslas Vírgenes de EE.UUVermontVirginiaWashingtonVirginia del OesteWisconsinWyomingFuerzas Armadas de las AméricasFuerzas Armadas de EuropaFuerzas Armadas del Pacífico Código postal Number of students in chapter(Requerido)Social media accountsIf your chapter has a social media account(s) please provide the handle below. Chapter Contact DetailsAdvisor name(Requerido) Primero Último Advisor email(Requerido) Ingrese correo electrónico Confirmar correo electrónico Advisor phone(Requerido)May we text you at the number listed above?(Requerido) sí No Student contact name(Requerido) Primero Último Student contact email(Requerido) Ingrese correo electrónico Confirmar correo electrónico Student contact phoneMay we text the student contact at the number listed above?(Requerido) sí No NombreEste campo es para fines de validación y debe dejarse sin cambios.
