SkillsUSA Florida State Officer Application Form
Gather all the information you need prior to beginning this form. The State Officer Program Guide will assist you in this preparation (available at skillsusafl.org/about/state-officers/). Once you begin, you must complete the entire application, as it will NOT save any unfinished work. The application deadline is February 28, 2022. If you have any questions or experience any challenges with the form, contact Dave Moye at dmoye@skillsusafl.org.
Chapter/School
*
Division
*
Middle School
High School
College/Postsecondary
Are you a registered member for the 2021-2022 school year, and have paid membership dues?
*
Yes
No
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Candidate Information
Name
*
First Name
Last Name
Preferred Name
*
Phonetic Spelling of Preferred Name
Mailing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Date of Birth
*
-
Month
-
Day
Year
Date
Cell Phone Number
*
Please enter a valid phone number.
Personal Email (not school email)
*
example@example.com
T-Shirt Size
*
Please Select
Small
Medium
Large
X-Large
2-XLarge
3-XLarge
Polo Shirt Size
*
Please Select
Small
Medium
Large
X-Large
2-XLarge
3-XLarge
Polo Style Preference
*
Men's
Women's
Does the candidate have a disability that meets the criteria specified in the Americans with Disabilities Act (ADA)? Indicate yes or no. If yes, please provide a brief description of the type of accommodation needed (i.e., wheelchair ramp, etc.)
*
Does the candidate have any allergies or dietary restrictions? Indicate yes or no. If yes, please provide more information.
*
CTE Program
*
Anticipated Graduation or Program Completion Date
*
Which of the following activities have you participated in during your SkillsUSA membership? Check all that apply.
*
Activate
Chapter Officer
Regional Officer
Fall Leadership Conference (Maximize)
Washington Leadership Training Institute (WLTI)
President's Volunteer Service Award
Regional Leadership and Skills Conference
State Leadership and Skills Conference
National Leadership and Skills Conference
None of the above
Other
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Travel Information
Your name as it appears on your driver's license or official government ID. Include middle name, if applicable.
*
Preferred Departure Airport
*
Please Select
Jacksonville
Pensacola
Orlando
Tampa
Miami
Fort Lauderdale
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School Contact Information
School Name
*
School Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
School Phone Number
*
Please enter a valid phone number.
Chapter Advisor Name
*
First Name
Last Name
Chapter Advisor Phone Number
*
Please enter a valid phone number.
Chapter Advisor Email
*
example@example.com
School Administrator Name
*
First Name
Last Name
School Administrator Email
*
example@example.com
School Administrator Phone Number
*
Please enter a valid phone number.
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Next
Document Uploads
Upload your essay responses, State Officer Contract, Candidate Campaign Policies and Procedures, headshot, and Letters of Support documents below.
Upload your SkillsUSA Framework Story
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Upload "Why Do I Want to be a SkillsUSA Florida State Officer?"
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Upload your State Officer Contract
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Upload your Candidate Campaign Policies and Procedures
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Upload Letters of Support (Chapter Advisor and School Administrator)
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Upload Headshot
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Submit
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