HOSA, INC. APPLICATION
for an
ELECTED POSITION ON THE
HOSA, INC. BOARD OF DIRECTORS
HOSA NATIONAL HEADQUARTERS
548 Silicon Drive, Suite 101  Southlake, TX 76092
Tel. 972.874.0062  Fax. 972.874.0063  800.321.HOSA
WWW.hosa.org
January, 2017
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HOSA, Inc. Board Application
HOSA, INC. BOARD APPLICATION
Please review and submit a completed application by May 15.
The Board of Directors manages the affairs of HOSA, Inc. It is the Board's responsibility to work
cooperatively with the corporate members of HOSA, Inc. and to provide continuity, direction and leadership
for the organization. The Board strongly encourages input from state and local advisors and all Board
meetings are open to those who wish to attend as observers.
The Board of Directors is elected by the corporate members (a representative from each state association)
of HOSA, Inc. Those interested in providing leadership for HOSA at the National level are encouraged to
seek a Board position. As a non-discriminatory body, HOSA, Inc. encourages all persons to apply for the
Board.
The qualifications for elected membership on the Board include:
a.
Confirmation by another corporate member that a candidate's current status is consistent with the
Board position being sought.
b.
Commitment to attend the annual meeting as specified in Article V, Sections 1 and 2, HOSA, Inc.,
Bylaws for the full-term of office.
c.
Willingness to attend New Board Members' Orientation which is held during the National Leadership
Conference in June.
d.
Financial support to attend the annual meeting for the position being sought as specified in Article
VI, Section 1, in the HOSA, Inc., Bylaws.
e.
Willingness to serve on one or more Standing Committees of the Board.
f.
If no candidate applies for the Board of Directors from a specific region by fourteen (14) days prior
to the International Conference, the position may be filled by a member-at-large for the full-term by
making application before or during the annual International Leadership Conference.
APPLICATION:
Return to National HOSA Headquarters by May 15.
Fax:
972.874.0063
E-Mail: [email protected]
Candidate’s Name:
Address:
Employer:
Title:
Home Phone:
Work Phone:
Cell Phone:
_________________________________________________________________
E-mail Address:
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HOSA, Inc. Board Application
POSITION
***
Joanne Clovis
HSE Supervisor/Teacher Educator Representative
Janet Villarreal
Western Region - State Level
Dana Stringer
Central Region - State Level
Peg Enslen
Eastern Region - State Level
Mae Dorado
Region I – Local Advisor
Susan Readnower
Region II – Local Advisor
Charmane Freeman Greene
Region III – Local Advisor
CDR Thomas Pryor
Health Care Industry Board Representative
Jason Huff
HOSA Alumni/Director-at-Large
Elizabeth Carnesi
National President
Position Open
National HOSA President-Elect
Position Open
Secondary Board Representative
Position Open
Postsecondary/Collegiate Board Representative
Lloyd DeVault, Immediate Past Chair
***
1
2
3
4
5
6
7
8
9
10
11****
12****
13****
**
TERM IN OFFICE
YEARS IN TERM
2015—2018
3 years
2015—2018
3 years
2016—2019
3 years
2015—2018
3 years
2015—2018
3 years
2016 – 2019
3 years
2014 – 2017
3 years
2015 – 2017
2 years
2016 – 2018
2 years
2016 – 2017
1 year
2016 – 2017
1 year
2016 – 2017
1 year
2016 – 2017
1 year
2017
1 year
Brock Rops, Chair
2017
1 year
***
Peg Enslen, Chair-Elect
2017
1 Year
***
Janet Villarreal, Secretary
2017
1 Year
Those positions available on the HOSA, Inc. Board of Directors – term ending after the election,
June 2017.
- Charmane Freeman-Greene, Region III, Local Level
- CDR Thomas Pryor, Health Care Industry Board Representative
***
Additional board positions are possible if and when the Board Chairman, Chair-Elect, Past
Chairman, and/or Secretary do not hold one of the standing board positions.
- Brock Rops, Chair
- Lloyd Devault, Immediate Past Chair
- Peg Enslen, Chair-Elect
- Janet Villarreal, Secretary
****
Student voting delegates will elect positions.
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HOSA, Inc. Board Application
Positions Open for Election in 2017. Check the Board Vacancy for which you are applying:
Eastern Region – Local Advisor (3-year term)
Eligible States: Canada, Connecticut, Delaware, District of Columbia, Maine, Maryland,
Massachusetts, Michigan, North Carolina, New Hampshire, New Jersey, New York, Ohio,
Pennsylvania, South Carolina, Virginia, West Virginia
 

Health Care Industry Representative (2-year term)
Please complete the following:
I.
STATEMENT OF QUALIFICATION
A.
Please describe current involvement in HOSA-Future Health Professionals:
________________________________________________________________________
B.
Current job title and brief description:
________________________________________________________________________
________________________________________________________________________
C. Leadership experience in your work with HOSA:
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
D. Other leadership experiences:
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
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HOSA, Inc. Board Application
II.
STATEMENT OF COMMITMENT. Please respond to the following:
A.
Are you able to attend the Board of Directors meeting the first full weekend in January at a
site which is determined annually – normally in Southlake? (Board members are expected
to attend this meeting of the Board of Directors for the full term of office.)
Yes
No
If "NO," explain: ___________________________________________________________
________________________________________________________________________
B.
Are you aware that travel expenses are not reimbursed by HOSA? (Board members must
have support from their employer or absorb the cost themselves. If budget money is
available through HOSA, a special request may be made for financial support if financial
support is not available through place of employment. Currently, Board members needing
support have been able to be supported.)
Yes
No
_____ Note: I am able to run but I know that financial support is not available through my
employer.
C.
In what way do you believe your leadership and service on the Board will benefit the
organization? (15 words or less)
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
D.
Do you have anything you wish to share with the Nominating Committee?
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
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HOSA, Inc. Board Application
HOSA, INC. REPRESENTATIVE ENDORSEMENT
The HOSA, Inc. representative is the voting member of HOSA, Inc. Corporate Board and does not
necessarily have to be a member of the HOSA, Inc. Board of Directors. Each chartered state association
has one HOSA, Inc. corporate member and that person is the person endorsing the candidate.
DATE: _________________________
TO:
HOSA, Inc. Board of Directors
I enthusiastically endorse ___________________________________________________________
for the position of _________________________________________________________________
on the HOSA, Inc. Board of Directors.
(In the space below or in a separate letter, please describe the candidate's credentials for serving as a
Board member.)
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
______________________________________________________________
HOSA, Inc. Representative Signature
______________________________________________________________
State Represented
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HOSA, Inc. Board Application