Wufoo

Name * First Last
Name at time of affiliation if different from above. First Last
Email *
Phone Number * ### - ### - ####
Check All That Apply
High School Member College Member High School Local Officer College Local Officer State High School Officer State College Officer National High School Officer National College Officer District Medalist State Medalist National Medalist Local Advisor/Instructor Local Administrator State Education/Technical Committee Member National Education/Technical Committee Member State Alumni Officer National Alumni Officer State Staff/ Specalistist/ Coordinator/ Assistant State Director Board of Director Member Honorary Life Member Advisor of the Year
School or Chapter affiliated. HS
School or Chapter affiliated. College
Give a brief description of your activity with VICA / SkillsUSA. Please give dates as close as possible.
Give a brief summary of how VICA/SkillsUSA has affected your career.
I am planning on attending the 50th Anniversary Celebartation of VICA/SkillsUSA this coming April 2018. (check all that apply)
I can be present on Monday April the 23rd to assist with contest orientations. I can be present on Tuesday April 24th to help judge a contest I will be present only for the Celebration Reception Tues April 24th I will be present for the Awards Session Wednesday April 25th

Hotel reservations must be made 30 days prior to the state conference. Please let us know if you need assistance making hotel reservations.
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