Fillable HOSA CODE OF CONDUCT A good reputation enables

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HOSA CODE OF CONDUCT A good reputation enables

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HOSA CODE OF CONDUCT
A good reputation enables members to take pride in their organization. HOSA members have an
excellent reputation. Your conduct at any HOSA function should make a positive contribution to the reputation that
has been established. HOSA Conference participants are AWARE THAT:
1. HOSA follows the UIL rules and regulations established for secondary high schools.
2. STUDENT behavior should at all times be a positive reflection of your school and Texas HOSA.
3. Student conduct is the responsibility of the student and their advisor.
4. STUDENTS will abide by the HOSA Conference Attire Policy at all business sessions, general sessions,
competitive events, and other conference activities. HOSA conference name badges shall be worn at all times
when participating in HOSA conference activities.
5. STUDENTS are expected to attend all general sessions and other scheduled conference activities. Please be
prompt and show respect to those in the audience and on stage.
6. STUDENTS shall keep their advisors informed of their activities and whereabouts at all times.
7. STUDENTS who disregard the rules will be subject to disciplinary action and will be sent home at their own
expense. Parents will be notified.
8. STUDENTS may not purchase, consume, or be under the influence of alcohol or drugs at any time. Smoking or
using tobacco products at a school-related or school-sanctioned activity on or off school property is prohibited
at any time.
9. STUDENTS are to report any incidents, injuries or illness to their local or state advisor immediately.
10. STUDENTS are expected to observe the designated curfew. (Curfew is defined as being quietly in your own
assigned room by the designated hour.)
11. The student and his/her parents will be expected to pay for any and all damages relating to student behavior
which results in loss or damage to property.
12. Students and/or parents will be responsible for any long distance phone calls, charges to the room, etc.
13. I have read the above Code of Conduct for HOSA Conferences and agree to abide by the rules.
I, , hereby grant Texas HOSA permission to make photographs, videotapes, broadcasts, and/or sound recordings,
separately or in combination, of me and permission to use the said photographs, videotapes, broadcasts, and/or sound recordings for educational
and promotional purposes on any delivery system.
Printed Name of Parent / Guardian Parent / Guardian Signature Date
Printed Name of Student Student’s Signature Date
HOSA,
T
A
Advisor’s and Chaperone’s CODE OF ETHICS
HOSA ADVISORS AND CHAPERONES ARE EXPECTED TO:
1. Project a positive and professional image of Texas HOSA to all those with whom they
interact.
2. Promote HOSA as a positive student experience; therefore, will act as a positive role model for
students in dress, voice, attitude, actions, and demeanor.
3. Be accountable to and for their students in all HOSA-related activities.
4. Understand and follow established processes within the HOSA organization that protect the
rights of all members.
5. PERFORM all assigned duties. Failure of an advisor to perform their duties may result in their
chapter being disqualified from conference activities by the Board of Directors.
HOSA advisors are proud of the standard of excellence they maintain for themselves and their students.
Attendance at any HOSA function implies acceptance and practice of these standards.
I have read the
above
Code of
Ethics
for
HOSA Advisors/Chaperones
and
agree
to
accept
and
practice these
standards.
Signature Chapter number Date
Please check one
Advisor Chaperone
********************************************************************************
Plan of Action: For failure to follow the Advisor/Chaperones Code of Ethics.
Conference with the Board of Directors.
Consequences to be determined by the Board of Directors, up to notification sent
to the appropriate administrators.
I, , hereby grant Texas HOSA permission to make photographs,
videotapes, broadcasts, and/or sound recording, separately or in combination, of me
a
n
d permission to use the said photographs, videotapes, broadcasts, and /or sound
recordings for educational and promotional purposes on any delivery system
Advisor Signature/Date
MEDICAL LIABILITY RELEASE FORM
DIRECTIONS: Due to legal restrictions, it is necessary that all delegates, Chaperons, guest and HOSA advisors
complete this form as a prerequisite for eligibility to attend any HOSA Leadership Conference. The HOSA
chapter advisor should keep the original copy for Area and State Conferences. For National Conference, the
original forms are sent to the State Advisor who forwards them to National HOSA.
PLEASE TYPE OR PRINT ALL INFORMATION
Delegate’s
N
am
e:
P
a
ren
t
/Gu
a
r
d
i
a
n
’
s
Name:
Home Add
r
e
ss:
P
a
ren
t
/Gu
ard
i
a
n
T
e
l
ep
hone:
Hom
e:
W
o
rk:
D
e
l
egate
’s
Ph
ys
ici
a
n:
Ph
o
n
e
Nu
mbe
r:
Physician’s Address:
Alte
rn
ate Co
n
ta
ct:
Tel
ep
hon
e
Nu
mb
er:
Hom
e:
Work: __________________________________
Local Advisor:
School
N
am
e:
Student is covered by group or medical insurance? Ye
s
No__________
If yes, complete the following information:
Name of
insur
ed
:
Insurance Company: Group #:
P
o
li
cy#
:
Pl
ea
s
e completely describe any medical condition which may recur or be a factor in medical treatment:
a. Allegry:_______________________________________________________________________________
b. Physical Handicap:_____________________________________________________________________
c. Convulsions:___________________________________________________________________________
d. Medicine Reactions:_____________________________________________________________________
e. Blackouts:_____________________________________________________________________________
f. Disease of any kind:____________________________________________________________________
g. Heart or Lung problems:________________________________________________________________
h. Other(be specific):______________________________________________________________________
If currently taking medication, please provide the following information:
*
N
ame of med
ic
at
ion:
*
Prescri
b
in
g
Ph
ys
ici
a
n
a
n
d
Ph
o
n
e
Nu
mbe
r:
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 trip. I hereby release the National HOSA Board of Directors, the National Staff, State and Local HOSA
Associations, and any designated individual in charge of the HOSA group or specific activity from any legal or
financial responsibility with respect to my personal or my student/child’s participation in or contact with any
k
nown element associated with an activity including competitive events.
PARENT/GUARDIAN: Please check one of the following and sign your name.
I give my permission for immediate medical treatment as required in the judgment of the
attending p
h
y
sician.
Notify me and/or any persons listed above as soon as possible.
I do not give permission for medical treatment until I have been contacted.
Parent/Guardian’s Signature
D
ate
(The
above
line must be
signed
by the
parent
or legal
guardian, regardless
of
applicant’s
age with the
exception of
post-secondary
applicants.)
D
e
l
egate
’s
Sign
at
ure
D
ate
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Completed 12 May 2021

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