State Officer Application

Personal Information

Candidate Name *

Blazer Size

Date of Birth *

Home Address *

Home Address

City

State

Zip

Phone Number *

What type of phone is this?

Cell Phone

Landline/Home Phone

Email Address (use personal email not school email address) *

Current Grade Level *

Chapter Information

Adviser's Name *

Adviser's Email *

School Name *

FBLA District *

School Phone Number *

School Address *

School Address

City

State

Zip

Parent/Guardian Information

Parent/Guardian Name(s) *

Parent/Guardian Address *

Parent/Guardian Address

City

State/Province

Zip/Postal

Parent/Guardian Phone Number *

What type of phone is this?

Cell Phone

Landline/Home Phone

Parent/Guardian Email Address *

Permission to Use Photos and Videos

By checking this box, I authorize NYS FBLA to use photos or videos of my child during the course of their office.

Candidate Information

Office Sought *

I wish to be considered for State Parliamentarian (applicants must sit for the Parliamentary Procedure exam as well as the State Officer Exam at their Spring District Meeting) *

Yes

No

I wish to be considered for a second choice

Yes

No

FBLA Offices Held (list all FBLA offices held, include dates, and indicate level -- local, district, state, national)

Business Course(s) Completed or Currently Enrolled In (include course name, final grade or expected grade, and year the course was taken)

Other Extracurricular Activities (list the activity, position held, and dates)

Community Service Activities (list the activity, your responsibility, and dates)

Awards and Honors (list the award/honor and date received)

Essay: In 500 words or less, please explain why you would like to be a New York State FBLA Officer. *

Upload Cover Letter *

Maximum file size: 516MB

Upload Resume *

Maximum file size: 516MB

Upload Transcript *

Maximum file size: 516MB

Upload Signatures' Page *

Maximum file size: 516MB