SkillsUSA Texas Medical Information

advertisement
SkillsUSA Texas District 9
To:
SkillsUSA Texas District 9 Advisors
From: Mike Hedger, District Director
Date: October 27, 2014
Subject: CONTEST INFORMATION
Advisors you are responsible for reading and understanding the information in this
packet. There are some changes to the information from last year so please read all of the
info. I will try to have the new things highlighted but please read everything.
The District 9 Skills and Leadership Contest will be held on February 6-7, 2015. The opening
ceremonies will be held at 9:00am at San Jacinto College Central 8060 Spencer Hwy Pasadena, TX
77505.
Saturday’s leadership contests will start at 9:00 AM with the second session and contests
immediately starting at its conclusion.
Individual contestants attending contest - $25.00 each. Student projects without student - $15.00
each. Registration deadline will be January 20, 2015. There will be a $5.00 late fee for each
contestant registered after January 22, 2015. There will be no registration money accepted at the
contest. All registration money must be received by January 27, 2015 and mailed to Janet at the
state office. Make sure your chapter number as well as District 9 is on the invoice you send with the
check.
This year many of the skills contests are being run concurrently on Friday so make sure if you are in
two contests at the same time that you check in with one before starting the second.
You must register on-line. If you do not register on-line I have to enter it myself. There is a charge
of $25.00 plus $5.00 for each student if I have to enter your information. There is a link on the
registration once you have logged in for you to click and go to your district web page for more
information. Passwords have all been defaulted to success. You must add yourselves as an attendee
this year.
Keep in mind that you can go in and modify your entries as often as you want as long as you DO
NOT Finalize. Once you hit the submit button you will not be able to get back to it. So you can
enter your students early so all the information is there for me. Make adjustments as needed and
then hit the submit button a day or two before it is due.
Officer candidate’s guide lines will be posted on the Texas Skills USA web page. It outlines candidate
qualifications and other details so that they will know what is expected of them.
Advisor Check List for District Contest
1. All contestants must be properly registered and all registration fees paid before the District
Contest.
2. I will check to see if you have all of your students registered for their perspective contests. It
is a difficult process to change a student to another contest on the day of so please make
sure you have all of your competitors in the correct contest before submitting. The advisor
must be a paid professional member of SkillsUSA for his or her students to participate at
both district and state.
3. All contestants must be paid members for the 2014-2015 school year before the system will
let you put them in a contest.
4. All skill contest chairpersons will be named at the Instructors meeting on 1/20 at San Jac
Central or before contests.
5. We need officer candidates! Please get involved in SkillsUSA and run a student for a district
Office.
6. STUDENT LEADERSHIP CONTEST DRESS REQUIREMENTS: State and National contest require
a red SkillsUSA jacket; we do not enforce the jacket requirement at district. But all students
WILL be in business attire.
7. Contestants who do not conform to the minimum dress requirements will be given point
deductions in all leadership contests.
8. Skill contestant’s dress will be expected to be appropriate for the trade or skill being
performed.
9. Please send all nominations for SkillsUSA Advisor of the year with your registration for
District Contest.
10. All Contestants MUST have a resume for each contest they enter. Bring extras copies for
use in competitions.
11. Welding must be in official Dress at the State Contest. Check out the Texas Skills site for
the specifics. They have made some changes over the last two years.
12. If a student or advisor is not present during the awards ceremony to receive the award it
will be the advisors responsibility to pick up the awards from the district director. Awards
will not be mailed or shipped.
13. Students will not be able to compete in more than two contests per day. The only
exception will be if a student has a project or notebook and wants to compete in
leadership or skills as well.
If I can be of further assistance, please call me during school hours or email me. Emailing is the
preferred method of communication. You will get a faster response.
E-Mail: mhedger@ccisd.net
Please look over the information below on contest chairs to make
sure I have no mistakes. If you would like to chair a contest please let
me know and I will be glad to get the extra help.
If a contest is highlighted we do not have a contest chair
District 9
Leadership and Skills Contest
San Jacinto College Central
Friday February 6, 2015
Immediately After the Opening Ceremonies
Occupationally Related Contests
Contest
Related Technical Math
Chairperson
Frank Steele
School
Clear Springs HS
Leadership
Quiz Bowl
Automotive Quiz Bowl
Cosmetology Quiz Bowl
Criminal Justice Quiz Bowl
Culinary Arts Quiz Bowl
Chairperson
Beverly Sanders
David Castillo
Dana Belt
Fred Guess
Kathleen Roussel
Phone
Leadership
School
Lamar
San Jacinto College
San Jacinto College
Lamar
Clear Springs HS
Phone
713.409.7058
281-748-9120
832.747.8536
281-284-1300
Starting at 9:30 AM
Skills Contest
Architectural Drafting
Automotive Service Tech
Carpentry
Collision Repair Tech (off site)
Chairperson
Lindsay Owens
David Castillo
Michael Ramon
Charlie Ruhl
School
Texas City HS
San Jacinto College
Terry High School
Clear Lake Body
Phone
409-621-6002
Cosmetology
Commercial Baking
Computer Maintenance
Criminal Justice
Culinary Arts
Electronics
Entrepreneurship
Esthetics
Food and Beverage service
Firefighting
Men’s Haircutting
Mobile Electronic Instillation
Motorcycle
Precision Machining
Power Mechanics
Nail Art
Nail Care
Networking
News Anchor/AV contests
OSHA
Surveying
Technical Drafting
Web Page
Welding
Welding Fab Team
Dana Belt
Kathleen Roussel
?????????
Fred Guess
Kathleen Roussel
??????????
Marc Daniels
Dana Belt
Kathleen Roussel
San Jacinto College
Clear Springs
281-748-9120
Lamar
Clear Springs
832.747.8536
Angleton H.S.
San Jac South
Clear Springs
409.599.8853
281-748-9120
Dana Belt
Mike Hedger
John Larson
Eli Juarez
Mark Friedl
Dana Belt
Dana Belt
San Jacinto College
Clear Springs HS
Pearland HS
281-748-9120
281-284-1448
Hallettsville High School
San Jacinto College
San Jacinto College
832.344.6272
361.798.3241
281-748-9120
281-748-9120
Al Taglialavore
Friendswood HS
281-546-9830
Michael Ramon
Lindsay Owens
Thomas Gorse
Shawn Trader
Shawn Trader
Terry High School
Texas City HS
Pearland H.S
Texas City HS
Texas City HS
281-902-9762
409-621-6002
281.997.3257
832.457.0648
832.457.0648
281.384.5793
District 9
Leadership and Skills Contest
San Jacinto College Central
Friday February 6, 2015
Skills contest in Exhibit Hall
Skills Contest
Chapter Display
Promotional Bulletin Board
Texas State Pin Design
Texas T-shirt Contest
Chairperson
Freddie Archie
Freddie Archie
Contest
First Aid / CPR
Chairperson
Sandy Cravens
School
Angleton H.S.
Angleton H.S.
Phone
Occupationally Related Contests
School
Tech Ed. Center
Phone
281.634.5677
Exhibits
Exhibits
Exhibit Hall Chairman – Auto Lab
Exhibit Hall Chairman – Gym
Automotive
Air-Cooled Gasoline Engine
Carpentry
Collision Repair Tech
Cosmetology
Drafting
Notebooks
Portfolios
Welding
General Contest
Best of Show
Chairperson
School
Phone
Mark Friedl
Mark Friedl
Michael Ramon
Hallettsville ISD
Hallettsville
Terry High School
361-798-2242 ext. 365
Lindsay Owens
Texas City HS
409-621-6002
Shawn Trader
Texas City HS
832.457.0648
Mark Friedl
Hallettsville ISD
361-798-2242 ext. 365
281-902-9762
District 9
Leadership and Skills Contest
San Jacinto College Central
Saturday February 7, 2015
Skills contest in Exhibit Hall
Skills Contest
Community Service Project
Entrepreneurship
OSHA
Tech Prep Showcase
Chairperson
School
Phone.
Customer Service
Al Taglialavore
Leadership
Action Skills
Emblem Ceremony
Extemporaneous Speaking
Job Interview
Job Skill Demonstration A & Open
Opening and Closing Ceremony
Prepared Speech
Officer Advisor
Chairperson
John Larson
Gary Lucas
School
Pearland HS
Tech Ed. Center
Phone
Meredith Wise
John Larson
Gary Lucas
Friendswood HS
Pearland HS
Tech Ed. Center
713-824-3216
Al Taglialavore
Friendswood HS
Skills contest
Friendswood HS
281-546-9830
Leadership
281.634.5673
281.634.5686
Grievance Resolution Committee
Al Taglialavore
Fred Guess
Shawn Trader (Chair)
Gary Lucas
District 9
Leadership and Skills Contest
San Jacinto College Central
Saturday February 7, 2015
Skills contest in Exhibit Hall
Skills Contest
Community Service Project
Entrepreneurship
OSHA
Tech Prep Showcase
Chairperson
School
Customer Service
Al Taglialavore
Leadership
Action Skills
Emblem Ceremony
Extemporaneous Speaking
Job Interview
Job Skill Demonstration A & Open
Opening and Closing Ceremony
Prepared Speech
Officer Advisor
Chairperson
John Larson
Gary Lucas
School
Pearland HS
Tech Ed. Center
Al Taglialavore
John Larson
Gary Lucas
Friendswood HS
Pearland HS
Tech Ed. Center
Al Taglialavore
Friendswood HS
Phone.
Skills contest
Friendswood HS
Leadership
Phone
281.634.5673
281.634.5686
Grievance Resolution Committee
Al Tag
Fred Guess
Shawn Trader (Chair)
Gary Lucas
San Jacinto College central
District IX
2015 SkillsUSA
Agenda
Friday, February 6, 2015:
Building #12 – Slocomb Auditorium:
Opening Session:
9:00 am - 10:00 am
Building #14 – W.M. Newton Student Center:
 District XI Headquarters – (C14.210)
 Officer Selection (C14.210)
All Day
8:30 am – 3:00 pm
 All Concessions will be sold in this building:
 Arcade
8:00 am – 4:00 pm
All Day (8 am – 4 pm)
Building #1 – Interactive Learning Center:
 Related Technical Math (Friday Only) (C1.130)
Building #15 – Davison Technical Building:
 Cosmetology Contests
Chairperson
 Criminal Justice Contests
Chairperson
Building #17 – Jack W. Anderson:
 Drafting Contests
Chairperson
10:00 am – 4:00 pm
Start time as determined by Contest
Start time as determined by Contest
Start time as determined by Contest
Building #18 – Francis G. Anders Physical Education Bldg. (Auxiliary Gym):
 Project Display Hall (All Small Projects)
 (All Large Projects will be in the Automotive lab/yard in at Bldg. #26)
Building #26 – Transportation Center:
 Automotive Contests
8:00 am – 4:00 pm
Start time as determined by Contest
Chairperson
Building #30 – Non-Destructive Testing (Outside Atrium):
 Carpentry Contests
Start time as determined by Contest
Chairperson
Building #32 – Welding and CTD:
 Welding Contests
Chairperson
Start time as determined by Contest
Saturday, February 7, 2015:
Building #12 – Slocomb Auditorium:
Awards Ceremony:
House of Delegates
2:00 pm - 4:00 pm
10:00am-12:00pm
Building #14 – W.M. Newton Student Center:
 District IX Headquarters – (C14.210)
 Holding Room for Leadership Contests (First Floor)
All Day
9:15 am – 12:00 pm
Building #3 – Gilbert C. McCollum Administration Bldg:
 Job Interview Contest (Rm. C3.249)
 Customer Service (Rm. C3.250)
9:15 am – 2:00 pm
9:15 am – 12:00 pm
Building #18 – Francis G. Anders Physical Education Bldg. (Auxiliary Gym):
 Project Display Hall
9:15 am – 11:00 am
Building #1 – Advanced Interactive Learning Center (See Map for Details):
 Holding Room (C1.125)
(Quiz Bowl – Cosmetology, Criminal Justice and General Quiz
Bowl)
 Quiz Bowl (C1.102)
10:00 am – 12:00 pm
 Automotive Quiz Bowl (C1.102)
10:00 am – 12:00 pm
 Criminal Justice Quiz Bowl (C1.102)
Upon Completion of Cosmetology Quiz Bowl
 Cosmetology Quiz Bowl (C1.102)
Upon Completion of Criminal Justice Quiz Bowl
 Action Skills (C1.151)
9:15 am – 12:00 pm
 Job Skills (C1.151)
 Open Job Skills (C1.151)
 Extemporaneous Speaking (C1.150)
 Prepared Speech (C1.150)
9:15 am – 12:00 pm
9:15 am – 12:00 pm
9:15 am – 12:00 pm
9:15 am – 12:00 pm
 Chapter Business Procedures (C1.230)
 Opening & Closing Sessions (C1.230)
9:15 am – 12:00 pm
8:30 am – 12:00 pm
Advisor Liability Form
One per Advisor
I, ________________________________, am a professional educator and SkillsUSA
Advisor. As such, I pledge that my students will represent themselves, their school, trade
industrial education, and SkillsUSA in the best manner possible. To that end, I will set an
example in courtesy, sportsmanship and grooming. I will supervise my students to assure that
their behavior and grooming meets professional business standards.
I understand and accept responsibility for all my student attendees and realize that all
violations will be addressed! I do understand a Zero Tolerance Policy will be enforced
during all Texas SkillsUSA events.
Further, I pledge that any student for whom I am responsible that receives an award at the
SkillsUSA conference will be dressed in SkillsUSA uniform, business attire or dress clothes.
They will appear in a neat and clean posture.
________________________________
Advisor’s Signature
_____________________________
Administrator’ Signature
San Jacinto College
Expectations for Governing use of a Facility
By Off – Campus Groups
1. The use of San Jacinto College facilities shall require the specific written approval of
the College(s) being used. Use permits shall be issued only after receipt of a building
use request application signed by the appropriate personnel on that campus.
2. Use permits shall be issued for specified hours and dates and the using organization
shall not arrive before the time authorized and shall leave the school premises at the
permit expiration time. Only the specific portions of the building outlined in the build
request form may be used.
3. Keys to the school buildings shall be assigned only to employees of the school, and
buildings shall be opened only by such employees. Contact the custodial staff for
assistance.
4. Smoking is prohibited on any portion of San Jacinto College property. Possession,
drinking, or being under the influence of alcohol is prohibited.
5. Youth or children’s groups shall be supervised by responsible adults provided by the
sponsoring organization at all times.
6. School furniture, apparatus, and/or equipment shall not be removed, altered, or
displayed, without permission from the area coordinator.
7. Materials used for decorations shall be flameproof. Decorations must be removed and
the facility left in the same condition as before the event.
8. Organizations using the buildings shall safeguard and care for the facilities and
assume responsibility for payment of any damages resulting from their use of the
facilities.
9. Authorization is given for entrance to specific areas only and use of specific facilities
only, within a building.
10. Permits for use of any school facilities may be revoked when the use interferes with
regular school use, when facilities are misused, or when the foregoing rules are
violated.
11. An officer of the organization using the school’s facilities must have the permit on
file with the school before using the facility.
SkillsUSA Texas District 9
NOMINATION FORM *** SkillsUSA-VICA DISTRICT OFFICER CANDIDATE
Name ________________________________________ Office ____________________
School and City ________________________ Chapter name & Number _____________
Home Address ____________________________________ Phone # ________________
(Complete by writing “Yes” or “No” before each statement.)
_____ 1. I will be able to attend the one week Leadership Development Conference for District and State
Officers. (You or your chapter pays transportation and registration fee.)
_____ 2. I will be able to attend the Fall SkillsUSA District Meeting, Spring Contest Meeting, and State
SkillsUSA meeting. (These meetings are at your own expense or your club’s expense.)
_____ 3. I will be present early for each meeting to help get the stage set up and organized to begin the meeting
on time.
_____ 4. I have made a study of parliamentary procedure and other officer qualifications and of the Constitution
and By-Laws.
_____ 5. I am able to quote the motto and the pledge from memory.
_____ 6. I agree to forfeit my office, if elected, in case I am unable to attend the SkillsUSA Leadership
Development Conference.
_____ 7. I will be able to attend the National SkillsUSA Convention, approximately one week this summer.
_____ 8. I agree to notify the District Advisor if I am unable to attend any meetings or conferences.
____________________________
Signature of candidate pledging to fulfill commitments of this office.
____________
Date
Advisor Responsibilities:
 Accompany officer to summer leadership camp.
 Assist other advisors with the officer training.
 Retrieve and return officer pin to district advisor should your student be unable to fulfill the duties of
their office.
Signature of Advisor ________________________
On a separate sheet of paper in 100 words, describe your SkillsUSA activities, what you can contribute to
SkillsUSA and why you would like to become a SkillsUSA District IX officer.
Bring this form with you to the contest.
SkillsUSA Texas Personal
Liability and Medical Release
District Nine Contests
Event Name
February 6-7, 2015
Location
San Jacinto College Central 8060 Spencer
Hwy Pasadena, TX 77505, TX
Dates
I hereby agree to release SkillsUSA Texas
Association Inc., its representatives, agents,
servants and employees from liability for any
injury to the named person, resulting from any
cause whatsoever occurring to the named
person at any time while attending the above
noted event. Including travel to and from the
event, excepting only such injury or damage
resulting from willful acts of representatives,
agents, servants and employees. I voluntarily
assume all risk and danger relating to the event,
whether occurring prior to, during or after the
event. I do voluntarily authorize the SkillsUSA
Texas representative of medical services
coordinator, assistants and/or designees to
administer and/or obtain routine or emergency
diagnostic procedures and/or routine or
emergency medical treatment for the named
person as deemed necessary in medical
judgment. Parents/guardians of participant will
allow emergency medical treatment to be
administered as needed. Any further treatment
will require parental/guardian consultation. I
agree to indemnify and hold harmless
___________________________________
and said medical services coordinator and/or
assistants and designees for any and all claims,
demands, actions, rights of action, and/or
judgments by or on behalf of the named person
arising from or on account of said procedures
and/or treatment rendered in good faith and
according to accepted medical standards.
Having read and understood completely the
“Code of Conduct” of SkillsUSA Texas
Association Inc., I do hereby agree to follow the
procedures and practices described. I fully
understand that this is an educational activity and
will, to the best of my ability, apply myself for the
purpose of learning and will uphold at all times
the finest qualities of a person representing
SkillsUSA.
NOTE: All persons under legal age must have a
parent or guardian sign this form. If you are age
18 or older, please indicate that on other side of
this form. Otherwise, this form will be returned for
parent/guardian approval. All participants must
check this form. PARTICIPANTS: Be sure you
understand the “Code of Conduct.” Any persons
violating these rules may be sent home at their
own expense, may cause other contestants from
their chapter to be sent home, or may otherwise
disqualify their local chapter from participating in Violations and Penalties
the before noted event.
I agree that if, for any reason, I am in violation of
any of the rules of the conference, I may be
brought before the appropriate disciplinary
Code of Conduct Agreement
This event is designed to be educational committee for an analysis of the violation. I also
functions, and all plans are made with that agree to accept the penalty imposed on me. I
objective. SkillsUSA Texas wants every person understand that any penalty and reasons for it
to have an enjoyable experience with every will be explained to me before it is carried out. I
attention paid to safety and comfort. All further realize that the severity of the penalty may
participants will be expected to conduct increase with the severity of the violation, even to
themselves in a manner best representing the the extent of being immediately sent home at my
nation’s greatest student organization. In order own expense.
that everyone may receive the maximum benefits 1. Violations of Items 1 through 6 of the “Code of
Conduct” will be grounds for immediate
from participation, the “Code of Conduct,” as
removal from office and relinquishment of
established by SkillsUSA’s Texas board of
awards and recognition. In addition, the violator
directors, must be followed at all times. Note that
will be sent home at his or her own expense.
attendance is not mandatory. By voluntarily
Notification of the violation and the action taken
participating, you agree to follow the official event
will be sent to the participant’s school district
rules and regulations or forfeit your personal
and parents or guardians. The participants
rights to participate. SkillsUSA is proud of its
from the participant’s school could be
students and knows that by signing this “Code of
disqualified as well.
Conduct” you are simply reaffirming your
dedication to be the best possible representative 2. Violations of Items 7 through 12 will result in a
warning and reprimand. Notification of the
of your state.
violation and the action taken will be sent to the
1. I will, at all times, respect all public and
participant’s school and parents or guardians.
private property, including the hotel/ motel
Repeated violations of Items 7 through 12 may
in which I am housed.
result in the participant being sent home at
2. I will spend each night in the room of the
his/her own expense. It is within the spirit of
hotel/motel to which I am assigned.
being a proud and meaningful member of
3. I will strictly abide by the curfew
SkillsUSA that I agree to these rules of conduct
established and shall respect the rights of
by signing my name on this page.
others by being as quiet as possible after
curfew.
4. I will not enter in the sleeping room of the
opposite gender unless my advisor is
present and the door is completely open at
all times.
5. I will not use alcoholic beverages.
6. I will not use drugs unless I have been
ordered to take certain prescription
medications by a licensed physician. If I am
required to take medication, I will, at all
times, have the orders of the physician on
my person.
7. My conduct shall be exemplary at all times.
8. I will keep my advisor informed of my
whereabouts at all times.
9. I will, when required, wear my official
identification badge.
10.
I will respect official SkillsUSA attire
by not using any tobacco product while in
official dress.
11.
I will attend, and be on time for, all
general sessions and activities registered.
12.
I will adhere to the dress code at all
required times.
Photography & Sound Release
By my attendance at the event noted, I hereby
grant the SkillsUSA Texas Association
permission to make still or motion pictures and
sound recordings, separately or in combination,
and also give a production company approved by
the SkillsUSA Texas Association permission to
use the finished silent or sound pictures, and/or
sound recordings as deemed necessary. Further,
I so hereby relinquish to the SkillsUSA Texas
Association all rights, title, interest in, and income
from the finished sound or silent motion pictures,
still pictures, and/or sound recordings, negatives,
prints, reproductions and copies of the originals,
negatives, recording duplicates and prints, and
further grant the SkillsUSA Texas Association the
right to give, sell, transfer and/or exhibit the same
to any individual, business firm, publication,
television station, radio station or network, or
governmental agency, or to any of their
assignees,
without
payment
or
other
consideration to me. My agreement to perform
under camera, lighting and stated conditions is
voluntary, and I do hereby waive all personal
claims, causes of action, or damages against the
SkillsUSA national headquarters and the
employees thereof, arising from a performance or
appearance.
Audio- or videotaping of conference speakers is
not permitted
I have read and completely understand the Personal Liability and Medical Release Form, the Code of Conduct,
and Photography and Sound Release agreements, and, by signing this document, I do hereby agree to abide by
these in their entirety, accept the conditions of the agreements, and completely release SkillsUSA’s national and
state associations. Parent or Guardian required if participant is under 18 years of age.
Participant
Signature
________________________________________________________Date
_________________________________________
Parents
or
Guardian
Signature
________________________________________________
_________________________________________
Date
This form should be presented to your district director at the time of registration. You should have a copy with you at all
time.
SkillsUSA Texas Medical Information
One Per Student
Event Name ___________________________________
Date ________________________________ Location
________________________________
Name:
Birth date
Social Security Number
School
Home Phone Number
School Address
Home Address
City, State, Zip
Home City, State Zip
Travel Arrangements: Arrival:
Return
Parents Name/Guardian
Parents Phone Number
Emergency Contact
Family Physician:
Emergency Contact Address
Physician’s Phone #
City, State, Zip Code
Do you have any known allergies:
If yes please list:
Name of Person Responsible for Your Medical Bills
(Guarantor)
Guarantor’s Social Security Number
Do you have history of allergies, heart condition, diabetes, asthma,
epilepsy, rheumatic fever other existing medical conditions?
If yes: please explain:
Guarantor’s Employer
Employer’s Telephone Number
Employer’s address
Are you taking medication?
If yes please explain:
City, State, Zip Code
Insurance Company
Do you have any physical restrictions? If yes please
explain
Insurance Company’s Address
City, State, Zip
Insurance Plan Number
When did you last have a tetanus shot?
Insurance Group Number
Insured ID Number
If you do not have any medical insurance, sign here
Signature
Date
Download