North Carolina HOSA
Gold Star Chapter
(Revised July 2013)
Purpose: To recognize outstanding NC HOSA Chapters who encourage students’
participation, follow the HOSA plan of work, and actively participate in HOSA activities
to achieve their goals.
Time Period: Points for the Gold Star Chapter are tallied from one HOSA State
Conference until the deadline for the next State Conference. Points are tallied from the
categories listed.
Directions: Circle the applicable score values. Provide documentation with the Gold
Star Chapter form as requested. Use the “Other” areas to document scholarship
winners, Barbara James awards, etc.
Responsibility: The chapter president or designee is responsible for completing the
point sheet and providing documentation as needed.
Recognition: The top NC HOSA chapters from each membership category will be
recognized at the Opening/Recognition Session at the NC HOSA State Conference.
New Chapters: All new chapters will be placed into another category and the top
chapters from this category will be recognized at the Opening Session at the NC-HOSA
State conference.
Service Projects: Other Service Projects include any project that provides a service to
others.
National Leadership Conference “Other”: This includes chapters that are recognized
at the National Conference for National HOSA Week, scholarships awarded members,
National Service project, etc.
Documentation: Documentation must be presented in an organized manner and
properly labeled. Points may be deducted if materials are not presented in an orderly
manner.
Number: The number of chapters to be recognized per membership category will be
determined each year.
Mail to: The Gold Star Chapter form and supporting documentation must be mailed to:
Advisor, NC-HOSA
6360 Mail Service Center
Raleigh, NC 27699-6358
Deadline: February _5_, 2015
Chapter __________________________________ District ___________
North Carolina HOSA
Gold Star Chapter
(Revised July 2013)
State Leadership Conference
(1 pt. each, Max. 5)
Chapter Represented by Students(copy) 5
State Officer Application(s)(copy )
2
State Officer Candidate(s)(copy)
5
State Winners (Add only once)
1st Place
5
2nd Place
4
3rd Place
3
Top Ten
2
National Recognition Student(s)
(1 pt. per Recognized Student)
_____
Other:( See guidelines on directions page)
_______________________
1
_______________________
1
Other Considerations
National Leadership Conference
Chapter Represented by Students
5
National Winners (Add only once)
1st Place
6
2nd Place
5
3rd Place
4
Top Ten
3
Barbara James Service Award
(1 pt. per recognized student)
_____
Other: _______________________
1
_______________________
1
Local Chapter Membership
Membership
(Need documentation of membership)
5 – 25
26 – 50
51 – 75
76 - 100
100+
Membership compared to last year
Stable
Increase
5%
10%
15%
20%
25%
1
2
3
4
6
1
2
3
4
5
6
Alumni Members (1 pt. each, Max. 5) _____
Professional Members
__ _____
100% Affiliation (copy of Certificate)
HOSA 100
5
5
Local Chapter Activities
Chapter Flag (picture)
HOSA Week Activities (0 – 5)
(1 point per day of activities –
provide documentation)
HOSA Public Awareness
(Provide documentation)
Local Plan of Work
(Provide a copy)
Communication with Regional Pres.
(Provide copy.)
3
_____
3
5
3
Fall Leadership Workshop
Regional Officer Candidate(s)
(1 point per candidate. 0 - 3)
Student Members attended
1
2-4
5-7
8-10
____
1
2
3
4
District Leadership Conference
Chapter Represented by Students (roster)5
District Winners (Add only once)
1st Place
4
2nd Place
3
3rd Place
2
Top Ten
1
(Copy of Winners list-winners
highlighted)
Service Projects
NC HOSA Service Project
National HOSA Service Project
American Red Cross
Rex Blood Services
Other Blood Services _________
Prevent Blindness
Other Service Projects (Max.2)
(Provide documentation of each.)
Remember to provide documentation as needed.
10
10
5 ea__
5 ea__
5 ea__
5
5-10
Total Points _____
Mail to: Advisor, NC-HOSA, 6360 Mail Service Center, Raleigh, NC 27699-6358 Deadline: February _5_, 2015