FCCLA Chapter Information Form
Adviser: Miss Reid
Room: 104
lenorareid@alpinedistrict.org
We are the Family, Career and Community Leaders of America.
We face the future with warm courage and high hope.
For we have the clear consciousness of seeking old and precious values.
For we are the builders of homes, Homes for America's future,
Homes where living will be the expression of everything that is good and fair,
Homes where truth and love and security and faith will be realities, not dreams.
We are the Family, Career and Community Leaders of America.
We face the future with warm courage and high hope.
What? FCCLA stands for Family Career and Community Leaders of America. It is an organization that
gives students the opportunity to identify important issues in their community and help find solutions to
those issues. We focus on leadership skills, character building, and life-long learning and service. It
prepares students to be leaders in the community as well as to realize the power of one.
Who? Any student that has previously or is currently taking a FACS class can join FCCLA.
When? Our chapter meetings will generally be during FLEX on Fridays and sometimes after school or
evening, and some that take you away during the school day. We will be meeting several times a month,
but may have an occasional extra activity or service project, depending on what the students organize. You
don’t have to come to everything, but it definitely makes it more fun. FOOD IS ALWAYS SERVED AT
EVERY MEETING!
Where? Miss Reid’s Room (104), Pleasant Grove Junior High School
Why? To learn how to be good leaders, support the community, change lives, and experience the power of
one in making a difference everywhere!
Membership Dues:
REQUIRED
Basic Membership:
$30.00 (includes state and national dues, chapter dues, t-shirt, activities at
school, subscription to Teen Times)
OPTIONAL
Sweatshirt
$20.00
Add name on sleeve: $3.00
STAR Event
$15
*Anyone can join FCCLA at any point during the school year, however there are activities you miss the
later you sign up. Membership dues are the same no matter when you join. Member benefits are best if you
start at the beginning! Membership dues need to be paid as soon as you sign up so you begin getting all
the great stuff.
**Membership dues need to be paid by December 1 if students want to participate in the STAR Events
competition. You will only begin receiving member benefits AFTER paying the membership dues.
FCCLA CHAPTER MEMBER CONTRACT
As a member of FCCLA at Pleasant Grove Junior High, I agree to carry out the
following responsibilities:
Time Commitment
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Chapter Meetings (Fridays during FLEX) and Activities (as many as I can)
FCCLA Induction Night (Oct.)
FCCLA Awards Gala (May)
Region and State Leadership Conference (if I am in Silver Membership standing
and have completed a STAR Event or Power of One (all five modules))
Code of Conduct Commitment
 Represent PGJHS FCCLA. I understand that it is my responsibility to display a
positive public image and promote the organization.
 Fulfill the duties of my membership by following through and completing
assignments and participating in activities
 Be an example of an effective leader.
 Follow the State CTSO Code of Conduct.
 No N’s, U’s, D’s or F’s on grades for current year to participate in Area and State
activities that take students away from the classroom.
 I will keep up with my school work and be responsible for the work I miss for
FCCLA conferences or activities.
Professional Dress Commitment
I will follow the required dress code for all meetings as outlined below:
 Chapter Meetings: Nice casual, school dress code applies
 Chapter Activities: FCCLA shirt, school dress code applies
 Official Meetings (Local, Region, and State): Professional Dress REQUIRED!
NO JEANS! NO FLIP FLOPS! School dress code applies.
Membership Dues
Please check all of the following that apply:
 Membership dues: $30.00 (includes t-shirt, membership pin, local, area,
state, and national affiliation, subscription to Teen Times magazine, chapter
meetings and activities at the school, monthly newsletters)
 Sweatshirt-$23.00: Not included with membership dues, but they are
available. (Grey with Royal Blue Ink)
 STAR Event Registration- $15 (can pay later, but must be paid before
Christmas Break if planning to compete!)
***Please complete and sign the Member Info Sheet (PRINT
NEATLY SO WE CAN READ IT), make checks out to Pleasant
Grove Junior High, take money to finance office, and return form
and receipt to Miss Reid ASAP to begin your FUN!
FCCLA Member Info Sheet
PLEASE PRINT NEATLY SO WE CAN READ YOUR INFO CORRECTLY!
Name:
Address:
City:
Home Phone:
Parents Name:
Parent’s Email:
Member’s Email:
State:
Locker #:
ACTIVITIES THAT INTEREST ME
 = I’m interested in helping!
Programs I would like to help with:
You may choose 2 if you want!
help organize
meetings
Help take pictures,
keep showcase up to
date
Help with teaching
about a national
program
Give a spotlight
moment
help put together
birthday gifts
Write Thank You
notes
help recognize
members for STAR
Efforts
Help evaluate
meetings
help keep the
meetings on track
Financial Fitness
Help gather/ edit
monthly newsletter
articles, help put
newsletter together
Help with
announcements,
posters, and flyers
Families First
Write a newsletter
article
Help keep
membership mailboxes
organized
Leadership Service
in Action
Be a journalist for our
chapter
create trivia
questions from Teen
Times Magazine
STOP the Violence
(Students Taking On
Prevention)
 help with set up/clean
up
greet members at
door
Help organize/serve
refreshments
Zip:
Birthday:
Cell Phone #:
Grade:
National Program
What is it exactly?
Power of One
Gives youth the power to fulfill
dreams by creating selfdirected projects
FACTS (Families
Acting for Community
Traffic Safety)
Student Body
Create projects that strive to
save lives through sober
driving, seat belt use, and safe
driving habits
Help youth learn to eat right,
be fit, and make healthy
choices
Youth teaching one another
how to make, save, and spend
money wisely
Career Connection
Help youth gain better
understanding of how families
work and learn skills to
become strong family
members
Guides youth to discover their
strengths, target career goals,
and initiate and plan for
achieving the lifestyle you
desire
Helps young people develop,
plan, carry out, and evaluate
projects that improve the
quality of life in their
communities
Empowers youth with
attitudes, skills, and resources
to recognize, report, and
reduce youth violence.
FILL OUT BOTH SIDES OF THIS TO COMPLETE MEMBERSHIP
PLEASE FILL IN THE FOLLOWING AND RETURN WITH DUES TO
MISS REID (ROOM 104)
Membership Dues
Please check all of the following that apply:
 Membership dues: $30.00-REQUIRED
o T-Shirt Size: circle one: YLarge, S, M, L, XL Other: _____
o **T-shirt and sweatshirt sizes are all adult except for Youth Large.**
 Sweatshirt-$20.00
o Sweatshirt Size: circle one: YLarge, S, M, L, XL Other: _____
 Name on sleeve of sweatshirt- $3.00
o Name you want on sleeve (print neatly!) __________________
 STAR Event Registration- $15 (can be paid later but must be paid before
Christmas Break if planning to compete)
$$$$$$$$$$$
TOTAL PAYMENT: _____________$$$$$$$$$$$$$$$$$$$
FCCLA Media Release
We have several different public relations tools we use for our chapter. By being
an FCCLA member this year, you could have your picture of your participation in
chapter meetings or activities appear in the newsletter, in the showcase in the hall,
or on our FCCLA website/blog. If you want to be a member, but do not want your
picture used in any of our public relations media, please check the box below.
 No, I deny my permission for my student’s picture to appear on the FCCLA
Public Relations materials.
MEMBER AGREEMENT
I have read and understand the information required for being a member of
FCCLA and will carry out all responsibilities as outlined in this contract to the
best of my ability.
__________________________________________________ DATE:______________
Member’s Signature
PARENT AGREEMENT
I have reviewed this contract with my son/daughter and understand it. I will
support my son/daughter as a member of Pleasant Grove Junior FCCLA to carry
out the above responsibilities and commitments.
__________________________________________________ DATE: ______________
Parent/ Guardian’s Signature