Legislative Shadowing Application (2027) Step 1 of 6 16% LinkedInThis field is for validation purposes and should be left unchanged.Participant Name(Required) First Last Chapter/School Name(Required)Chapter ID Number(Required)Region(Required)Participant Home Address(Required) Street Address City State / Province / Region ZIP / Postal Code Participant Email(Required) Participant Cell Phone(Required)Current Grade(Required) 11th Grade 12th Grade Other Current SEC(Required) Yes No Local Adviser Name(Required) First Last Adviser Email(Required) Adviser Cell Phone(Required)This will be used to contact the adviser the day of the experience, if needed. Number of Years in FCCLA(Required)Grade Point Average4.0 scaleFamily Consumer Sciences Courses(Required)List all courses taken or currently enrolled.Chapter FCCLA Participation(Required)Involvement, activities, leadership rolesRegional, State & National FCCLA Participation(Required)Involvement, activities, leadership rolesOther Extracurricular, Volunteer & Work Experiences(Required) What is your Missouri (local) Senatorial District number?(Required)Use the following websites to locate this information: https://tools.usps.com/zip-code-lookup.htm https://www.senate.mo.gov/BillTracking/LegislatorLookup/What is your Missouri (local) House District number?(Required)Use the following websites to locate this information: https://tools.usps.com/zip-code-lookup.htm https://www.senate.mo.gov/BillTracking/LegislatorLookup/Who is your Missouri state (local) Representative?Use the following websites to locate this information: https://tools.usps.com/zip-code-lookup.htm https://www.senate.mo.gov/BillTracking/LegislatorLookup/Who is your Missouri state (local) Senator?Use the following websites to locate this information: https://tools.usps.com/zip-code-lookup.htm https://www.senate.mo.gov/BillTracking/LegislatorLookup/Describe any preference or special request in shadowing assignment. This could include particular legislator, party, other elected official, legislation topic, etc.(Required)The best effort will be made to match selected participants with the preference chosen, but it is not guaranteed.Why do you want to participate in the Legislative Shadowing Project?(Required)100 words or less If asked during the Legislative Shadowing Project, how would you respond: What is FCCLA?(Required)Response should be a quick, 30-second “elevator speech”.If asked during the Legislative Shadowing Project, how would you respond: Why does FCCLA host the Legislative Shadowing Project?(Required)Response should be a quick, 30-second “elevator speech”.If asked during the Legislative Shadowing Project, how would you respond: What is Family Consumer Sciences? Why is it important?(Required)Response should be a quick, 30-second “elevator speech”. Upload Code of Conduct here.(Required)Max. file size: 50 MB. Δ
