Arizona HOSA Pulse Awards
2025-2026
Please use the form below to submit your evidence for our AzHOSA Pulse Awards for this school year.
Thank you for your dedication to your chapter, the HOSA organization, and to your future!!
HOSA Member Name
First Name
Last Name
HOSA Member Email
*
example@example.com
Advisor Name
*
School/Campus
*
Chapter Number (PLEASE USE THE 5-digit Chapter Number, usually beginning with either 39 or 36. Your advisor knows this if you don't.)
*
Which level award are you applying for this year?
*
Please Select
Bronze
Silver
Gold
Platinum
Evidence Submission
Please use the remainder of this form to submit your evidence for your Chapter Award. While each level requires hours logged and approved by your advisor for the Barbara James Service Award, each level also requires completion of items in the checklist found in the Pulse Awards Guide. If you selected a level in the above question, and don't meet the requirements for that level, you will be awarded the level you did reach, based on the evidence submitted. Thank you for participating, and Good Luck!
Please provide the TOTAL number of hours approved by your advisor in the Member Activity Tracking System for the Barbara James Service Award.
FUTURE
There are multiple possible items for your chapter to complete in the "FUTURE" category. Please use the spaces below to indicate which items you have completed and submit the evidence for each.
ITEM 1
*
Please Select
1. Completed the 16 Personalities Assessment and a reflection statement.
2. Participated in a fundraising activity with your chapter.
3. Wrote a letter to a stakeholder addressing a healthcare issue in your community.
4. Filmed a PSA about the issue addressed in item 3, or participated in the Monthly PSA Challenge.
5. Created and worked toward a goal following the Healthy Living guidelines and summarized the results.
6. Participated in a project for NMDP or the service project presented by your Regional Representative.
7. Planned and facilitated a community service project for BJSA, ABC, or ARC Recognition event and completed a reflection.
Evidence of Item 1 - Please upload your evidence here.
*
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ITEM 2
*
Please Select
1. Completed the 16 Personalities Assessment and a reflection statement.
2. Participated in a fundraising activity with your chapter.
3. Wrote a letter to a stakeholder addressing a healthcare issue in your community.
4. Filmed a PSA about the issue addressed in item 3, or participated in the Monthly PSA Challenge.
5. Created and worked toward a goal following the Healthy Living guidelines and summarized the results.
6. Participated in a project for NMDP or the service project presented by your Regional Representative.
7. Planned and facilitated a community service project for BJSA, ABC, or ARC Recognition event and completed a reflection.
Evidence of Item 2 - Please upload your evidence here.
*
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ITEM 3
*
Please Select
1. Completed the 16 Personalities Assessment and a reflection statement.
2. Participated in a fundraising activity with your chapter.
3. Wrote a letter to a stakeholder addressing a healthcare issue in your community.
4. Filmed a PSA about the issue addressed in item 3, or participated in the Monthly PSA Challenge.
5. Created and worked toward a goal following the Healthy Living guidelines and summarized the results.
6. Participated in a project for NMDP or the service project presented by your Regional Representative.
7. Planned and facilitated a community service project for BJSA, ABC, or ARC Recognition event and completed a reflection.
Evidence of Item 3 - Please upload your evidence here.
*
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ITEM 4 (Required for Silver, Gold, & Platinum)
Please Select
1. Completed the 16 Personalities Assessment and a reflection statement.
2. Participated in a fundraising activity with your chapter.
3. Wrote a letter to a stakeholder addressing a healthcare issue in your community.
4. Filmed a PSA about the issue addressed in item 3, or participated in the Monthly PSA Challenge.
5. Created and worked toward a goal following the Healthy Living guidelines and summarized the results.
6. Participated in a project for NMDP or the service project presented by your Regional Representative.
7. Planned and facilitated a community service project for BJSA, ABC, or ARC Recognition event and completed a reflection.
Evidence of Item 4 - Please upload your evidence here.
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ITEM 5 (Required for Gold & Platinum)
Please Select
1. Completed the 16 Personalities Assessment and a reflection statement.
2. Participated in a fundraising activity with your chapter.
3. Wrote a letter to a stakeholder addressing a healthcare issue in your community.
4. Filmed a PSA about the issue addressed in item 3, or participated in the Monthly PSA Challenge.
5. Created and worked toward a goal following the Healthy Living guidelines and summarized the results.
6. Participated in a project for NMDP or the service project presented by your Regional Representative.
7. Planned and facilitated a community service project for BJSA, ABC, or ARC Recognition event and completed a reflection.
Evidence of Item 5 - Please upload your evidence here.
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ITEM 6 (Required for Platinum)
Please Select
1. Completed the 16 Personalities Assessment and a reflection statement.
2. Participated in a fundraising activity with your chapter.
3. Wrote a letter to a stakeholder addressing a healthcare issue in your community.
4. Filmed a PSA about the issue addressed in item 3, or participated in the Monthly PSA Challenge.
5. Created and worked toward a goal following the Healthy Living guidelines and summarized the results.
6. Participated in a project for NMDP or the service project presented by your Regional Representative.
7. Planned and facilitated a community service project for BJSA, ABC, or ARC Recognition event and completed a reflection.
Evidence of Item 6 - Please upload your evidence here.
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HEALTH
There are several possible items for you to complete in the "HEALTH" category. Please indicate which items you have completed and submit the evidence for each.
ITEM 1
*
Please Select
1. Created slides presentation (8-slides minimum) to explore 2 health careers you are interested in.
2. Created a Venn Diagram comparing 3 different education programs for one of the careers from item 1.
3. Create a resume & cover letter for a job in the healthcare field.
4. Read/watch/conduct 2 interviews with working healthcare professionals and complete a summary.
5. Complete 10+ hours of Work-Based Learning
6. Complete a certification/training in a health-related skill (CPR, OSHA, EMT, etc.)
7. Film an instructional video showcasing a skill related to your CTE program.
Evidence of Item 1 - Please upload your evidence here.
*
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ITEM 2
*
Please Select
1. Created slides presentation (8-slides minimum) to explore 2 health careers you are interested in.
2. Created a Venn Diagram comparing 3 different education programs for one of the careers from item 1.
3. Create a resume & cover letter for a job in the healthcare field.
4. Read/watch/conduct 2 interviews with working healthcare professionals and complete a summary.
5. Complete 10+ hours of Work-Based Learning
6. Complete a certification/training in a health-related skill (CPR, OSHA, EMT, etc.)
7. Film an instructional video showcasing a skill related to your CTE program.
Evidence of Item 2 - Please upload your evidence here.
*
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ITEM 3
*
Please Select
1. Created slides presentation (8-slides minimum) to explore 2 health careers you are interested in.
2. Created a Venn Diagram comparing 3 different education programs for one of the careers from item 1.
3. Create a resume & cover letter for a job in the healthcare field.
4. Read/watch/conduct 2 interviews with working healthcare professionals and complete a summary.
5. Complete 10+ hours of Work-Based Learning
6. Complete a certification/training in a health-related skill (CPR, OSHA, EMT, etc.)
7. Film an instructional video showcasing a skill related to your CTE program.
Evidence of Item 3 - Please upload your evidence here.
*
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ITEM 4
Please Select
1. Created slides presentation (8-slides minimum) to explore 2 health careers you are interested in.
2. Created a Venn Diagram comparing 3 different education programs for one of the careers from item 1.
3. Create a resume & cover letter for a job in the healthcare field.
4. Read/watch/conduct 2 interviews with working healthcare professionals and complete a summary.
5. Complete 10+ hours of Work-Based Learning
6. Complete a certification/training in a health-related skill (CPR, OSHA, EMT, etc.)
7. Film an instructional video showcasing a skill related to your CTE program.
Evidence of Item 4 - Please upload your evidence here.
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ITEM 5
Please Select
1. Created slides presentation (8-slides minimum) to explore 2 health careers you are interested in.
2. Created a Venn Diagram comparing 3 different education programs for one of the careers from item 1.
3. Create a resume & cover letter for a job in the healthcare field.
4. Read/watch/conduct 2 interviews with working healthcare professionals and complete a summary.
5. Complete 10+ hours of Work-Based Learning
6. Complete a certification/training in a health-related skill (CPR, OSHA, EMT, etc.)
7. Film an instructional video showcasing a skill related to your CTE program.
Evidence of Item 5 - Please upload your evidence here.
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ITEM 6
Please Select
1. Created slides presentation (8-slides minimum) to explore 2 health careers you are interested in.
2. Created a Venn Diagram comparing 3 different education programs for one of the careers from item 1.
3. Create a resume & cover letter for a job in the healthcare field.
4. Read/watch/conduct 2 interviews with working healthcare professionals and complete a summary.
5. Complete 10+ hours of Work-Based Learning
6. Complete a certification/training in a health-related skill (CPR, OSHA, EMT, etc.)
7. Film an instructional video showcasing a skill related to your CTE program.
Evidence of Item 6 - Please upload your evidence here.
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PROFESSIONAL
There are several possible items for your chapter to complete in the "PROFESSIONAL" category. Please indicate which items your chapter has completed and submit the evidence for each. **NOTE: Because the evidence for these items is very specific, and different from the others, please note that the EVIDENCE options look slightly different than the first two categories.
ITEM 1
*
Please Select
1. Attend two chapter meetings.
2. Participate in two chapter activities.
3. Participate/serve on a chapter committee
4. Attend an AzHOSA Conference.
5. Film a 1-2 minute video discussing what you learned from a leadership-focused TedTalk.
6. Create a LinkedIn or similar page.
7. Give a 3-5 minute talk about how HOSA has developed you as a leader, and submit a copy of the speech.
ITEM 2
*
Please Select
1. Attend two chapter meetings.
2. Participate in two chapter activities.
3. Participate/serve on a chapter committee
4. Attend an AzHOSA Conference.
5. Film a 1-2 minute video discussing what you learned from a leadership-focused TedTalk.
6. Create a LinkedIn or similar page.
7. Give a 3-5 minute talk about how HOSA has developed you as a leader, and submit a copy of the speech.
ITEM 3
*
Please Select
1. Attend two chapter meetings.
2. Participate in two chapter activities.
3. Participate/serve on a chapter committee
4. Attend an AzHOSA Conference.
5. Film a 1-2 minute video discussing what you learned from a leadership-focused TedTalk.
6. Create a LinkedIn or similar page.
7. Give a 3-5 minute talk about how HOSA has developed you as a leader, and submit a copy of the speech.
ITEM 4 (Required for Silver, Gold & Platinum)
Please Select
1. Attend two chapter meetings.
2. Participate in two chapter activities.
3. Participate/serve on a chapter committee
4. Attend an AzHOSA Conference.
5. Film a 1-2 minute video discussing what you learned from a leadership-focused TedTalk.
6. Create a LinkedIn or similar page.
7. Give a 3-5 minute talk about how HOSA has developed you as a leader, and submit a copy of the speech.
ITEM 5 (Required for Gold & Platinum)
Please Select
1. Attend two chapter meetings.
2. Participate in two chapter activities.
3. Participate/serve on a chapter committee
4. Attend an AzHOSA Conference.
5. Film a 1-2 minute video discussing what you learned from a leadership-focused TedTalk.
6. Create a LinkedIn or similar page.
7. Give a 3-5 minute talk about how HOSA has developed you as a leader, and submit a copy of the speech.
ITEM 6 (Required for Platinum)
Please Select
1. Attend two chapter meetings.
2. Participate in two chapter activities.
3. Participate/serve on a chapter committee
4. Attend an AzHOSA Conference.
5. Film a 1-2 minute video discussing what you learned from a leadership-focused TedTalk.
6. Create a LinkedIn or similar page.
7. Give a 3-5 minute talk about how HOSA has developed you as a leader, and submit a copy of the speech.
Evidence of Option #1 - Chapter Meetings - Please list the dates of the TWO chapter meetings you attended, and for each, include the presiding officer's name.
Evidence of Option #2 - Please list and BRIEFLY describe the TWO activities that you participated in with your chapter.
Evidence of Option #3 - Please identify the Committee on which your served in your chapter.
Evidence of Option #4 - Please upload a copy of the 250-word (+/- 10 words) reflection of the conference you attended. Include the name of the Conference you attended. PLEASE SUBMIT THIS IN A PDF FORMAT.
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Evidence of Option #5 - Please upload the 1-2 minute video reflection of the leadership-focused TedTalk you watched. (If you are submitting a link to the video PLEASE make sure the settings allow "anyone with the link" to view, or we cannot score this evidence).
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Evidence of Option #6 - Please copy/paste a viewable link to your professional portfolio (LinkedIn or similar). Please make sure the settings on the link allow us to access/view, or the item cannot be scored.
Evidence of Item #7 - Please upload a copy of your speech here.
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ADDITIONAL PLATINUM AWARD REQUIREMENTS:
Being a Platinum Member of AzHOSA shows that you are highly committed to both your chapter and your future as a successful healthcare professional. We applaud you for going well above and beyond in this way! Please use the next few items to submit your additional evidence for the Platinum Member award.
Letter of Introduction - Please submit your letter of Introduction answering the questions/addressing the prompts listed in the Pulse Awards Guide. PLEASE submit this letter as a PDF file format to ensure we can easily view/score your letter.
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Essay Question Responses - Please upload your answers to the essay questions in the Pulse Awards Guide. You can answer them all in one document, and please upload that document as a PDF file format to ensure we can easily score your responses.
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By selecting the "YES" option below, you acknowledge and assure that you completed the activities submitted above, and that you understand the requirements of each award level. You also assure that these activities were completed within this school year.
*
YES
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