Illinois FCCLA State Officer Candidate Application 2019 Question Title * 1. Officer Candidate Contact Information Name: Grade in school for 2018-2019 year: Number of years you have been an FCCLA member(counting this year): Home Address: City/Town: Zip Code: Birthdate: Email Address: Cell Phone Number: Question Title * 2. School and Adviser Contact Information Adviser's Name: School Name: School Address: City/Town: Zip Code: School Phone Number: Adviser's Cell Phone Number: Next