FORMS / Regional Delegate Adult Application Form

Regional Delegate Adult Application Form


(refer to map of regions PDF):      





I give permission to share contact information with other Regional Delegates:     



The information in this application form will be used for biographical information on the ballots, planning for training, development of regional meeting agenda and priorities, and to help inform the future work of the governance committee. Thank you!

For Current Regional Delegates

I would be willing to serve an additional:      


Able to be objective, representing the best interests of the Girl Scout Movement, not just a particular geographic area or program level

Understand the role of Governance in the organization

Able to participate as a member of a team

Able to speak in front of small and large groups

Willing to attend service unit, neighborhood, or other meetings

Past/present Positions in Girl Scouting

Troop Volunteer (i.e., leader, co-leader, assistant leader, troop advisor, troop committee)
Service Unit Coordinator (a.k.a. Neighborhood Administrator, Girl Scout Coordinator)
Service Team Member (Registrar, Organizer, Consultant, Treasurer, PR Volunteer, Event Coordinator, Recognitions Coordinator, Secretary, Website Manager or Internet support person, Encampment Director)
Product Sales Manager (Neighborhood Cookie Manager, NBHD Fall Product Sale Manager)
SHARE Coordinator (formerly known as: Family Partnership, Parent Support program)
Facilitator - Trainer
Delegate (Council Delegate, National Delegate)
Board Member/Board Committee
Council Volunteer - Gold Award, Committee Member
Alumnae Member
Lifetime Member

By clicking "Send", I certify that I have read the position description (PDF) for GSEM Regional Delegate. If elected, I am willing to serve as a delegate or alternate and I able to fulfill all the duties listed