FORMS / Regional Delegate Nomination Form

Regional Delegate Nomination Form

Delegates must be able to participate in training, two delegate meetings (in person or online), and attend the annual meeting. It is the Delegate's responsibility to be the liaison between the Board of Directors, Council Staff, and the constituents they represent. Terms are for 3 years.

Nominees are voted in and the nomination does not guarantee a Delegate or Alternate Delegate position. It is important that we have all communities in our jurisdiction represented.

Nominations are due Friday, October 30, 2015 by 5 PM

Person making the nomination




I nominate:





(refer to map of regions PDF): 

Is this a Girl or Adult Member?    

Are they aware that you are nominating them?    

Current member of Girl Scouts?    

Past member of Girl Scouts?