Nacha Nimat Lodge #86
YOUTH CANDIDATE ELECTION REPORT

March 12 -**Attention** If you are sending in elections forms, please check candidate #2, A bug in the system lost it, please look at your receipt to make sure that candidate was processed.


All elections results are final. No substitutions may be made at a later date.
Please fill out the form below

 

BASIC UNIT INFORMATION - PART I

Chapter: Heritage Delaware River Dutchess Rockland 

Unit:

RECORD OF ELECTION - PART II

Number of registered active boys in unit:

Number of boy members present at election:

Number of boys eligible for membership:

 

  Ballot #1 * (See Below)
Number of ballots turned in
Number of votes to be elected
Number of boys elected

*If Ballot #2 was used (Ballot #1 elected no candidates) Enter in as Ballot #1

CERTIFICATION OF ELIGIBILITY - PART III


I hereby certify that these Scouts are qualified for election to membership in the Order of the Arrow. Each holds at least the First Class
Scout rank and has met and has the Order's current camping requirements as stated in the most resent issue of the lodge election procedures
or the Order of the Arrow Handbook. I certify to their Scouting Spirit, adherence to the Scout Oath and Law, and participation in unit
activities.

  Names of Eligible Youth Rank
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.

CHECK HERE IF THERE ARE NO ELIGIBLE CANDIDATES


RECORD OF BOY CANDIDATES ELECTED FILL IN ALL REQUESTED INFORMATION - IV
Candidate # 1
Name:
Phone:
Address:
Zip:
City:
 Birthdate:
Candidate # 2
Name:
Phone:
Address:
Zip:
City:
 Birthdate:
Candidate # 3
Name:
Phone:
Address:
Zip:
City:
 Birthdate:
Candidate # 4
Name:
Phone:
Address:
Zip:
City:
 Birthdate:
Candidate #5
Name:
Phone:
Address:
Zip:
City:
 Birthdate:
 
Candidate # 6
Name:
Phone:
Address:
Zip:
City:
 Birthdate:
Candidate # 7
Name:
Phone:
Address:
Zip:
City:
 Birthdate:
Candidate # 8
Name:
Phone:
Address:
Zip:
City:
 Birthdate:
Candidate # 9
Name:
Phone:
Address:
Zip:
City:
 Birthdate:
Candidate #10
Name:
Phone:
Address:
Zip:
City:
 Birthdate:

 

ELECTION INFORMATION - VI

Date Election Held: Format: (mm/dd/yy)


Election Team: Format: Joe Schmoe, Bob Schmoe, Steve Schmoe

 

Election Team Certification: By Checking this box you certify that the information presented above is factual, and take responsibility for submitting the hard-copy of the elections form by the elections deadline.