Service Unit Delegate Election Form

For the Girl Scout Year 2013-2014

"Election of delegates shall be held in the first Service Unit meeting following the annual meeting."

(GSHPA Bylaws, Article 1/Section 5)

Service Unit Delegate Formula/Allocation

1 Delegate for up to 200 registered girl members*

2 Delegates for 201-400 registered girl members*

3 Delegates for 401-600 registered girl members*

4 Delegates for 601 or more registered girl members*

*Registered girl membership as of September 30 of previous membership year.

* Service Unit Number

* Service Unit Name

* Submitted by

* Date of Election

* Date Submitted

Service Unit Council Delegates

	Name	Street Address (Include city, state, zip)	Email Address*
1.
2.
3.
4.

Service Unit Council Delegates Alternates

	Name	Street Address (Include city, state, zip)	Email Address*
1.
2.
3.
4.

*All communications will be sent via email unless indicated otherwise.

* I certify that my Service Unit held an open election according to the Bylaws of GSHPA and these are the results.

Yes

* Name of Service Unit Manager

* Today's Date

Girl Scouts in the Heart of PA

Delegate Elections

350 Hale Avenue

Harrisburg, PA 17104

Phone: 1.800.692.7816

Fax: 717.901.5987

* Indicates Response Required