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Ktemaque Lodge # 15
Unit Election Results Report
Date of Election _____/_____/_____
Unit #_____ Community _________________________
District_______________________________________
Scoutmaster__________________
Phone number __________________
Scoutmaster's email address ____________________________________________

Unit Status Summary
Number of youth active & registered _____

Number of youth present at election _____
(At least 50% of the registered unit must be present to hold an election)


Number of youth eligible & approved_____
for election.

Number of ballots turned in_____

Number of votes required for election_____
(this is 50% of the ballots)

Number of youth members elected_____


Certification

We have conducted this Order of the Arrow election within the guidelines put forth in the current edition of the OA Handbook.

___________________________________________________
Unit LeaderTrained OA Leader

Report of Members Elected

Youth Members Elected:
Troop ______________

Name__________________________________________

Address_______________________________________

Town____________________State____Zip_____-____

Phone number (____)_____-_________

Email address ____________________________________________________________

BSA registration number ____________________________________________________

Date of Birth _____/_____/_____ Rank___________
*********************************************************

Name__________________________________________

Address_______________________________________

Town____________________State____Zip_____-____

Phone number (____)_____-_________

Email address ____________________________________________________________

BSA registration number ____________________________________________________

Date of Birth _____/_____/_____ Rank___________
*********************************************************

Name__________________________________________

Address_______________________________________

Town____________________State____Zip_____-____

Phone number (____)_____-_________

Email address ____________________________________________________________

BSA registration number ____________________________________________________

Date of Birth _____/_____/_____ Rank___________
*********************************************************

Name__________________________________________

Address_______________________________________

Town____________________State____Zip_____-____

Phone # (____)_____-_________

Email address ____________________________________________________________

BSA registration number ____________________________________________________

Date of Birth _____/_____/_____ Rank___________
*********************************************************

Name__________________________________________

Address_______________________________________

Town____________________State____Zip_____-____

Phone # (____)_____-_________

Email address ____________________________________________________________

BSA registration number ____________________________________________________

Date of Birth _____/_____/_____ Rank___________
*********************************************************

Name__________________________________________

Address_______________________________________

Town____________________State____Zip_____-____

Phone # (____)_____-_________

Email address ____________________________________________________________

BSA registration number ____________________________________________________

Date of Birth _____/_____/_____ Rank___________
*********************************************************