Ktemaque Lodge # 15
Unit Elections Results Report
Date of Election mm/dd/yy
Unit number          Community
District  Algonquin    Four Rivers    Manitoga    Mohican    Muscoot
Scoutmaster      Phone
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 Leader	Trained OA Leader

Report of Members Elected

Youth Candidates Elected:
Unit, Community
.
Name
Address
City, State Zip
Email address
Phone		Date of Birth mm/dd/yy
BSA registration number
Rank   First Class       Star       Life       Eagle
*********************************************************
Name
Address
City, State Zip
Email address
Phone		Date of Birth mm/dd/yy
BSA registration number
Rank   First Class       Star       Life       Eagle
*********************************************************
Name
Address
City, State Zip
Email address
Phone		Date of Birth mm/dd/yy
BSA registration number
Rank    First Class       Star       Life       Eagle
*********************************************************
Name
Address
City, State Zip
Email address
Phone		Date of Birth mm/dd/yy
BSA registration number
Rank    First Class       Star       Life       Eagle
*********************************************************
Name
Address
City, State Zip
Email address
Phone		Date of Birth mm/dd/yy
BSA registration number
Rank    First Class       Star       Life       Eagle
*********************************************************
Name
Address
City, State Zip
Email address
Phone		Date of Birth mm/dd/yy
BSA registration number
Rank    First Class       Star       Life       Eagle
*********************************************************
Name
Address
City, State Zip
Email address
Phone		Date of Birth mm/dd/yy
BSA registration number
Rank    First Class       Star       Life       Eagle
*********************************************************
Name
Address
City, State Zip
Email address
Phone		Date of Birth mm/dd/yy
BSA registration number
Rank    First Class       Star       Life       Eagle
*********************************************************
Name
Address
City, State Zip
Email address
Phone		Date of Birth mm/dd/yy
BSA registration number
Rank    First Class       Star       Life       Eagle
*********************************************************
Name
Address
City, State Zip
Email address
Phone		Date of Birth mm/dd/yy
BSA registration number
Rank    First Class       Star       Life       Eagle
*********************************************************
Name
Address
City, State Zip
Email address
Phone		Date of Birth mm/dd/yy
BSA registration number
Rank    First Class       Star       Life       Eagle
*********************************************************
It is suggested that you print and keep this form. Please press "Submit" to send your report. If you hear nothing in 5 days, please call the lodge.
	...to ktemaque@att.net

Sample Ballot Session

Adult Membership Requirements