Ktemaque Lodge # 15

Unit Election Results Report

Date of Election _____/_____/_____

Unit #_____

Community _________________________

District_______________________________________

Scoutmaster__________________

Phone number __________________

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

Youth Members Elected:

Troop ______________

Name__________________________________________

Address_______________________________________

Town____________________

State____

Zip_____-____

Phone number H: (____)_____-_________           C: (____)____-________

Email address ___________________________________________________________

BSA registration number (REQUIRED): __________________________________________

Date of Birth _____/_____/_____

Rank___________

*********************************************************

Name__________________________________________

Address_______________________________________

Town____________________

State____

Zip_____-____

Phone number H: (____)_____-_________            C: (____)______-_________

Email address ___________________________________________________________

BSA registration number (REQUIRED): __________________________________________

Date of Birth _____/_____/_____

Rank___________

*********************************************************

Name__________________________________________

Address_______________________________________

Town____________________

State____

Zip_____-____

Phone number H: (____)_____-_________        C: (_____)_____-________

Email address ___________________________________________________________

BSA registration number (REQUIRED): __________________________________________

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 H: (____)_____-_________        C: (_____)_____-________

Email address ___________________________________________________________

BSA registration number (REQUIRED): __________________________________________

Date of Birth _____/_____/_____

Rank___________

*********************************************************

Name__________________________________________

Address_______________________________________

Town____________________

State____

Zip_____-____

Phone number H: (____)_____-_________         C: (_____)_____-________

Email address ___________________________________________________________

BSA registration number (REQUIRED): __________________________________________

Date of Birth _____/_____/_____

Rank___________