Membership Delegate Election Acknowledgement

Membership Delegate Election Acknowledgement
Membership Delegate Email*
I, (type name below),*

First NameLast Name
understand that as a Membership Delegate of Girl Scouts of North East Ohio I have a responsibility to ensure the council does the best work possible in pursuit of its goals. I understand that by electing me, the membership has placed their trust in my ability to fulfill the responsibilities of this role. I believe in the council’s mission and purpose, and I will act responsibly and prudently when representing the membership. I have reviewed, understand and accept the responsibilities, commitments and code of conduct, associated with this position.
Full Name -- By entering my name and submitting this form, I agree with the conditions listed above for this volunteer position. I understand that my typed name serves as my digital signature.*
Membership Delegate Contact Information and Release
In the interest of keeping your personal information private, while still giving other members the ability to contact you regarding Girl Scout issues, please provide us with your preferred contact information.

The membership needs at least one (1) method to contact their membership delegate.
I give permission for GSNEO to share my "Preferred Mailing Address" with the membership.*

YesNo
Preferred Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
I give permission for GSNEO to share my "Preferred Phone Number" with the membership.*

YesNo
Preferred Phone Number*

Area CodePhone Number
By checking this box, I consent to receive customer care and account notification text messages (SMS or MMS) from Girl Scouts of North East Ohio. You may opt-out at any time by replying STOP. For assistance, text HELP. Message frequency varies. Message & Data rates may apply. View TERMS (gsneo.org/terms) and PRIVACY (gsneo.org/privacy).
I give permission for GSNEO to share my "Preferred E-Mail" with the membership.*

YesNo
Preferred E-Mail*
Should be Empty:

Membership Delegate Contact Information and Release