National Delegate Nomination Form

Please explain why the nominee will be an effective National Delegate for GSNEO, based on each of the following selection criteria.
Criteria 1: Strategic Thinking - Demonstrates ability to think in terms of long-term goals and objectives that advance the Movement as a whole. Is future-focused.*
Criteria 2: Communication - Expresses ideas and facts in a clear manner.*
Criteria 3: Experience (policy-influencing or policy-making) - Has participated in annual or board meetings. Demonstrates understanding of difference between operational and policy decisions.*
Criteria 4: Has Knowledge of Girl Scouting (Local and National) - Has knowledge of Girl Scouting at the Council level, and knowledge of the Movement.*
Criteria 5: Decision Making - Ability to analyze issues from a Council and national perspective. Demonstrates ability to weigh options and consider ramifications.*
Criteria 6: Adaptability - Demonstrates flexibility when new information is brought forward. (Comes to the Session informed but not instructed.)*
Criteria 7: Team Building - Promotes partnerships. Has commitment to the team approach. Will support decisions of the National Council once made.*
Please share other useful information that illustrates why the nominee will be an effective National Delegate for GSNEO. Please include information such as unique skills, involvement with the Girl Scout organization, and Girl Scout leadership positions held. (250 word maximum)

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Please attach a resume, vitae, or biography with this information. Note: Nominees may be asked to interview with the Board Development Committee.

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Nominator Information
Nominator First Name*
Nominator Last Name*
Nominator Home Address*
Nominator City*
Nominator Zip*
Nominator Preferred Phone:*
Nominator Alternate Phone
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).
Nominator Email*

Code of Conduct

As part of my responsibilities as a National Delegate and as a GSNEO Volunteer:
- I believe in and am committed to the mission, aims, and purposes of Girl Scouting.
- I am willing and able to devote sufficient time to planning and coordinating the duties of the position.
- I will demonstrate dependability, honesty, credibility, and resourcefulness.
- I will positively promote GSNEO’s programs, services, goals, and mission to the community-at-large.
- I will act in the best interest of GSNEO by conducting myself professionally and in accordance with the Girl Scout Promise and Law.
- I will maintain current knowledge of the Girl Scout National Program Portfolio, Volunteer Essentials, Safety Activity Checkpoints, and GSNEO Volunteer Policies and Procedures.
- I will adhere to the GSNEO Bylaws and all policies of the Board of Directors.
- I will stay informed about what’s going on in the council, ask questions, request information, and actively participate in and take responsibility for issues, policies, and other matters referred to National Delegates by members, the Board of Directors and/or staff.
- I will actively participate in National Delegate virtual meetings/webinars and preparation meetings in order to keep up to date on governance activities. If I am unable to participate in a virtual meeting/webinar, or preperation meetings, I accept responsibility for contacting the staff liaison to get the information.
- I will share information with my constituents in an accurate and timely manner.
- I will represent the viewpoints of both my girl and adult constituents with honesty, integrity, and an open mind. I will serve my constituents as a whole, rather than limit my representation to any special interest group(s).
- In accordance with my voting rights and responsibilities, I will attend all meetings of the General Assembly, as well as the National Council Session for the Council that I represent. I will read all pertinent information prior to the meeting.
In turn, the organization will be responsible to me to:
- Provide the tools and guidance necessary to fulfill my responsibilities.
- I will be sent, without request, governance and related information necessary to the fulfillment of my responsibilities.
- Opportunities will be offered to me to discuss governance matters and the organization’s goals, activities, and status; additionally, I can request such opportunities.
National Council Session/National Convention Cost Breakdown:

The following expenses are the responsibility of GSNEO:
- National Council Session/National Convention Registration Fee
- Hotel accommodations, double occupancy, for nights designated by GSNEO for the convention.
- Transportation to and from the National Council Session/National Convention, when coordinated and scheduled by GSNEO.
- Per diem allowance to cover breakfast, lunch and dinner on each day of the National Council Session/National Convention, if meal is not provided by GSUSA.
The following expenses are the responsibility of National Delegates:
- The full cost of any GSUSA special events not covered by the National Council Session/Nation Convention registration fee.
- The full cost of any pre and post convention tours
- Methods of transportation outside of those arranged for National Delegates by GSNEO.
- Souvenirs and personal collectibles.
- Official Girl Scout uniform.
Background Check:

Girl Scouts of North East Ohio requires a criminal background check to be performed on all nominees, 18 years of age and older. This background check will be performed through Sterling Volunteers, a Girl Scouts of the USA approved company. If the nominee has not had a background check for Girl Scouts of North East Ohio in the last 3 years, the nominee will receive an automated new criminal background check that will need to be completed.
I certify that I am a registered member of Girl Scouts of the United States of America and nominate the above named individual, also a registered member of Girl Scouts of the United States of America, for consideration as a National Delegate for Girl Scouts of North East Ohio for a period of three (3) years or until their successor is elected and assumes office. I understand that my typed name serves as my digital signature.*

If the nominee is under 18 years of age, a parent or legal guardian of the nominee must give permission for the nominee to serve as a National Delegate for Girl Scouts of North East Ohio for a period of three (3) years or until their successor is elected and assumes office.

We value girls’ honest feedback, and would like to let you know that we will be asking your daughter to share her opinions of this program with us.

The following statements describe our policies around privacy and the use of collected information and data. These policies comply with The Children’s Online Privacy Protection Act (COPPA).

(1) Your daughter’s answers will be for internal purposes only.

(2) These and future surveys exist to help GSNEO understand program and policy effectiveness

(3) Your daughter’s decision to participate as a delegate and in future surveys is completely voluntary. She does not have to participate if she does not wish to do so.

(4) Your daughter’s decision to participate or not will not affect her standing in her Girl Scout sponsored program, and she will still be able to participate fully in all program activities.

(5) If your daughter decides to participate, she can still choose not to answer any questions she does not want to answer, and may stop participation at any point.
Parent/Guardian Full Name - I understand that my typed name serves as my digital signature.*
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