2024 Lodge Executive Committee Officer Letter of Intent Form
Thank you for wanting to become a Lodge Executive Committee Officer and Support not only our Lodge but Scouting as a whole.

Service as a lodge officer is not for everyone. Lodge Officers are expected to be able to budget their time between school, family, religious service and other responsibilities with what is required of them as a lodge officer.

In order to qualify to run for a Lodge Officer Position, you must:
• Be an Actively Registered member of Allegheny Highlands Council, BSA
• Be an Arrowmen in good standing with Ho-Nan-Ne-Ho-Ont Lodge 165, Order of the Arrow
            o This means your membership dues are paid and you are active within the Lodge
• Must not turn 21 before December 31, 2024

Read all information on the Lodge Officer Position Descriptions page of our website found here - https://www.ahcoa165.org/officer-elections with your Parent(s) or Legal Guardian(s) if under the age of 18

After Reading the Lodge Officer Position Descriptions with your Parent(s) or Legal Guardian(s), Please Completely Fill Out the Letter of Intent Form below.

Lastly Be prepared to have a meeting with the Advisers and then deliver a 2 Minute speech to your fellow Lodge Members during the election
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Arrowmen's Personal Information
Full Legal Name *
First Name, Middle Initial, Last Name, and Suffix if applicable
Date of Birth *
MM
/
DD
/
YYYY
Current Age *
Gender *
Mailing Address *
Address, City, State, Zip Code
County *
Home Phone With Area Code *
Cell Phone With Area Code *
If you have a Cell Phone, is it Texting and App Capable? *
Email Address *
Current School Name (No Abbreviation) and Graduation Year *
Do you take part in any School or Community Programs such as Sports, Clubs, and Music?
 *
 If so, please list them. If No Put NA
Social Media Accounts (Members over 13)
(We request this information, so we are aware you are able to help manage and use the Lodge Social Media Accounts listed below if needed.)   *
If Yes Check the Box           If No Leave Blank
Required
BSA ID Number *
If you do not know your BSA Member ID Number, you can get your ID number from your Unit Leader, Committee Chairperson, or your Advancement Chairperson.
Unit Type / Number / Designation *
GT - Girl Troop, BT - Boy Troop. Ship and Crews have No Designation
Scouting Rank *
OA Honor *
For the Following:
Write the number of times you have Attended the Events listed below. If you have NOT Attended an event listed below Put " 0 "
Lodge Events *
Lodge Executive Committee (LEC) Meetings *
Lodge Leadership Development (LLD) Training Weekends *
Section Conclaves *
Council of Chiefs (COC) Meetings *
Adapt Collaborate Thrive (ACT) Conferences *
National Leadership Seminar (NLS) *
National Order of the Arrow Conference (NOAC): *
Desired Positions (You May Run for all the positions you check off): *
* NOTE: The Executive Vice-Chief is Appointed by the incoming Lodge Chief *
Required
Candidate Intentions:
I will be under the age of 21 during the entire term of office running if elected. *
I am an Actively Registered member of Allegheny Highlands Council. *
I am an Active and Dues Paid member of Ho-Nan-Ne-Ho-Ont Lodge 165. *
I have Read Over the Officer Position(s) and responsibilities and if under the age of 18 have done so with my Parent(s) or Legal Guardian(s). 
 *
If elected I understand that I will be required to fulfill any and all assigned responsibilities in a timely manner and will attend all Lodge, Section, Region, & National Events, as well as all Meetings of the Lodge Executive Committee, and my position.
Clear selection
Parent/Legal Guardian Approval (Required for Candidates Under 18):
Parent/Legal Guardian’s Full Name:
Relationship to Arrowmen:
Email
Put NA if you do not have
Home Phone With Area Code
Put NA if you do not have
Cell Phone With Area Code
Put NA if you do not have
I understand the commitment involved with the Lodge Executive Committee. If my scout is elected, I will support my Scout to the best of my ability in order to help fulfill his or her duties, such as helping them fulfill any and all assigned responsibilities in a timely manner and providing transportation to meetings and events that require their attendance.
Please Write your Name and Today's Date
NOTE - Within 48-72 Hours you (and your Parent/Legal Guardian if under 18) will receive an email with your completed Form. Please Print, Sign page 2 in the required areas, and bring it with you to the holiday party.
Don't Forget to Register for the Holiday Party Happening December 16th & 17th At Camp Merz https://www.ahcoa165.org/events/holidayparty
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