Regional Delegate Facilitator Application

Regional Delegate Facilitator Application

Due 8/14/26
Thank you for your interest in serving as Regional Delegate Facilitator for GSEMA. Applicants for this role must be actively serving as adult Regional Delegates at the time of application. If you have any questions, please contact customercare@gsema.org.
Delegate Name

First NameLast Name
Email
example@example.com
Mobile Number
Please enter a valid phone number.Format: (000) 000-0000.
Select the governance region that you represent:
I confirm that I have read and understand the Regional Delegate Facilitator position description (available at gsema.org/governance)
Please tell us why you would like to serve as the Regional Delegate Facilitator, and what qualifications you would bring to the role.
Today's Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Thank you for your leadership and support of Girl Scouting in your community!

Please be sure to click SUBMIT.
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