Please complete all required fields below to submit your delegate information. Your submission helps ensure proper representation at the upcoming convention. Please note, all fields marked with a red asterisk (*) are required.
Method of Delegate's Election
Select one of the four options below to describe the method by which the member was selected as a Delegate.
*Delegates not elected by secret ballot and any who were elected by the Executive Board or the Delegate Assembly are not eligible to vote in the election of International Officers. Delegate elections must be held on or after April 19, 2026 unless the affiliate meets less than quarterly.
The signatures of the officers below certify that the member named above was: 1) selected by the Method of Election indicated above without opposition or by secret ballot as required under the International Constitution, 2) has been a member in good standing as of April 30, 2026 and 3) is otherwise eligible to serve as a delegate to the , scheduled to convene at 10:00 a.m. CT on in .
Please provide details about the person submitting this form. If you are submitting on behalf of someone else, complete all fields below. This information helps us verify the source of the submission and ensure timely follow-up if needed.
