TROOP 55 SELF-NOMINATION FORM

I am interested in serving in the following leadership position(s).

List in order of priority:

1. Position: _______________________________

Reason I am interested:



2. Position: ________________________________

Reason I am interested:



3. Position: ________________________________

Reason I am interested:



Other leadership positions I have held in Troop 55:



Current Rank: __________________

Date Rank Achieved: ____________

Name:__________________________________

Phone Number:___________________________

Elected positions:  Sr. Patrol Leader  Patrol Leader

Appointed positions: