2026 Delegate Candidate Application
*Applications are due no later than Sunday, December 7, 2025, by 11:59 PM.
*All current Delegates must reapply for 2026.
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Last Name
*
First Name
M.I.
Rank
Serial
Bureau of assignment
(no acronyms/abbreviations)
Division of assignment
(no acronyms/abbreviations)
Section/unit assigned (please be specific)
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Please check the position for which you are applying
Area
Patrol
Other
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Work Address
Work Address City
Work Address Zip
Zip Code correct format For US like 85123 Or 87654 45678,for Canada a format like R2G 1T9
Work No.
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Home Mailing Address
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Home Address City
*
Home Address Zip
Zip Code correct format For US like 85123 Or 87654 45678,for Canada a format like R2G 1T9
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Cell Phone No.
*
E‐mail
Invalid email address.
Home Phone No.
Part of your responsibility as a Delegate will be to participate in various committees. In order of preference for each group (1 being first choice), please choose 2 committees in column A and 3 committees in column B. Every effort will be made to ensure your first choice in each group.
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Committees A (CHOOSE ONLY 2)
DELEGATE & MEMBERSHIP
GOLF
PAC
PICNIC
SCHOLARSHIP
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Committees B (CHOOSE ONLY 3)
AUDIT
BYLAWS
COMMUNICATIONS
EAGLE & BADGE
ELECTIONS
LEGAL
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