Virtual Candidate & Presiding Officer Commitment Form

Candidate Information

School County

School

Student First Name (Legal)

Student Last Name (Legal)

Student Email

Advisor Email

Type of Position?

Please select which program the Candidate Commitment is for:

Select which session you are attending:

Agreements

Candidate Requirements | Elected Presiding Officer Positions Only

As a Presiding Officer Candidate, I agree to the following requirements (Check each box):

Submit my online Candidate Declaration prior to my assigned due date based on my conference and bring a copy of my speech to the mandatory Candidate Meeting.

I will

Review and adhere to all rules on the Campaigns & Elections page. I understand that my or my delegation’s failure to campaign appropriately will result in my disqualification.

I will

Organize at least 1 Service Project with my Student Y and report it on MobileServe: app.mobileserve.org I understand that this project must be completed prior to my Assembly.

I will

I have attended the requisite number (2 for MS, 3 for HS) of the following Y conferences: KYA, KUNA, GFI, LTC, MYA, or

Y-Corps and I have previously participated in the Assembly for which I am a candidate.

I will

If elected/chosen as a Presiding Officer at KYA/KUNA, I will not be eligible to run for/serve as a PO at the other

I will

I am in good standing with my Student YMCA Chapter as determined by my Advisor, in good standing with my school as
determined by my principal and administration, and have at least a “C” GPA (or equivalent).

I will

Presiding Officer Commitments | All Presiding Officer Positions

If chosen to serve as a Presiding Officer, I understand and agree to the following commitments (Check each box):

Serve the Assembly I am elected to attend in its entirety, and to the best of my ability. I will work with my current advisor to intent for that Assembly (i.e. if I’m elected for KYA MS 3, I will attend KYA MS 3 the next year).

I will

Represent the Y and follow the Officer Code of Conduct at all times and in all settings throughout my yearlong term in office, including but not limited to social media, public appearances, Y events, and other activities.

I will

Be the best Student YMCA chapter member I can be through active participation in recruitment, meetings, trainings, service projects, voter registration drives, chapter events, and general support of my Student Y Officers and Advisor(s).

I will

Maintain constant communication with Y Staff and fellow Presiding Officers on Social Media and Email groups.

I will

In addition to my KYA/KUNA, I will attend the following KY YMCA events during my term as a Presiding Officer and have checked the dates for each event during my term at www.kyymca.org/program-calendar. I understand that failure to attend these mandatory events will result in my removal from office at the discretion of Y Staff.

I will


Spring PO Virtual Retreat		No Fee
Fall PO Retreat		No Fee
Supporting Officer Training		No Fee
Go For It		Fin. Aid Available

Participate in (or organize) service projects on at least 2 of 3 Days of Service following my election:
Kentucky YMCA Day (March 1st)
9/11 Day of Service
National Voter Registration Day (September)

I will

I understand my event commitments, including attendance, cost, and availability of financial aid, and agree to email Y Staff at least 2 weeks prior to an event if conflicts arise (excluding emergencies).

I will

I agree to abide by the rules and regulations of my school and the laws of my community, state, and nation.

I will

I understand that if I fail to meet these commitments, I may be removed from office at the discretion of Y Staff.

I will

Signature Section

By filling your name and date here, you are agreeing to the above terms of the Code of Conduct.
The student will need to fill out the box that states "Student Signature" with their full name, which will count as them signing this document.

If you have any questions, please email nicole@kyymca.org.

Student Signature (Full Name)

Registration ID

Account ID

Contact ID