2019 American Legion Auxiliary Alabama Girls State Delegate Registration Form
This form is ONLY to be completed the local person (must be a member of the American Legion Auxiliary or the faculty/staff of the high school) responsible for coordinating and selecting the ALA Alabama Girls State representative from the high school.

Delegates must be selected to represent their high school at ALA Alabama Girls State (by a local unit if present and the high school).

Each delegate must:
Be a junior in high school to be selected and must be entering their senior year in the fall
Have an interest in government and current events, high moral character, strong leadership ability, and above average scholastic standing.
NOT have participated in a previous session of Girls State.
Be able to participate in ALL activities from Sunday, June 9-14, 2019

High Schools with
1-199 students in the junior class may send one delegate.
200-599 students in the junior class may send two delegates.
600 or more students in the junior class may send three delegates.
(This policy is strictly enforced- For any questions, please email ala.ags.help@gmail.com)

Email address *
Name of the delegate selected (First and Last) *
Your answer
Delegate phone number (area code) xxx-xxxx *
Your answer
Delegate email address (this is the primary point of contact - please make sure this is entered correctly) *
Your answer
Delegate's parent/guardian name (first and last) *
Your answer
Delegate's parent/guardian phone number (area code) xxx-xxx *
Your answer
Delegate's parent/guardian email address (this is the primary point of contact - please make sure this is entered correctly)
Your answer
High school being represented *
Your answer
Number of people in the high school's junior class *
Your answer
High school contact name (first and last) *
Your answer
City high school is located *
Your answer
County high school is located *
Your answer
High school contact phone number *
Your answer
High school contact email address *
Your answer
Name of the person completing this form (first and last) MUST BE A MEMBER OF THE AMERICAN LEGION AUXILIARY OR A FACULTY/STAFF MEMBER OF THE HIGH SCHOOL BEING REPRESENTED *
Your answer
Email address of the person completing the form *
Your answer
Phone number of the person completing this form *
Your answer
I am the person responsible for coordinating the selection of this high school's delegate to ALA Alabama Girls State - as authorized by the local unit of the American Legion Auxiliary and/or the high school being represented. *
I verify that this delegate selected is a junior in high school to be selected and is entering her senior year in the fall. *
I verify that this delegate selected has an interest in government and current events, high moral character, strong leadership ability, and above average scholastic standing. *
I verify that this delegate selected has NOT participated in a previous session of Girls State, and is able to participate in ALL activities from Sunday, June 9-14, 2019 *
I verify that the number of delegates selected to represent this high school is consistent with the programs's policy: High Schools with 1-199 students in the junior class may send one delegate; 200-599 students in the junior class may send two delegates; 600 or more students in the junior class may send three delegates. *
The registration fee for ALA Alabama Girls State. Who will be responsible for the registration fee payment? *
Email address for the person responsible for the registration fee payment. *
Your answer
A copy of your responses will be emailed to the address you provided.
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