Each Key Club in the New York District may select two delegates and two alternates to represent their club at the House of Delegates at the annual Leadership Training Conference.  Delegates will elect the leaders of the New York District Key Club and vote on any proposed amendments to the bylaws.

This delegate certificate of election must be completed submitted via this online portal.  This certifies that the persons named have been selected as delegates by the club.  At the convention, there will be a credentials registration area where each delegate will be issued a delegate wristband and ribbon, which will permit entry into the House of Delegates.

Club Information

THIS IS TO CERTIFY that the listed members of the following Key Club are the duly elected delegates and alternates of this club to the New York District Key Club Leadership Training Conference.

Delegate Information

Alternate Information


Club President (sign) *
Club Secretary (sign) *

Note:  Each chartered club in good standing is entitled to two delegates to the conference.  Alternates should be chosen for each delegate.  Each delegate shall be entitled to cast one vote.  The alternate may cast the vote if the elected delegate is not in attendance at the convention.  There shall be no proxy voting.  No club delinquent in the payment of international or district dues shall be considered in good standing.