GOVERNMENT OF 
 
THE VIRGIN ISLANDS OF THE UNITED STATES 
 
 
OFFICE OF THE SUPERVISOR OF ELECTIONS 
 
 
o 
ACCEPTANCE 
 
 
District of  
__________ 
, 20 
Campaign Committee of  
I hereby accept the appointment tendered me by  
Candidate/Chairman Name 
 
to the position of 
, dated  
, 20 
. 
 
 
Respectfully, 
 
 
Appointee 
 
 
   Oath of Office 
 
Having been appointed 
. 
 
I,  
, do solemnly swear or affirm that I will 
support the laws of the United States applicable to the Virgin Islands and the laws of the 
Virgin Islands; that I take this obligation freely, without any mental reservation or 
purpose of evasion, and that I will well and faithfully discharge the duties of the office on 
which I am about to enter, SO HELP ME GOD. 
 
 
Signature 
 
 
District of  
) 
        Virgin Islands of the U.S.A. ) SS: 
 
 
Sworn to and subscribed before me this _________ day of ___________________, 20 
Effective __________________________, 20 
. 
 
 
 
Notary Public