APPLICATION |
Date:__________________ |
| 1. |
Representative DeMolays earned: |
|
- ________________________
- ________________________
- ________________________
- ________________________
|
| 2. |
LCCs earned: |
|
- ________________________
- ________________________
- ________________________
- ________________________
|
| 3. |
PMC-MSAs earned: |
|
- ________________________
- ________________________
|
| 4. |
New initiates |
|
- ________________________
- ________________________
- ________________________
- ________________________
- ________________________
- ________________________
|
- ________________________
- ________________________
- ________________________
- ________________________
- ________________________
- ________________________
|
| 5. |
Blue Honor Keys earned or two Founder's Medal
Awards |
Date |
|
- __________________________
- __________________________
|
__________________
_____________________ |
| 6. |
Enclose at least four issues of
your chapter newspaper. |
| 7. |
Give the number of delegates at
each Session: |
|
Conclave ____________ Fall
_____________ Winter _________ Spring __________ |
| 8. |
Name candidates receiving the
degree at Spring Session: |
|
- ________________________
- ________________________
|
| 9. |
List chapter visitations you have
made this year. |
|
Chapter Visited |
Number
Attending |
Date |
|
- __________________________
- __________________________
- __________________________
- __________________________
- __________________________
|
_______
_______
_______
_______
_______ |
_______
_______
_______
_______
_______ |
| 10. |
List
those attending Leadership Conference |
|
- ________________________
- ________________________
- ________________________
|
- ________________________
- ________________________
- ________________________
|
| 11. |
Enclose
an application for your DeMolay Week Award of Excellence. |
| 12. |
Nominee
for DSA |
Date Nominated |
|
___________________________ |
___________ |
| 13. |
Enclose
a list of fund raisers totaling $600 |
| 14. |
Name
of advisors attending Advisors' Retreat. |
|
- ___________________________
- ___________________________
|
- ___________________________
- ___________________________
|
| 15. |
Enclose a list of 30 hours of Masonic Service. |
| 16. |
Enclose a list of 30 hours of Civic Service. |
________________________
Master Councilor's Signature |
________________________
Chapter Dad's or Chairman's Signature |