Honor Nomination Form
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2DeMolay International
HONOR NOMINATION
For:
Legion of Honor (Active)
Honorary Legion of Honor
Cross of Honor
Chevalier
Nominee’s Full Name:______________________________________________ I.D. #________________
First
Middle
Last
Address_______________________________________________________________________________
Number
Street
State
Zip Code
Age______
Date of Birth ____/____/____
Married
Single Occupation_________________
DeMolay Status:
Active DeMolay
Senior DeMolay
Was never a DeMolay
DeMolay Chapter Name_______________________________ Jurisdiction________________________
DeMolay Offices Held____________________________________________________________________
DeMolay Honors and Awards______________________________________________________________
Masonic Status: Member of_________________Lodge #______ Located at __________________,______
City
State
Masonic Affiliations and Distinctions________________________________________________________
______________________________________________________________________________________
Advisory Council and/or Jurisdictional Service (list years)_______________________________________
This nomination was presented at a meeting of______________Chapter Advisory Council___/___/___with
the following Advisors present and voting (
place an “X” by those voting no)_______________________________________________
______________________________________________________________________________________
Has the nominee ever been nominated for this honor before?
Yes
No If yes, give date________
List areas of outstanding service to DeMolay and/or outstanding civic community service along with other
qualifications to be considered for this nomination:
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Signed________________________________ __________
Chapter Advisor
Date
Signed________________________________ __________
DEADLINES
Chairman of the Advisory Council
Date
To the Executive Officer by the
Jurisdiction’s Established Deadline.
Recommended by_______________________ __________
District Deputy, Governor, or Supervisor
Date
To the Office of the Grand
Approved______________________________ __________
Secretary April 1
Executive Officer
Date
08/2011
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