Form - Sda-Ca - Knights Of Columbus California State Council State Deputy Award

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KNIGHTS OF COLUMBUS
CALIFORNIA STATE COUNCIL
STATE DEPUTY AWARD
Form - SDA-CA
Council Name: ______________________________
Council #: __________
District #: _____
Division #: ____
Council Location (town/city) ____________________________________
Chapter: __________________________________
Award given to each and every Council that meets the following criteria:
A. FORMS
Date Submitted:
1 Report Of Officers Chosen – form 185
____________
2 Service Program Personnel Report – form 365
____________
3 Semi-Annual Council Audit Report – form 1295
____________
4 Annual Survey Of Fraternal Activity Report – form 1728
____________
B. MEMBERSHIP
Quota / Attained:
Attain council membership (supreme) NET quota by April 1.
_____/_____
C. INSURANCE
Date Held :
Hold a benefits night.
____________
General Agent or Field Agent signature >>>
_________________
GA/FA signature
D. SERVICE PROGRAM
Participate in all 6 state service programs:
Date Mailed:
Church
____________
(Form STSP-CA to respective Service Program Award Chairman)
Community
____________
Council
____________
Family
____________
Youth
____________
Culture of Life
____________
GK Signature
GK Name:
:
GK Phone No:
MAIL BY APRIL 1
TO:
Gene Hays
State Awards Chairman
1103 W. Oakdale St.
West Covina, CA 91790
Form - SDA-CA

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