Form S-142 - Report Of Committee/petition For Degrees printable pdf download

REPORT OF COMMITTEE

…............................................................................Chapter

Name: ……………………………………………

To the Worthy Matron, Worthy Patron, Officers and

No. ………………………

Members of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Address: ………………………………………...

ORDER OF THE EASTERN STAR

. . . . . . . . . . . . . . . . Chapter No. . . . . . . . . . . . . . . .

OF TEXAS

of Texas, Order of the Eastern Star:

PETITION OF

……………………………………………………..

Your Committee to which was referred the

…………………………………………………..

petition of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Presented ……………………………..20……...

City: ………………………………………………

. . . . . . . . . . . . . . . . . . . . . . . for the degrees of the

Referred ……………………………...20………

to the following Committee.

Order has made necessary inquiry touching the

Zip: …………………………………………….

…………………………………………………..

qualifications, eligibility, character and

…………………………………………………..

standing of the petitioner and her / his fitness to

Phone: …………………………………….…..

…………………………………………………..

become a member. She / He is . . . .. . . . . . eligible.

The Committee reports . . . . . . . . . . . . . . . . . . . . . . . .

Elected ………………………………..20……...

Email: ……………………………………….…

. . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . Members of

Initiated ……………………………….20……...

this Committee have visited and conversed with the

Rejected ………………………………20……...

Date of Birth: ………………………………...

petitioner since said petition was so referred.

…………………………………………………..

. . . . . . .... . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

………………………………………...Secretary

(Signed)

Spouse: ……………………… ……………….

. . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

(If candidate is ineligible, the report of the

Committee will be “ineligible”.)

Form S-142

Revised 05/00/2012

Form S-142 - Report Of Committee/petition For Degrees

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