Iowa Official Form 45 - Pplication For Candidate To Participate In A Grand Master'S One-Day Class
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1Chapter 15, Section 8b, Laws for Subordinate Lodges
Iowa Official Form No. 45
APPLICATION FOR CANDIDATE TO PARTICIPATE IN
A GRAND MASTER'S ONE-DAY CLASS
PLEASE TYPE OR PRINT CLEARLY
Section A:
Date: ___________________________
Mo.
Day
Year
Name of Candidate ____________________________________________________
First
Middle
Last
Mailing Address ________________________________________________, Iowa __________ -_____
P.O. Box or Street Address
City
Zip Code
Lodge ____________________________ No. _____ Location _________________________, Iowa.
Name
City
Birth Date _____________________________ e-mail _________________________________________
Phone No. _____________________________ Occupation ____________________________________
I _________________________________, respectfully submit this application to participate in the Grand
Candidate’s Signature
Master’s One Day Class to be held at _________________________, Iowa, on_____________________
Mo.
Day
Year
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Section B - This section must be completed only if the Candidate has been Initiated or Passed.
(If no degrees have been conferred, please skip this Section)
Initiated on ___________________ in _________________No. ____Location _______________, Iowa
Mo.
Day
Year
Lodge
City
Passed on ____________________ in _________________No. ____Location _______________, Iowa
Mo.
Day
Year
Lodge
City
If the previous degrees were conferred by any other lodge than the lodge completing this application, or a
lodge that has consolidated with your lodge, please show the date the Brother was elected into your lodge
for Advancement and Membership: _______________________________.
Mo.
Day
Year
--------------------------------------------------------------------------------------------------------------------------------------------
Section C - This Section must be completed for all One-Day Class Candidates
Date of Election to Membership ______________________________
Mo.
Day
Year
All membership fees have been paid in full by the candidate.
Signed: ___________________________________
Lodge _______________________No. _______
Secretary
The Grand Master’s One-Day Class fee shall accompany this Application.
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Section D - Candidate Guide
Name of Guide, if known: _____________________________ Lodge ___________________No.
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The above information has been verified by the Office of the Grand Secretary:
_______________________________________________________________
Grand Secretary or Deputy Grand Secretary
(This form must be received in the Office of the Grand Secretary a minimum of
10 days prior to attending a Grand Master’s One-Day Class.)
Revised 2-13
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