Pope John Paul II Culture of Life Award Ontario State Office, Knights of Columbus 393 Rymal Road West, Suite 201 Hamilton, ON L9B 1V2 Fax (905) 388-8738 E-mail: [email protected] Please return this form to the Ontario State Office by March 15 Council Name Council Number Name of Grand Knight Name of Council Pro-Life Chair In order to apply for this award, your Council must participate in at least 5 of the following activities over the fraternal year: • Sponsor or promote a Pro-Life Symposium in your Parish, Community or District • Encourage participation in a local or the National March for Life (assist in transportation needs) • Develop or sponsor a Pro-Life educational programme for the school age children in your parish, district or community • Organize in your parish, district or community, a Day for the Unborn • Organize in parish, district or community, a Mass for the Unborn (if applicable at the site of a monument for the unborn) • Organize and or participate in a Life Chain in your parish, district or community • Organize and participate in the Roses for Life Programme (with proceeds going to Right to Life etc…) • Support and or assist at your local Hospice in a volunteer capacity • Provide support to local Crisis Centres for Pregnant Mothers • Provide support to facilities for Unwed Mothers • Organize in your Catholic High Schools an essay contest for "Respect of Human Life"

NOTE: More than 5 activities may be listed. If the council wishes to do so, they may attach photographs, newspaper clippings, and/or a more complete description of each of their listed activities. 1 Activity Date Description

2 Activity Date Description

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5 Activity Date Description

Grand Knight signature Pro-Life Chair signature