PETITION FOR MEMBERSHIP BY INITIATION

To the Worthy Matron, Worthy Patron, Officers and Members of ______Chapter No. : I, ______(please print), prompted by a favorable opinion of the Order and a sincere wish to be serviceable to my fellow creatures, respectfully petition to receive the degrees of the Order of the Eastern Star of New Jersey, and become a member of your Chapter; and I promise, if accepted, a cheerful obedience to all the Laws, Rules and Regulations of the Order. I acknowledge that an acceptance of the factual statement contained in the second chapter of the Gospel according to St. Matthew, second verse, is essential to membership in the Order of the Eastern Star of New Jersey. I believe in a Supreme Being: ______My object in joining the Order: ______I am over 18 years of age at the present time: ______Have you ever made application to any Chapter of the O.E.S.? ______lf so, when and where? ______What disposition was made of the petition? ______Maiden name: ______Former married name:______Address ______Occupation: ______Tel. No.: ______E-mail Address: ______I am the ______of ______, a member of ______Lodge, No. _____ F. & A.M., located at ______OR, I am recommended by a Master Mason in good standing: ______OR, I am a Master Mason in good standing: ______Secretary of above Lodge is: ______Address: ______Date: ______Signed: ______Recommended by Committee ______

The following are eligible. Please check one: Wife Widow Mother Daughter Sister Legally Adopted Daughter Step-Daughter Half-Sister Grandmother Granddaughter Step-Granddaughter Great-Granddaughter Aunt Niece Step-Mother Step-Sister Mother-in-Law Sister-In-Law Daughter-In-Law Female First Cousin of a Master Mason in Good Standing Majority Rainbow Girl Sponsored by a Master Mason in Good Standing Master Mason in Good Standing Female Recommended by a Master Mason in Good Standing.

All candidates must present themselves for initiation within six months from date of election; in case of failure to do so, their election shall be null and void, and the fee which accompanied the petition forfeited to the Chapter.

No. 16 08/05 ______Chapter No. ______

ORDER OF THE EASTERN STAR of New Jersey

PETITION FOR MEMBERSHIP BY INITIATION

Date Presented: ______

Date Elected: ______

Date Initiated: ______

Date Rejected: ______

Date Withdrawn: ______

COMMITTEE REPORT

Favorable: ______

Unfavorable: ______

INITIATION FEE: ______

DUE WITH THIS PETITION: ______

BALANCE NIGHT OF INITIATION: ______

CHAPTER DUES: ______