Chivalric Of the Holy of the Fellow Soldiers of Jacques DeMolay

Order of Knighthood Application for Membership Recommended by:

______Sir Registrar’s Use Only Advisor ______/______/______Date Received ______/______/______Investiture Date A Sir Knight of the Priory Fees: $______Fee for Life Membership Investiture ______Life Membership $ 40.00 . A Sir Knight of the Priory Information for the Sir Knight Registrar To DeMolay International: (Please print (legibly) the following information))

I do hereby freely and voluntarily offer myself as a candidate for membership in the Chivalric Knights of the Holy Order of Fellow Name: . Soldiers of Jacques DeMolay. (First) (Middle) (Last) I pledge that I am a member in good standing of a duly recognized Are you a Life Member of your Chapter? Yes No Chapter of the Order of DeMolay and that I am not under suspension (Circle one) or expulsion from my Chapter. DeMolay International ID Number:______I personally pledge the following Service to the Priory, into which I am to become a member: Date of Birth: / / . A. I shall participate to the best of my ability in community or civic Chapter Name: . projects, as the Priory may select, some of which may be totally Chapter Location: . unrelated to DeMolay. Chapter Offices Held: . B. I will commit to memory a part of a DeMolay ceremony not usually performed within the Chapter’s routine ceremonies . (such as Majority, Memorial, Funeral, etc) and will be on call Committees Served On: . from the Priory to perform these ceremonies as they are assigned to me. . C. I will be available to speak by invitation at any Masonic event DeMolay and Honors: (Circle all that apply) on the merits and purpose of DeMolay, and to do this singularly RD Chevalier Blue Honor Key or on Knighthood teams, time permitting. Others: . D. I pledge that I will advise the Executive Officer, or his appointed School or College Attending:______representative, of any change of address or phone number. And/Or In this way, I can be contacted for my SERVICE. Employment: . E. The above Pledge is made in appreciation to the Order of DeMolay, Home Address: which has helped me mature in mind and character, and I am willing to offer my service to my Chapter, Community, State and Nation. Name: . I furthermore pledge that I am of good character and between the ages of Street: . seventeen and twenty-one. City, State, Zip: .

Email address:: .

I certify upon my honor as a DeMolay that the above questions have been

answered correctly. ______

Applicant’s Signature of Applicant