PA DeMolay Resource - State Officer Report Form

home > resource > online forms > form 11

Form 11

This report is to be submitted to the Executive Secretary within 10 days of your Chapter's election of officers, and prior to your Installation. Your Chapter Advisor or Scribe should file this form on the day of your Chapter elections. Please fill-in information for all officers. If the officer and address has not changed since your last Form 11, check the "No Change" box. Complete all information and click "Submit" at the bottom of the page.

Chapter Location

Person Submitting Form Title

E-mail for return correspondence

The following officers have been elected/appointed to serve our Chapter for the term indicated:

Term Begins: Month Day Year

Term Ends: Month Day Year

Date of Installation: Month Day Year

Master Councilor No change

Name

E-mail Address

Mailing Address

Telephone

Senior Councilor No change

Name

E-mail Address

Mailing Address

Telephone

Junior Councilor No change

Name

E-mail Address

Mailing Address

Telephone

Treasurer No change

Name

E-mail Address

Mailing Address

Telephone

Check here if Treasurer is an Advisor.

Scribe No change

Name

E-mail Address

Mailing Address

Telephone

Check here if Scribe is an Advisor.

Please verify all information, then...

Click once. Use your browser's back button to return here. This information is being submitted to the Executive Secretary and State Master Councilor for PA DeMolay.

home > resource > online forms > form 11