Pennsylvania DeMolay

Form 11

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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 Current Term's Installation: Month Day Year

Date of Next Term's Installation: Month Day Year

Is this a firm date?

Do you anticipate needing a State Officer Installing team?

Master Councilor
No change
Check here if the new MC was the previous SC. Only enter phone or address information if it has changed during the past term.

Name

E-mail Address

Mailing Address

Home Telephone Cell Telephone

Senior Councilor
No change
Check here if the new MC was the previous SC. Only enter phone or address information if it has changed during the past term.

Name

E-mail Address

Mailing Address

Home Telephone Cell Telephone

Junior Councilor
No change

Name

E-mail Address

Mailing Address

Home Telephone Cell Telephone

Treasurer
No change

Name

E-mail Address

Mailing Address

Home Telephone Cell Telephone

Scribe
No change

Name

E-mail Address

Mailing Address

Home Telephone Cell Telephone

Check here if Scribe is an Advisor.

Sweetheart

Name

E-mail Address

Mailing Address

Home Telephone Cell Telephone

What is the term length of your Sweetheart?

Once complete click submit.

This information will be sent to the Executive Secretary.