MEMBERSHIP APPLICATION (PETITION) An Organization for Young Men 1. Name: ____________________________________________________2. Date: __________________
3. Address: _____________________________________________________________________________
4. City: _____________________________________ 5. State & Zip: _____________________________
6. Phone: ( ) _________________________________ 7. Birthdate: ______________________________
8. School Attending: ___________________________________________9. Grade: _________________
10. Favorite School Subject(s): ________________________________________________________________
__________________________________________________________________________________________
11. Hobbies/Interests: ____________________________________________________________________
________________________________________________________________________________________
12. Clubs, Organizations: __________________________________________________________________
_______________________________________________________________________________________
13. Church/Synagogue: __________________________________________________________________
14. References: List 3 friends (your age) you have known for one year.
Name: _____________________ Address:______________________ Phone: ___________________
______________________
Name: _____________________Address: ______________________ Phone: ___________________
______________________
Name: _____________________Address: ______________________ Phone: ____________________
______________________
My Parents/Guardians approve of my joining DeMolay.
15. Father's Name: _________________________ 16. Mother's Name: __________________________
17. Is your father a Senior DeMolay? _____________If so, where? _______________________________
18. Is your father a Mason? ______________ If so, where?______________________________________
19. Parent/Guardian Signature: ____________________________________________________________
20. Applicant's Signature: _________________________________________________________________
21. DeMolay Sponsor's Name and Signature: _______________________________________________
21B. Second DeMolay Sponsor.s Name and Signature: ________________________________________
22. Masonic Sponsor's Name and Signature: ________________________________________________
Your Life Membership Fee of: ____________________ must accompany this application.
