Missouri State Council

 Knights of Columbus

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 KNIGHT OF THE MONTH APPLICATION FORM


NOTE:  ALL ENTRIES ARE COPIED AND MAILED TO COMMITTEE OF JUDGES.

Submitting for

KNIGHT'S NAME                 DATE
ADDRESS CITYZIP
COUNCIL NAME & NUMBER
LOCATION KNIGHT'S PHONE #

PLEASE LIST ONLY THE PAST TWO (2) YEARS
1. Qualifications:

 A. What has this Knight done for his K. C. Council (Please use 25 words or less)



B. To what degree of involvement on various projects: Did he start the project, chair or co-chair the

project and the time committed to the event.

 

2. Church Activities: Circle the following that describes his participation. - Lector - Usher - Member of Choir -

Eucharistic Minister - Server at Mass - Prayer Leader - Parish Council - Parish Committee - or Other:



3. Community:

A. Has he or does this Knight work with a special community project, held office, chaired or co-chaired
a project? Yes or No (Please use 25 words or less)

 

B. Does he work with area Youth Groups?  Yes or No Examples: 4-H - Scouts - Youth Athletics - Baseball -

Basketball - Football - Soccer - Other-

 

4. Personal: Give resume of Knights personal background (75 words or less)


5. Picture. Attach a quality photo (good color is preferred) If this Knight is the winner his picture will appear

in the Mariner and the State Program Directory.


RULES: State Officers, State Directors, State Chairmen, District Deputies, Grand Knights, and Past State Winners

are not eligible.
NOTE: Why not as a reward, add this Brother Knight's name to the Catholic Education State Living

Memorial Board and help Catholic Education.

Email of person submitting this form:

Click on Submit below and a Confirmation Page will be created.

ALBERT RENCZARSKI Fraternal Recognition Chairman
15602 Tipton Road, Smithville, MO 64089-8871 D $25.00 Enclosed

SYMPATHY CARD REQUEST

Name of Deceased Brother:
Council Name & Number
Highest K of C Office Held _
Send Sympathy Card to:
 Relationship
Address  
CityState Zip Code

Comments:
 Email of person submitting this form: 

Click on the submit button and the form will be e-mailed to the sympathy card chairman, and a confirmation

page will be created for your record.