State Chapter Application
2021-2022 Term
Name
*
First Name
Last Name
Home Chapter
*
Date of Birth
*
-
Month
-
Day
Year
Date
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Contact Information
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
What is Your Preferred Method of Contact?
*
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Parent / Guardian Info
Name
First Name
Last Name
Relation to You:
Phone Number
Please enter a valid phone number.
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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Additional Information
How many years have you been in DeMolay?
*
Are you a PMC? If so, have you earned the PMC-MSA?
What is your greatest strength?
What is your greatest weakness?
Do you have any interests or hobbies?
Which Committee (Membership, Leadership, Communication) would you prefer to be on?
*
How many LCC's have you completed? (if any)
List any awards you may have earned...
Becoming a State Chapter Officer comes with a financial cost (typically around $45, for your polo, tie, and name badge). Will this be an issue?
Do you have a reliable form of transportation?
Do you maintain a 2.0 GPA / Have you graduated?
Do you have any interest in the office of State Scribe?
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RMC Application
(only answer if you're applying for RMC)
Why should you be appointed RMC?
If appointed, what major focus would you have for the next year?
What goals would you have for yourself and your region during your term? (be sure to add 6 month and 12 month goals)
How do you plan on communicating with Chapters in your Region?
What innovative idea(s) do you have that would bring a sense of identity to your Region? (Ex. Traveling item, mascot, color)
Submit
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