Nomination Proposal For Admission into the Order

Middle Atlantic Lieutenancy of the United States

Tel: (202) 526-4217 / Fax: (202) 526-4218 / Email: lieutenant@midatlanticeohs.com
EQUESTRIAN ORDER OF THE HOLY SEPULCHRE OF JERUSALEM
RETURN BY: December 1, 2024 for consideration in 2025.

Please Note: A Proposal for Admission must not be discussed with or divulged to a candidate or the candidate's Pastor until the proposer has received notification of approval from the Lieutenant. Please complete the form as fully and accurately as possible. The completed form must be provided to the Section President for review of completion and adequacy.

*Separate forms are required for each candidate if both husband and wife are being proposed.
PROPOSAL FOR ADMISSION OF LAITY presented by:

First NameMiddle NameLast NameRank
Candidate's Information

PROPOSAL FOR ADMISSION OF LAITY
Candidate’s Full Name*

First NameMiddle NameLast NameSuffix
Spouse also proposed*

YesNo
Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Phone Number
Please enter a valid phone number.
Cell Phone Number
Please enter a valid phone number.
Email
example@example.com
Business/Profession
Parish Name
Diocese
Parish Address

Street Address

Street Address Line 2

CityState

Zip Code
Name of Pastor

First NameLast Name
How long have you known the candidate
Relationship
Qualifications
State Why You Feel the Candidate Is Worthy of the Honor of Admission in the Order
Optional: Attach any additional information about this candidate

Cancelof

Proposer's Information

PROPOSAL FOR ADMISSION OF LAITY
Proposer's Name

First NameMiddle NameLast NameRank
Proposer's Address

Street Address

Street Address Line 2

CityState

Zip Code
Proposer's Daytime Phone
Please enter a valid phone number.
Proposer's Evening Phone
Please enter a valid phone number.
Proposer's Cellphone Phone
Please enter a valid phone number.
Proposer's Email
example@example.com
Date

MonthDayYear
Date
Signature

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Middle Atlantic Lieutenancy of the United States

EQUESTRIAN ORDER OF THE HOLY SEPULCHRE OF JERUSALEM

Candidate's Information

Proposer's Information