Advisor Survey Submittal

Advisor Survey
Please fill out each field to the best of your ability and click submit at the bottom when finished. Note you can choose which sections you would like to give feedback on by checking the categories under your personal information. You can submit as many times as you feel needed. If you do not receive an e-mail confirming your submission, please email office@wademolay.org to ensure your submission has been received.
Personal Information:
Full Name

First NameMiddle NameLast Name
Email:
where your confirmation will be sent
Phone Number
Chapter
Select the areas you would like to give feedback on to open those questions:
Masonic Building:
Physical Address

Street Address

CityState / Province

Postal / Zip Code
Rental Contact Name:
Who can help w/reservation?
Rental Relationship:
Facility Rental Cost:
Kitchen Available:
Lodge Rooms Available:
Breakout Meeting Spaces:
Paraphernalia Available:
candles, etc...
AV Equip Available
projectors, TV, etc...
Parking Available:
Overnights Allowed:
Additional Comments About Masonic Building:
type your question here
Professional Background:
Have you served in the military:
Branch served:
Current Area of Employment:
1. If Other - Give Category
Previous Area of Employment:
2. If Other - Give Category
Explain Skills or Previous Jobs You Feel are Relevant to Share:
type your question above
Hobbies / Interests:
Select Hobbies or Areas of Interest for you:
Are you willing to be contacted for any of these:
Additional Comments about Hobbies:
type your question above
Community: notable masonic individuals/businesses in your local area
Person #1 (put N/A if none)
Person #2
Person #3
Additional Comments About Your Community (Venues that should be noted):
type your question above
Schools: (List up to 5 schools with facilities DeMolay could potentially use)
School #1
1.) How many gyms?
School #2
2.). How many gyms?
School #3
3.). How many gyms?
School #4
4.). How many gyms?
School #5
5.). How many gyms?
Additional Comments about Schools:
type your question above
Ritual Parts (Initiation):
Select Initiatory Degree parts your Chapter can fill:
Select DeMolay Degree parts your Chapter can fill:
Today’s Date

MonthDayYear
Date
Should be Empty:

Advisor Survey

Select the areas you would like to give feedback on to open those questions: