Slovak Catholic Sokol
Fraternalist of the Year Nomination
Nominee Information
Nominee Name
*
First Name
Last Name
Nominee Group
Please Select
Group 1 - Passaic, NJ
Group 2 - Bridgeport, CT
Group 3 - East Douglas, MA
Group 4 - Milwaukee, WI
Group 5 - Cleveland, OH
Group 6 - Perryopolis PA
Group 7 - Wilkes-Barre, PA
Group 8 - Bellaire, OH
Group 9 - Johnstown, PA
Group 10 - Bethlehem, PA
Group 11 - Superior, WI
Group 12 - Reading, PA
Group 13 - Johnstown, NY
Group 14 - Pittsburgh, PA
Group 15 - Buffalo, NY
Group 16 - Detroit, MI
Group 17 - Youngstown, OH
Group 19 - Toronto, Ontario
Nominee Assembly/Wreath
Please Select
Gr 1: Assembly 024 - Boonton, NJ
Gr 1: Assembly 063 - Sleepy Hollow, NY
Gr 1: Assembly 162 - Clifton, NJ
Gr 1 Assembly 182 - New York, NY
Gr 1: Assembly 219 - Yonkers, NY
Gr 1: Assembly 224 - Jersey City, NJ
Gr 1: Assembly 299 - Brooklyn, NY
Gr 1: Wreath 168 - New York, NY
Gr 2: Assembly 009 - Bridgeport, CT
Gr 2: Assembly 023 - Torrington, CT
Gr 2: Assembly 033 - Ansonia, CT
Gr 2: Wreath 001 - Bridgeport, CT
Gr 2: Wreath 039 - Bridgeport, CT
Gr 2: Wreath 086 - Torrington, CT
Gr 3: Assembly 028 - East Douglas, MA
Gr 3: Assembly 314 - Boston, MA
Gr 3: Wreath 003 - Libson Falls, ME
Gr 4: Assembly 011 - Chicago, IL
Gr 4: Wreath 081 - Whiting, IN
Gr 4: Wreath 093 - Milwaukee, WI
Gr 5: Assembly 167 - Barberton, OH
Gr 5: Assembly 180 - Canton, OH
Gr 5: Assembly 303 - Cleveland, OH
Gr 5: Wreath 034 - Cleveland, OH
Gr 5: Wreath 111 - Lorain, OH
Gr 5: Wreath 153 - Parma, OH
Gr 6: Assembly 025 - Perryopolis, PA
Gr 6: Assembly 163 - Donora, PA
Gr 6: Wreath 015 - Perryopolis, PA
Gr 7: Assembly 059 - Wilkes-Barre, PA
Gr 7: Assembly 071 - Edwardsville, PA
Gr 7: Assembly 086 - Port Griffith, PA
Gr 7: Assembly 136 - Nanticoke, PA
Gr 7: Assembly 185 - Binghamton, NY
Gr 7: Assembly 235 - Exeter, PA
Gr 8: Assembly 006 - Benwood, WV
Gr 8: Assembly 039 - Bellaire, OH
Gr 9: Assembly 074 - Scalp Level, PA
Gr 9: Assembly 079 - Lilly, PA
Gr 9: Assembly 082 - Dunlo, PA
Gr 9: Wreath 014 - Johnstown, PA
Gr 10: Assembly 072 - Catasauqua, PA
Gr 10: Assembly 078 - Bethlehem, PA
Gr 10: Assembly 255 - Egypt, PA
Gr 11: Assembly 034 - Minneapolis, MN
Gr 11: Assembly 155 - Ironwood, MI
Gr 11: Wreath 047 - Minneapolis, MN
Gr 12: Assembly 048 - Philadelphia, PA
Gr 12: Assembly 261 - Reading, PA
Gr 12: Wreath 013 - Philadelphia, PA
Gr 12: Wreath 155 - Reading, PA
Gr 13: Wreath 011 - Johnstown, NY
Gr 14: Assembly 016 - Pittsburgh, PA
Gr 14: Assembly 054 - Lyndora, PA
Gr 14: Assembly 104 - Pittsburgh, PA
Gr 14: Assembly 176 - New Brighton, PA
Gr 14: Assembly 179 - North Braddock, PA
Gr 14: Assembly 295 - Dusquesne, PA
Gr 14: Wreath 022 - Pittsburgh, PA
Gr 14: Wreath 085 - McKees Rocks, PA
Gr 15: Assembly 064 - Erie, PA
Gr 15: Assembly 096 - Niagara Falls, NY
Gr 16: Assembly 036 - Detroit, MI
Gr 17: Assembly 010 - Farrell, PA
Gr 17: Assembly 108 - Youngstown, OH
Gr 17: Wreath 029 - Farrell, PA
Gr 17: Wreath 054 - Youngstown, OH
Gr 19: Assembly 227 - Toronto, Ontario Canada
Date of Birth
-
Month
-
Day
Year
Date
Nominee Email
example@example.com
Nominee Phone Number
Please enter a valid phone number
Nominee Address
Street Address
Street Address Line 2
City
State/Providence
Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
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Submitter Information
Submitter Name
*
First Name
Last Name
Submitter Group
*
Please Select
Group 1 - Passaic, NJ
Group 2 - Bridgeport, CT
Group 3 - East Douglas, MA
Group 4 - Milwaukee, WI
Group 5 - Cleveland, OH
Group 6 - Perryopolis PA
Group 7 - Wilkes-Barre, PA
Group 8 - Bellaire, OH
Group 9 - Johnstown, PA
Group 10 - Bethlehem, PA
Group 11 - Superior, WI
Group 12 - Reading, PA
Group 13 - Johnstown, NY
Group 14 - Pittsburgh, PA
Group 15 - Buffalo, NY
Group 16 - Detroit, MI
Group 17 - Youngstown, OH
Group 19 - Toronto, Ontario
Submitter Assembly/Wreath
Please Select
Gr 1: Assembly 024 - Boonton, NJ
Gr 1: Assembly 063 - Sleepy Hollow, NY
Gr 1: Assembly 162 - Clifton, NJ
Gr 1 Assembly 182 - New York, NY
Gr 1: Assembly 219 - Yonkers, NY
Gr 1: Assembly 224 - Jersey City, NJ
Gr 1: Assembly 299 - Brooklyn, NY
Gr 1: Wreath 168 - New York, NY
Gr 2: Assembly 009 - Bridgeport, CT
Gr 2: Assembly 023 - Torrington, CT
Gr 2: Assembly 033 - Ansonia, CT
Gr 2: Wreath 001 - Bridgeport, CT
Gr 2: Wreath 039 - Bridgeport, CT
Gr 2: Wreath 086 - Torrington, CT
Gr 3: Assembly 028 - East Douglas, MA
Gr 3: Assembly 314 - Boston, MA
Gr 3: Wreath 003 - Libson Falls, ME
Gr 4: Assembly 011 - Chicago, IL
Gr 4: Wreath 081 - Whiting, IN
Gr 4: Wreath 093 - Milwaukee, WI
Gr 5: Assembly 167 - Barberton, OH
Gr 5: Assembly 180 - Canton, OH
Gr 5: Assembly 303 - Cleveland, OH
Gr 5: Wreath 034 - Cleveland, OH
Gr 5: Wreath 111 - Lorain, OH
Gr 5: Wreath 153 - Parma, OH
Gr 6: Assembly 025 - Perryopolis, PA
Gr 6: Assembly 163 - Donora, PA
Gr 6: Wreath 015 - Perryopolis, PA
Gr 7: Assembly 059 - Wilkes-Barre, PA
Gr 7: Assembly 071 - Edwardsville, PA
Gr 7: Assembly 086 - Port Griffith, PA
Gr 7: Assembly 136 - Nanticoke, PA
Gr 7: Assembly 185 - Binghamton, NY
Gr 7: Assembly 235 - Exeter, PA
Gr 8: Assembly 006 - Benwood, WV
Gr 8: Assembly 039 - Bellaire, OH
Gr 9: Assembly 074 - Scalp Level, PA
Gr 9: Assembly 079 - Lilly, PA
Gr 9: Assembly 082 - Dunlo, PA
Gr 9: Wreath 014 - Johnstown, PA
Gr 10: Assembly 072 - Catasauqua, PA
Gr 10: Assembly 078 - Bethlehem, PA
Gr 10: Assembly 255 - Egypt, PA
Gr 11: Assembly 034 - Minneapolis, MN
Gr 11: Assembly 155 - Ironwood, MI
Gr 11: Wreath 047 - Minneapolis, MN
Gr 12: Assembly 048 - Philadelphia, PA
Gr 12: Assembly 261 - Reading, PA
Gr 12: Wreath 013 - Philadelphia, PA
Gr 12: Wreath 155 - Reading, PA
Gr 13: Wreath 011 - Johnstown, NY
Gr 14: Assembly 016 - Pittsburgh, PA
Gr 14: Assembly 054 - Lyndora, PA
Gr 14: Assembly 104 - Pittsburgh, PA
Gr 14: Assembly 176 - New Brighton, PA
Gr 14: Assembly 179 - North Braddock, PA
Gr 14: Assembly 295 - Dusquesne, PA
Gr 14: Wreath 022 - Pittsburgh, PA
Gr 14: Wreath 085 - McKees Rocks, PA
Gr 15: Assembly 064 - Erie, PA
Gr 15: Assembly 096 - Niagara Falls, NY
Gr 16: Assembly 036 - Detroit, MI
Gr 17: Assembly 010 - Farrell, PA
Gr 17: Assembly 108 - Youngstown, OH
Gr 17: Wreath 029 - Farrell, PA
Gr 17: Wreath 054 - Youngstown, OH
Gr 19: Assembly 227 - Toronto, Ontario Canada
Submitter Email
*
example@example.com
Submitter Phone Number
*
Please enter a valid phone number.
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Nominee Fraternal, Religious, and Community Activities
Please provide the following information about the Fraternalist of the Year Nominee
A. Fraternal Support
Describe nominee’s significant involvement in his or her local Assembly, Wreath or Group. How has the nominee promoted the Slovak Catholic Sokol over the years?
B. Parish or Religious Activitie
Describe the nominee’s efforts in his/her local parish or religious organization serving as a model of fraternalism.
C. Community Activities:
Describe the nominee’s activities in various local volunteer efforts in his/her local community.
D. Other Comments:
Other reasons for the nominee to be considered for the Slovak Catholic Sokol Fraternalist of the Year Award.
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Acknowledgement and Signature
Applicant Signature
Date Signed
-
Month
-
Day
Year
Date
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