Annual Survey of Fraternal Activity
Use this form for Council 2045 & Assembly 2042. All information provided on this report is to be for Programs & Activities conducted January 1st through December 31st annually.
Name
*
First Name
Last Name
Are you a 4th Degree member?
*
Yes
No
FAITH ACTIVITIES
Rows
CHARITABLE DISBURSEMENTS ($$$)
HOURS OF SERVICE
RSVP Program
Church Facilities
Catholic Schools/Seminaries
Religious/Vocations Education
Prayer & Study Programs
Sacramental Gifts
Miscellaneous Faith Activities
FAMILY ACTIVITIES
Rows
CHARITABLE DISBURSEMENTS ($$$)
HOURS OF SERVICE
Food for Families
Family Formation Programs
Keep Christ in Christmas
Family Week
Family Prayer Night
Miscellaneous Family Programs
COMMUNITY ACTIVITIES
Rows
CHARITABLE DISBURSEMENTS ($$$)
HOURS OF SERVICE
Coats For Kids
Global Wheelchair Mission
Habitat for Humanity
Disaster Preparedness/Relief
Physically Disabled/Intellectual Disabilities
Elderly/Widow(er) Care
Hospitals/Health Organizations
Columbian Squires
Scouting/Youth Groups
Athletics
Youth Welfare/Service
Scholarships/Education
Veteran Military/VAVS
Miscellaneous Community/Youth Activities
LIFE ACTIVITIES
Rows
CHARITABLE DISBURSEMENTS ($$$)
HOURS OF SERVICE
Special Olympics
Marches for Life
Ultrasound Initiative
Pregnancy Support
Christian Refugee Relief
Memorials to Unborn Children
Miscellaneous Life Activities
Meetings
Rows
Number of Meetings
Regular
Social
Special/Committee
OTHER FRATERNAL COMMITMENTS:
Rows
Number of Times
Visits to the Sick
Visits to the Bereaved
Number of Blood Donations
Masses Held for Members
Submit
Should be Empty: