Iowa State Council
Knights of Columbus
Diocesan Chaplain of the Year
nominating form
Council Number:
*
Council Name:
Council Location:
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Grand Knight:
*
GK Address:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
GK Email:
Email to use for submission confirmation
GK Phone:
*
-
Area Code
Phone Number
Chaplain:
*
Diocese:
*
Please Select
Archdiocese of Dubuque
Diocese of Davenport
Diocese of Des Moines
Diocese of Souix City
Parish/Parishes:
*
Chaplain's Address:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Chaplain's Email:
Chaplain's Phone:
*
-
Area Code
Phone Number
Participation:
Attends Council Meetings
Active in Council Meetings
Participates in Council Activities
What impact has this Chaplain made to his Council and to the Knights of Columbus as an Order?
*
Why should this Chaplain be chosen as the Diocesan Chaplain of the Year?
*
Attachments:
Include pictures, testimonials and any other information
District Deputy Email:
Send a copy to your DD
Submit
Print Form
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