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Chaplain of the Year Nomination

Chaplain of the Year Nomination Form

Instructions

Complete this form for your Council's nomination for Chaplain of the Year. Once you click the Send button, a copy of this form will be sent to your Council's Grand Knight or Program Director, the State Faith Director, and the State Program Director.

Chaplain of the Year nominations are due by
End of Day, March 1.


Please provide some general information about your Council and the
contact information for your Grand Knight or Program Director in the section below.

All fields in this section are required for submission.

Please type in your Council Number.
Please type in your Council Name.
Please select your District Number from the drop down list.
Please type in your Council's Home City.
First Name *
Last Name *

Please provide some Personal Data on your nominee.

Information in this section can be found through Member Management (Online) with the assistance of the Grand Knight or Financial Secretary.

This information is required for submission.

Please type in the name of your nominee.
First Name *
Last Name *
Please type in the address of your nominee.
Country
Address Line 1 *
City *
State/Province *
Postal Code *
Please type in a phone number for your nominee.
Please type in the name of your Parish.
Please select a date for when your nominee joined the Knights of Columbus.
Month
/
Day
/
Year
Please provide your nominee's Membership Number.

Please provide, IN FULL DETAIL, the following information regarding your Chaplain of the Year Nomination.

  • Why does your Chaplain deserve the distinction of being named State Knights of Columbus Chaplain of the Year?
  • Explain the Chaplain's involvement with your Council, Parish, and Community.
  • A photo should accompany the Chaplain of the Year Nomination

You may either use the text area provided to add the information or upload a document and/or picture using the upload file option. You may upload up to 5 documents/pictures using this form.

Additional Information is not required for submission, but will be taken into consideration during the awards selection process.

You may Copy & Paste details about your nominee in the space provided below. You may also type directly into the text area below.
You may upload up to 5 documents/pictures using the upload options below.
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