GOLD KEY AWARD
(NOMINATION FORM)
Qualifying characteristics,
nominating procedures and limitations of this Award will be found in 43.04 of
the Grand Chapter Constitution and Regulations.
==============================================================================================================
NAME OF NOMINEE ______________________________________________ Wife ____________
Phone (Home) _______________________ (Business)________________________________
Masonic
Lodge __________________________ No _____ Location ___________________________________________
Raised ______ WM _____ DDGM
________ Grand Lodge___________________________________________
Honors _____________________________________________________________________________________
Royal
Arch Mason_______________________No _____ Location ____________________________________________
Exalted _____ HP ______ DDGHP
_____Grand Chapter_____________________________________________
Honors
_____________________________________________________________________________________
Royal
& Select Masters ___________________No _____ Location____________________________________________
Greeted _____ IM ______ DDGM
_______ Grand Council ___________________________________________
Honors
_____________________________________________________________________________________
Commandery_______________________________
No _____ Location ________________________________________
Knighted _____ EC _____ DDGC
_______Grand Commandery _______________________________________
Honors
_____________________________________________________________________________________
Attendance
at Meetings (On a scale of One to Ten)
Stated Called Degree Work Special Functions
Lodge _____ _____ ___________ _______________
RAM _____ _____ ___________ _______________
R&SM _____ _____ ___________ _______________
KT _____ _____ ___________ _______________
Current
Office (Elected, Appointed or
Regular Pro Tem)
Lodge
_____________________________________ RAM
___________________________________________
R&SM
______________________________________ K ____________________________________________
Other_______________________________________________________________________________________
Services
Performed on a Regular Basis
Lodge
_____________________________________ RAM
___________________________________________
R&SM
______________________________________ KT ___________________________________________
Other_______________________________________________________________________________________
Other
Masonic Related Bodies
AAONMS _____ GROTTO _____ KYCH
_____ MSRICF _____ TC of L _____
AASR ____ HRAKTP _____ M&W_____
Red
Cross ____ YRCollege___ AMD ___ KM
_____
Other_______________________________________________________________________________________
Service
to Youth (Fill in "P" if Present, "F" if Former)
DeMolay __________ Job's Daughters _____ Rainbow
_____ Church _______
Little League _____ Boy
Scouts ________
Other_______________________________________________________________________________________
NAME _________________________________ Chapter ________________________ No ________
(Name of Nominator)