numeric-field-not-used Text Input 38 Test-Input-39 Test-Input-46 Test-Input-45 Test-Input-43 Test-Input-42 Test-Input-41 Test-Input-60 Current Filing Year Test-Input-57 Test-Input-58 Past Filing Year Test-Input-56 Test-Input-67 Test-Input-66 Test-Input-65 Test-Input-64 Test-Input-63 c-f-a c-f-b c-f-c c-f-d c-f-e c-f-f c-f-g c-fa-a c-fa-b c-fa-c c-fa-d c-fa-e c-fa-f c-c-a c-c-b c-c-c c-c-d c-c-e c-c-f c-c-g c-c-h c-c-i c-c-j c-c-k c-c-l c-c-m c-c-n c-l-a c-l-b c-l-c c-l-d c-l-e c-l-f c-l-g c-o-a c-o-b c-o-c c-o-d Test-Input-32 Test-Input-55 Test-Input-54 Test-Input-53 Test-Input-52 Test-Input-51 Test-Input-50 Test-Input-49 Test-Input-48 Test-Input-79 Test-Input-78 Test-Input-77 Test-Input-76 Test-Input-75 Test-Input-74 Test-Input-73 Test-Input-72 Test-Input-71 Test-Input-70 Test-Input-69 Test-Input-68 a-f-a a-f-b a-f-c a-f-d a-f-e a-f-f a-f-g a-fa-a a-fa-b a-fa-c a-fa-d a-fa-e a-fa-f a-c-a a-c-b a-c-c a-c-d a-c-e a-c-f a-c-g a-c-h a-c-i a-c-j a-c-k a-c-l a-c-m a-c-n a-l-a a-l-b a-l-c a-l-d a-l-e a-l-f a-l-g a-o-a a-o-b a-o-c a-o-d council total Assembly Total Email Date / Time First Name Last Name Submit Form IdentificationCouncil SurveyAssembly SurveyANNUAL SURVEYOF FRATERNAL ACTIVITY Please complete the following before the next step. Survey Year Current Year Survey Date First Name Last Name id Email Do you wish to file a survey for the Assembly? Yes NoPreviousNextINDIVIDUAL MEMBER WORKSHEET 1728A Council Part 1 Faith Activities Council Faith Activities Activity Letter Activity Hours a. RSVP Programb. Church Facilitiesc. Catholic Schools/Seminariesd. Religious/Vocations Educatione. Prayer & Study Programsf. Sacramental Giftsg. Miscellaneous Faith Activities Total Council Faith Family Activities Council Family Activities Activity Letter Activity Hours a. Food for Familiesb. Family Formation Programsc. Keep Christ in Christmasd. Family Weeke. Family Prayer Nightf. Miscellaneous Family Programs Total Council Family Community Activities Council Community Activities Activity Letter Activity Hours a. Coats For Kidsb. Global Wheelchair Missionc. Habitat for Humanityd. Disaster Preparedness/Reliefe. Physically Disabled/Intellectual Disabilitiesf. Elderly/Widow(er)Careg. Hospitals/Health Organizationsh. Columbian Squiresi. Scouting/Youth Groupsj. Athleticsk. Youth Welfare/Servicel. Scholarships/Educationm.Veteran Military/VAVSn. Miscellaneous Community/Youth Activities Total Council Community Life Activities Council Life Activities Activity Letter Activity Hours a. Special Olympicsb. Marches for Lifec. Ultrasound Initiatived. Pregnancy Supporte. Christian Refugee Relieff. Memorials to Unborn Childreng. Miscellaneous Life Activities Total Council Life Other Activities Council Other Activities Activity Letter Activity Hours Visits to the SickVisits to the BereavedNumber of Blood DonationsHours of Fraternal Service to Sick/Disabled ... Total Council Other Total Council Activity Hours:Council Total PreviousNext INDIVIDUAL MEMBER WORKSHEET 1728A Assembly Part 2 Complete this section only if you are a 4th Degree Member, Thank you. Assembly Hours Faith Activities Assembly Faith Activities Activity Letter Activity Hours a. RSVP Programb. Church Facilitiesc. Catholic Schools/Seminariesd. Religious/Vocations Educatione. Prayer & Study Programsf. Sacramental Giftsg. Miscellaneous Faith Activities Total Assembly Faith Family Activities Assembly Family Activities Activity Letter Activity Hours a. Food for Familiesb. Family Formation Programsc. Keep Christ in Christmasd. Family Weeke. Family Prayer Nightf. Miscellaneous Family Programs Total Assembly Family Community Activities Assembly Community Activities Activity Letter Activity Hours a. Coats For Kidsb. Global Wheelchair Missionc. Habitat for Humanityd. Disaster Preparedness/Reliefe. Physically Disabled/Intellectual Disabilitiesf. Elderly/Widow(er)Careg. Hospitals/Health Organizationsh. Columbian Squiresi. Scouting/Youth Groupsj. Athleticsk. Youth Welfare/Servicel. Scholarships/Educationm.Veteran Military/VAVSn. Miscellaneous Community/Youth Activities Total Assembly Community Life Activities Assembly Life Activities Activity Letter Activity Hours a. Special Olympicsb. Marches for Lifec. Ultrasound Initiatived. Pregnancy Supporte. Christian Refugee Relieff. Memorials to Unborn Childreng. Miscellaneous Life Activities Total Assembly Life Other Activities Assembly Other Activities Activity Letter Activity Hours Visits to the SickVisits to the BereavedNumber of Blood DonationsHours of Fraternal Service to Sick/Disabled ... Total Assembly Other Total Assembly Activity Hours:Assembly Total Previous Submit Form
