Form 11 - DeMolay Canada

Form 11: New Chapter Officer Reporting

Please complete within 7 days of the Installation of Officers.

Please ensure all information is verified and up to date at the time of completion. If you require your info to be updated partway through the term please email info@demolaycanada.ca from the Chapter email address you’ve provided in the Form 11 report.

Step 1 of 5

Chapter Name(Required)

Jurisdiction(Required)

Date of Installation(Required)

Chapter Email Address(Required)

Chapter Meeting Address(Required)

Street Address Address Line 2 City Province Postal Code

Is the Chapter Mailing Address Different From Meeting Location?(Required)

Yes

No

Chapter Mailing Address(Required)

Street Address Address Line 2 City Province Postal Code

Chapter Meeting Days (Ex. 1st & 3rd Wednesdays)(Required)

Chapter Meeting Time (7:30 PM)(Required)

:

Date of Next Installation(Required)

If unknown please provide an approximate date

Master Councillor - Full Name(Required)

First Last

Master Councillor - Email(Required)

Master Councillor - Phone Number(Required)

Master Councillor - Mailing Address(Required)

Street Address Address Line 2 City Province Postal Code

Senior Councillor - Full Name(Required)

First Last

Senior Councillor - Email(Required)

Senior Councillor - Phone Number(Required)

Senior Councillor - Mailing Address(Required)

Street Address Address Line 2 City Province Postal Code

Junior Councillor - Full Name(Required)

First Last

Junior Councillor - Email(Required)

Junior Councillor - Phone Number(Required)

Junior Councillor - Mailing Address(Required)

Street Address Address Line 2 City Province Postal Code

Do you have a Chapter Sweetheart?(Required)

Yes

No

Chapter Sweetheart - Full Name(Required)

First Last

Chapter Sweetheart - Email(Required)

Chapter Sweetheart - Phone Number(Required)

Chapter Sweetheart - Mailing Address(Required)

Street Address Address Line 2 City Province Postal Code

Chapter Chairman - Full Name(Required)

First Last

Chapter Chairman - Email(Required)

Chapter Chairman - Phone Number(Required)

Chapter Chairman - Mailing Address(Required)

Street Address Address Line 2 City Province Postal Code

Chapter Advisor - Full Name(Required)

First Last

Chapter Advisor - Email(Required)

Chapter Advisor - Phone Number(Required)

Chapter Advisor - Mailing Address(Required)

Street Address Address Line 2 City Province Postal Code

Chapter Reporting

Resources Links

Contact Info

Form 11: New Chapter Officer Reporting

Please Enter the Names of All Other Officers Below:

Please log in to complete the Form 10

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Allegiance Statement

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