Council History Report Form
Questions marked by * are required.
1. Council #: *
2. Council City: *
3. Fraternal Year From: *
4. Fraternal Year To: *
5. Chaplain:
6. Grand Knight:
7. Deputy Grand Knight:
8. Chancellor:
9. Recorder:
10. Financial Secretary:
11. Treasurer:
12. Advocate:
13. Warden:
14. Guard - Inside:
15. Guard - Outside:
16. Trustee - 1 yr:
17. Trustee - 2 yr:
18. Trustee - 3 yr:
19. Lecturer:
20. Historian:
21. Members serving the fraternal year as a state officer, district deputy, state membership or state program director or chairman:
22. Supreme Council Award (Star, Columbian, etc)
23. Kansas State Council Service Program Award:
24. Council Knight of the Year:
25. Council Family of the Year including Wife's Name:
26. Membership - Total:
27. Membership - Insurance:
28. Membership - Associate:
29. Membership - Inactive:
30. Membership - As of January 1:
31. First Degree Date and Number of Candidates:
32. Council hosted a 2nd and 3rd Degree Exemplification (dates):
33. Dates of Corporate Communions:
34. Dates of Memorial Service and/or Mass for Deceased Members:
35. Dates of Founders Day Program:
36. Church Activities:
37. Adopted Seminarian(s) or Postulant(s):
38. Community Activities:
39. Council Activities:
40. Family Activities:
41. Culture of Life Activities:
42. Youth Activities:
43. Sponsor Squires Circle #:
44. Other Activities:
45. Your Email Address: