Evangelium Vitae Report Form
Questions marked by * are required.
1.	Grand Knight: *
2.	Email: *
3.	Council #: *
4.	District #:
5.	Your Phone Number: *
6.	Council Chaplain:
7.	Diocese: *
8.	Describe Fully Your Participation, including required activity, for the area of PUBLIC INFORMATION AND EDUCATION:
9.	Describe Fully Your Participation, including required activity, for the area of PASTORAL CARE FOR ANY WHO MAY HAVE BEEN AFFECTED BY OUR CULTURE OF DEATH:
10.	Describe Fully Your Participation, including required activity, for the area of PUBLIC POLICY EFFORTS FOR FAVORABLE PRO-LIFE LEGISLATION:
11.	Describe Fully Your Participation, including required activity, for the area of PRAYER AND WORSHIP: