FORM 12

Submit this form when a member completes both his Initiatory and DeMolay Degree proficiencies. Also use this form to inform the Nor-Cal office of which members of your Chapter have completed their proficiencies in the past, before the institution of this form. The information on this form will be used to determine eligibility for Jurisdiction/Division elections, activities, and athletic and ritual competitions.

The following members of Chapter have completed both the Initiatory and DeMolay Degree Proficiencies.

1.

2.

3.

4.

5.

6.

7.

8.

ATTESTED TO BY:
Chairman or Chapter "Dad" Advisor

Person submitting this form: Your E-Mail:

TO SUBMIT THIS FORM:

1.

OR

2. You can mail this form to:

Northern California DeMolay
4631 Nevin Avenue
Richmond, CA 94805