Form 12

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Form 12 - Installation Request Form

This form should be completed prior to announcing your installation date. Officers must be installed within forty-five (45) days of being elected. A Special Dispensation Request Form is required when an Installation is held on a date other than that which is specified by the Chapter's by-laws as their stated meeting of the Chapter.

Your Information

Name *

First Name

Last Name

Email *

Select Your Role *

Select Your Chapter *

Installation Information

Select Chapter *

Term *

Installation Option *

Date / Time *

Date

Time

Installation Address *

Address Line 1

City

State

Zip Code

Master Counciilor Elect *

First Name

Last Name

Chapter Advisor *

First Name

Last Name

Check any other officer being installed

Senior Councilor
Junior Councilor
Senior Deacon
Junior Deacon
Senior Steward
Junior Stewart
Chaplain
Marshall
Standard Bearer
Orator
Sentinel
Preceptors

Senior Councilor *

First Name

Last Name

Junior Councilor *

First Name

Last Name

Senior Deacon *

First Name

Last Name

Junior Deacon *

First Name

Last Name

Senior Stewart *

First Name

Last Name

JuniorStewart *

First Name

Last Name

Chaplain *

First Name

Last Name

Marshall *

First Name

Last Name

Standard Bearer *

First Name

Last Name

Orator *

First Name

Last Name

Sentinel *

First Name

Last Name

Preceptos *

Will you Chapter be crowning a Chapter Sweetheart? *

Chapter Sweetheart *

First Name

Last Name

Installation Team

Note: Any person, except current State Officers and State Councilors, must be approved by the Executive Officer to perform any ritual which includes, but not limited to, Installing Parts, Flower Talk, and Ceremony of Light.

Select a Team *

Which installing officers are being provided? *

IO
Senior Councilor
Junior Councilor
Marshall
Chaplain

Installing Officer *

First Name

Last Name

Installing Senior Councilor *

First Name

Last Name

Installing Junior Councilor *

First Name

Last Name

Installing Marshall *

First Name

Last Name

Installing Chaplain *

First Name

Last Name

Open Ceremony? *

Name of Speaker *

First Name

Last Name

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This is the official website of Michigan DeMolay and acknowledges the authority and yields allegiance to DeMolay International, of which Frank S. Land was the founder.