October 2009 - Prince Hall Grand Lodge of Georgia
October 2009 - Prince Hall Grand Lodge of Georgia
October 2009 - Prince Hall Grand Lodge of Georgia
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NOMINATION FORM FORLODGE OF THE YEARMost Worshipful <strong>Prince</strong> <strong>Hall</strong> <strong>Grand</strong> <strong>Lodge</strong> <strong>of</strong> <strong>Georgia</strong>Honorable Ramsey Davis, Jr., Most Worshipful <strong>Grand</strong> Master(PLEASE TYPE or PRINT)<strong>Lodge</strong> Name & Number______________________________Address:______________________________City, State & Zip:_____________________________Worshipful Master Name:______________________________Senior Warden Name:______________________________Junior Warden Name:______________________________Date <strong>Lodge</strong> was Established/Chartered:____________________________________SOCIAL INFORMATION:INTERNAL USE ONLY:Date Received:NOMINATOR:Nominators Name:______________________________Address:_____________________________City, State & Zip:_____________________________Nominators <strong>Lodge</strong> Name & Number:______________________________Address:_____________________________City, State & Zip:_____________________________Telephone Number:_____________________________Signature ___________________________________ Date: ______________________All Applications must be submitted to Bruce James, <strong>Grand</strong> Senior Warden and CommitteeAPPLICATION DEADLINE: Postmarked May 31, 2010CRITERIA FORLODGE OF THE YEAR1. Must be viable and visible within the community.a) List all community activities (i.e., church visitation, Meals on Wheels, etc.)2. Must have provided assistance and/or aid (Finance) to Charity (i.e., Meals on Wheels, Senior Citizens, Hospital, Youth Groups,Schools, Homeless, Habitat for Humanity, etc.)3. Must have held or provided Voter Registration Drives, Free Ride to the Pools and/or Voter Education.4. Must provide a photograph album containing pictures labeled with location, date and time <strong>of</strong> events.5. Must provide some form <strong>of</strong> financial assistance (aid, scholarship) to a student who is pursuing higher education.6. (Must actively and financially support the goals and objectives <strong>of</strong> the District.7. Must have a Chapter <strong>of</strong> Knights <strong>of</strong> Pythagoras or show reasonable cause why one has not been established.8. Must file and remit payment for ALL Dues and Assessments (Building Endowment Fund inclusive) in a timely manner to the<strong>Grand</strong> <strong>Lodge</strong>.9. Must have had representation at the previous and present <strong>Grand</strong> Communication.Base on the criteria given above, please use a separate sheet to explain why you feel the nominee should be recognized as <strong>Lodge</strong> <strong>of</strong>the Year. (Be very detailed and specific in your explanation. Use additional paper for documentation.)34
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