2011 ANNUAL SURVEY OF FRATERNAL ACTIVITY INDIVIDUAL MEMBER WORKSHEET
Brothers, As part of the Council’s filing requirement, we have to report the number of volunteer hours/visits we have made during the year. Please fill out the following information for the past year (January 2011-December 2011) of your service. Please return this form to me by January 20, 2012. You may submit this through e-mail or mail to the following address: Scott Shelton 10097 Cross Ridge Rd Cordova, TN 38018
Information received is used only for submission to our Supreme Council on a combined basis. Individual information received is not used for any other purpose. Thank you and please contact Scott Shelton at ssheltonfs9317@gmail.com or 901-833-5366 with any questions. --------------------------------------
Last year, the Knights of Columbus donated more than $151 million to charitable and benevolent causes and 69 million hours of volunteer community service to aid the less fortunate.
To help prepare our Fraternal Survey for the Supreme Council office, please complete the information requested and click the submit button. Alternatively, you can print the form, fill it out by hand and return it at our next meeting.
This information will assist us in determining the total number of hours of community service volunteered by our members during 2011.
1. Number of visits you made during 2011 to:
Care for the sick...
2. Number of times you served as a blood donor during 2011 :
3. Estimated hours of community volunteer service during 2011 :
4. Number of hours of fraternal service during 2011 :