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GK_of-the_Yr_2010-11

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					                                        K NIGHTS OF C OLUMBUS
                                      G RAND K NIGHT of the YEAR
                                              Columbian Year 2010 / 2011

A. Personal Data
GK’s Name:                                                               Membership Number:

Home Address:



Home Telephone:                                                 Business Telephone:

Parish:                                                         Pastor:

Parish Address:

Parish Telephone:

B. Knights of Columbus Data
GK’s Council:
                        (Council Name and Number)                                     (District Number)

Council Address:

DD’s Name:                                                               DD’s Telephone:

C. Involvement
Explain the grand knight’s involvement within the Knights of Columbus:




Explain the grand knight’s involvement within the Church:
                                              K NIGHTS OF C OLUMBUS
                                              G RAND K NIGHT of the Y EAR
                                                    Columbian Year 2010 / 2011

C. Involvement (Continued)
 Explain the grand knight’s involvement within the community:




 Explain why this grand knight is an “exemplary” leader in your jurisdiction. Why does this grand knight deserve the distinction of
 being named “Grand Knight of the Year”?




For State Council Use Only:
This member has been chosen state/provincial “Grand Knight of the Year.”

                  Attest: _________________________________________________________________________.
                                                              (State Deputy)

  SUBMIT ORIGINAL TO: State Deputy
  KEEP COPY FOR: District Deputy’s File
                     THIS FORM MAY ONLY BE COMPLETED, PRINTED OUT AND SUBMITTED THROUGH MAIL

				
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