Family of the Year

KNIGHTS OF COLUMBUS

ILLINOIS STATE COUNCIL

FAMILY OF THE YEAR

* For the MONTH of:

* Year:

RECIPIENT DATA:

* Recipient Name:

* Age

Spouse Name:

Childrens' Names (if any)

* Parish:

* # of years a Knight

Council Information

* Council Name:

* Council #:

* City:

* District #:

* Diocese:

* GK Name:

* Email of person submitting form

SERVICE TO COUNCIL

* List elected & appointed positions held in Knights of Columbus; committees chaired by Nominee; and nominee's family involvement in the council.

CHURCH INVOLVMENT

* Nominee's family involvement in the church includes:

COMMUNITY INVOLVEMENT

* Nominee's family involvement in the community:

Reason (s) for choosing this family as your nominee for "Family of the Year".

* Please give enough detail to inform the State Council as to why you selected this brother and his family as your council's Family of the Year. The information provided may be reprinted in publication with some alterations.

YOU MAY SUBMIT THIS FORM ELECTRONICALY IF YOU HAVE NO ATTACHMENTS OR MAIL THE FORM WITH ATTACHMENTS TO:

ILLINOIS KNIGHTS OF COLUMBUS

P.O. BOX 681

KANKAKEE, IL. 60901-0681

If your are submitting this form electronically, please remember to print a copy before submitting form.

* Indicates Response Required