Major Degree Staff Request Form

This form will also be used to prepare a major degree flyer to promote your major degree.

District Deputy Name: *

District #: *

DD Phone # *

DD Email: *

Please indicate your preference for a degree staff. Check the box in each column for your 1st or 2nd choice.

	1st Choice	2nd Choice
Belleville Degree Staff	1st Choice	2nd Choice
Bishop Roger Kaffer Degree Staff	1st Choice	2nd Choice
Bishop McNicholas Degree Staff	1st Choice	2nd Choice
Holy Spirit Degree Staff	1st Choice	2nd Choice
John Paul II Degree Staff	1st Choice	2nd Choice
Bishop Sheen Degree Staff	1st Choice	2nd Choice

Has the Degree Team been contacted? *

Yes

No

DETAILS:

Degree Date: *

Day of the Week *

Diocese *

Which Degree Exemplifications will be offered? *

Admission

Formation

Knighthood

Admission Degree Time: (enter N/A if not offering an Admission Degree. *

Formation/Knighthood Degree Time: *

Host Council: *

Council Number: *

Council Phone #: *

Name of Degree Location: (Address, Hall, Church, etc) *

Street Address *

City *

State *

Zip Code *

Location Phone #:

This location is a: *

Council Hall

Parish Hall or Center

Other Location Other Location

Host Grand Knight: *

GK Phone # *

Will a luncheon or dinner be available?

Luncheon

Dinner

Cost (If known) Cost (If known)

If an Admission Degree is being held with this Major Degree, at what time do the candidates need to check in?

Which Districts should receive a flyer about this degree? *

Name of the person completing this form *

Email address of the person completing this form *

Misc. Information:

BASIC FEES TO HOST COUNCIL: 2nd DEGREE = $40 3rd DEGREE = $5 per Membership Medallion Ordered One Month in Advance from Supreme Supply Dept.

MILEAGE: $.28 PER MILE, BOTH WAYS PLUS TOLLS (Maximum of 3 cars)

MEALS: To be provided for 2^nd & 3^rd Degree Staff members (maximum 8); either before or after exemplification. TRAVEL: If team travels in excess of 100, 2 meals will be provided. In lieu of meals staff members will be paid $4.00 for lunch and $5.00 for dinner. (Only if a meals is not provided by the Council.)