Alumni Registration

Are you a Senior DeMolay? We’d love for you to get in touch with us! Please share some information with us on your life! (All fields are required unless otherwise noted)

Contact Information

Name

Email

Address

City

State

ZIP/Postal Code

Phone Number

DeMolay History
What chapter(s) did you belong to?

What honors do you hold? (optional)
 Chevalier
 Legion of Honor
 Cross of Honor
 Priory

Are you a Master Mason?

If yes, are you active? (optional)

Are you an active DeMolay Advisor?

Personal Life
Education:

Do you have any other certifications or special recognition on the job? (i.e. RN, BSN, EMT, CRNA, MCSE, etc.)

Marital Status:

Children:
Do you have children?

If so, boys or girls?

If so, what age(s)?

What contacts have you retained from your years in DeMolay? (optional)

Military History:
Have you served in the military? (optional)
 None
 Army
 Air Force
 Marines
 Navy
 Coast Guard
 National Guard
 Reserves
 Other
If so, what years did you serve?

Employment:
Where do you work?

Is your employer a matching donor participant?

What do you do?

If you like, tell us something about your job. What does it involve?

Any final comments?

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