Application Form APPLE A DAY AWARD. Chapter Name No. District Section

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1 Application Form APPLE A DAY AWARD Chapter Name No. District Section INSTRUCTIONS: Complete this from and provide additional information where necessary by attaching a written report(s) on separate page(s). Submit one (1) copy of the Application Form to: General Chairman by July 15, A complete Annual Report with full payment must be received in the Grand Secretary s office before the Apple A Day Award will be considered. To be eligible for the Apple A Day Award, a Chapter must complete the following between September 1, 2018 and July 1, Activities: ***Circle YES where applicable to your Chapter Activities*** 1. YES File a completed annual return with full payment, on time, with the Grand Secretary s Office. 2. YES Complete activities in EACH of the categories below as required Chapter Involvement: : 1. YES Place an ad in They Say That in the Official Bulletin Choose at least one (1) of these activities 1. YES Held an Open Meeting on / / YES Published a Chapter Roster and/or Yearbook (Please attach a copy) Community Involvement: 1. YES Supported the Sweet Treats Committee, promoting the support of our youth organizations The International Order of Rainbow for Girls and the Order of DeMolay. Give Explanation: 2. YES Chapter members to buy five (5) Patriot Paws pins

2 3. YES Support the Scottish Rite Hospital, Dyslexia Training project, by buying five (5) Texas Tabbies (Attach a copy of a Thank You letter received) 4. YES Support our Texas Military by purchasing Five (5) Texas Veteran pins Choose at least one (1) of the following: 1. YES Participate in the Community public event, i.e. fair, festival, rodeo, Education: TMRC Family Day or any such similar event on_ 2. YES Had a Scholarship Program and awarded $ to Member Service: and and 1. YES Contacted inactive members (sending them dues notices does not count) How contacted: Choose at least two (2) of these activities 1. YES Had a newsletter at least quarterly or maintained a Chapter website (Attach copies of newsletter or list the Website address) 2. YES Established a telephone committee to contact resident members Describe and attach committee description 3. YES Delivered Cheer Baskets for Thanksgiving or Christmas Date delivered / / 4. YES Delivered Cheer Baskets for Easter or Mothers Day Date Delivered / / 1. YES Five (5) or more of Chapter member subscriptions to the Official Bulletin, (Printed or Electronic) List Members Subscribing,,

3 2. YES Held three )3) or more regularly scheduled Study Classes on: / / and / / and / / and / / /and / / Choose at least two (2) of these activities 1. YES Five (5) members obtained A Certificates at their School. and and and and and Fraternalism: 2. YES Five (5) Chapter officers or Members competed in Ritualistic Excellence Competition and and and and 1. YES Chapter to have a Quorum at their Fraternal Visit 2. YES Five (5) or more Chapter Members attended a School of Instruction and and and and and 3. YES 100% Humanitarian; # of Chapter Members Amount submitted $

4 Choose at least one (1) of these activities Membership: 1. YES Made donations to the TMRC Country Store on / / and / / and / / and / / 2. YES Hosted a joint event with another Fraternal OrganizationWith on / / 3. YES Attended Family Day at TMRC on October 15 th with three (3) or more members and and 1. YES Visit and Pro-Tem at another chapter Chapter Visited Station Pro-Temed On / / Choose at least One (1) of these activities 1. YES Captured the Traveling Plaque on / / from Chapter, # 2. YES Coached a member who entered the Ritualistic Competition Coached on / /

5 I verify that Chapter, Number of Texas has completed the above Activities between the dates of August 20, 2018 and July 1, Signed: Worthy Matron Worthy Patron Secretary Emil Address Chapter Seal Date submitted to, General Chairman Approved on / / by General Chairman, Apple A Day Committee Receipt confirmed to Chapter on Forwarded to Worthy Grand Matron on Chapter notified on Worthy Grand Matron Certificate prepared on Chapter notified on / / / / 9 Martin/Jones

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