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

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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, 2019. 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, 2019. 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 / / 2. 3. 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

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,,

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 $

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 / /

I verify that Chapter, Number of Texas has completed the above Activities between the dates of August 20, 2018 and July 1, 2019. 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 2018-2019