APPLICATION FOR MEMBERSHIP

FULL NAME:

HOME ADDRESS WITH ZIP CODE:

 

 

HOME TELEPHONE:                         

WORK TELEPHONE:

FAX:

E-MAIL ADDRESS:

PROFESSION:

EDUCATION AND DEGREES:

 

 

MEMBERSHIPS AND TITLES:

·        POLITICAL

 

 

·        RELIGIOUS

 

 

·        INITIATIC ORGANIZATIONS

 

 

 

 

 

 

Please give us contacts for three persons who can vouch for your character

 

1. FULL NAME OF REFEREE:

 

        TELEPHONE:

        EMAIL:

 

2. FULL NAME OF REFEREE:

 

        TELEPHONE:

        EMAIL

 

3. FULL NAME OF REFEREE:

 

        TELEPHONE:

        EMAIL

 

 

YOU WILL BE CONTACTED BY A MASTER PANSOPHIC MASON WHO WILL CHECK YOUR CHARACTER REFERENCES AND INFORM YOU OF YOUR ADMISSION STATUS.

 

IF YOU ARE ADMITTED, HE/SHE WILL SIGN YOUR APPLICATION, FORWARD IT TO THE GRAND LODGE, AND MAKE ARRANGEMENTS FOR YOUR PREPARATION TO BE INITIATED AS AN ENTERED APPRENTICE.

 

SIGNATURE OF SPONSOR (Leave Blank):

Must be a Master Pansophic Mason

 

 

 

 

 

If I am admitted to Pansophic Freemasonry, I promise to support its Constitution and Bylaws, and to uphold all Pansophic Obligations.

 

SIGNATURE OF APPLICANT (Please Sign Here):