Freemason Application Form – Fill Out and Use This PDF

The Grand Lodge of the State of Louisiana

PETITION FOR DEGREES IN MASONRY

(Lodge Secretaries Order From Service Committee)

20

To the Worshipful Master, Wardens and Brethren of

Lodge No.

Having read the statement on the reverse of this petition, I respectfully represent that unbiased by the solicitation of friends and uninfluenced by mercenary motives, I freely and voluntarily offer myself as a candidate for the mysteries of Freemasonry. I am prompted to solicit this privilege by a favorable opinion conceived of the institution, a desire for knowledge and a sincere wish to be serviceable to my fellow creatures, to subdue my passions and improve myself in Masonry. I promise, if I am elected, that I will yield obedience to the ancient customs and laws of the fraternity. I pledge on my honor that no unworthy motive, selfish consideration, persuasion or influence has induced me to make this application.

1. Do you believe in God?

2. Are you a citizen of the United States?

3.What is your full name? (Please Print)

4.

What is the date of your birth?

Birthplace?

5.

Are you Married?

If so Wife’s Name:_________________________ Single?

Widower?

Divorced?

6.

What is your residence address?

Zip Code

Phone No.: (

)

7.Where have you resided during the past five years? (Give dates and locations)

8.	What is your occupation?			Name of Employer?
9.	What is your business address?					Phone No.: (		)

10.By whom and where have you been employed during the past five years?

11.Do you speak, read and write the English Language?

12.

Do you have any infirmities, disabilities or physical defects?

If "yes" explain

13.

Have you ever been given a citation, arrested and/or been a defendant in a criminal case?

Yes

No. If yes, make full disclosure

as

to the place, date, nature of the offense and the disposition of the case.

14.

Have you ever applied to any Lodge of Masons?

If "Yes" state name, number, location of Lodge and

date:

15. Have you ever been rejected by any Lodge of Masons?

If "Yes" state name, number, location of Lodge and date:

16.Give names, addresses and phone numbers of three references who personally know you

17.	a. What is your Social Security No.?					b. What is your Drivers License No.?
18.	Will this present a hardship to you or your family?			Yes			No

I declare on my honor that the above answers are true and I hereby authorize the Lodge to conduct a full investigation of my moral and financial standing.

Signature

Mailing Address

We declare on our honor as Master Masons that we know, or we have received Masonic information, relative to the above named petitioner, and we recommend him as qualified for membership in the Lodge.

Bro.						Bro.
Referred			Elected		Rejected

F.C

M.M.

The Grand Lodge of the State of Louisiana

INFORMATION FOR PETITIONER

The Lodge Member providing the petition form shall review these instructions with the petitioner who shall read carefully before completing the petition:

1.	The fee for the first or Entered Apprentice Degree is $				plus $5.00 as a donation to the Masonic
	Charities which must accompany this petition and $5.00 for donation to the George Washington Masonic National Memorial at
	Alexandria, Virginia.
	The fee for the Second or Fellowcraft Degree is $			,and the fee for the Third or Master Mason Degree is $
	plus $5.00 Grand Lodge Special Purposes Fund.
2.	The annual dues of the Lodge are $					payable each year in advance;
	or a member may become a Perpetual Member and as such shall owe no further dues to the Lodge of which he is a member,

and shall be issued a dues card denoting that his dues have been paid in perpetuity, by making the payments specified in the Perpetual Membership Law.

3.Petitioning for the Degrees of Masonry is a matter requiring very serious consideration. Since you have expressed a desire to do so, it is advisable that certain information be given to you which may affect your decision to apply.

4.In all ages Freemasonry has insisted that each man must come to its door unsolicited, entirely of his own free will and accord and without any hope of material gain or selfish personal aggrandizement.

5.Freemasonry has for its foundation the vital basic principles of the Fatherhood of God and the Brotherhood of Man. Therefore,

no atheist can be a Mason.

7.Freemasonry is not in any way an insurance society nor does it pay benefits in case of sickness or death. You should so advise your family.

8.A universal custom requires that through oral instruction, certain of the Degree work must be memorized after each Degree and before being advanced to the next Degree.

9.Each petitioner must be recommended for admission to the Lodge by two members in good standing, of the lodge to which he is applying.

10.An investigation committee composed of three members of the Lodge is appointed to determine the moral qualifications and eligibility of each petitioner, and to report to the Lodge. You will be contacted by the Committee members in the near future.

11.This petition is made with full awareness that any information about petitioner from any legal source may be obtained.

				Sundry Forms
			CERTIFICATE OF SECRETARY OF THE LODGE
I hereby certify that notice of the reception of this petition was given on									to all Lodges within
a radius of 25 miles of the residence of the applicant, and that a Criminal Background check was obtained from
	on the	day of		20		.
							Secretary

*Report of the Investigating Committee

We the undersigned members of the Investigation Committee declare on our honor as Master Masons, that we have made strict inquiry into the truth of all matters contained in this petition, have investigated the moral character and qualifications of the petitioner, have jointly considered his eligibility and beg to report to the Lodge as follows:

	*INVESTIGATION COMMITTEE*
	FAVORABLE					UNFAVORABLE
Signature					Name
(FORM -2 R-97-REVISED: August 8,2013