Membership Petition – Shem Lodge No. 8

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Membership Petition

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Personal Details

(*) All applicable sections are expected to be completed. An incomplete petition may halt the process of your membership. Your petition does not guarantee your membership, all petition go through our investigation process.

Date of Petition *

Petitioner Name *

First

Last

Petitioner Phone Number *

Upload Your Resume *

Drag & Drop Files, Choose Files to Upload

Camera *

Camera Preview

3

To validate you are who you say you are please take a photo of yourself.

Address

Address Line 1

Address Line 2

City

State

Zip Code

Email Address *

Who is recommending you? *

Do you believe in a Supreme Being?

Yes
No

Is this petition of your own free will and accord?

Yes
No

Have you ever petitioned for Masonic membership and been rejected by any Masonic Lodge?

Yes
No

Masonic Lodge of Rejection

Date / Time

Date

Time

Lodge Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

SIGNATURE rejected gain

*Please provide two points of contact (e.g., Worshipful Master / Secretary):

Full name

Lodge P.O.C. Phone 1

*Please provide two points of contact

Full name

Lodge P.O.C. Phone 2

*If you are an inactive Mason from another jurisdiction, do you have:

Dues Card
Certificate(s)
Other (specify):

Specify

EMPLOYMENT INFORMATION

Employer Name *

Position *

How long have you been employed?

Address

Address Line 1

Address Line 2

City

State

Zip Code

EMERGENCY CONTACT

Name *

First

Last

Relationship

Emergency Phone

Address

Address Line 1

Address Line 2

City

State

Zip Code

SPOUSE INFORMATION

Spouse Full Name *

First

Last

Occupation

Spouse Email *

LEGAL DISCLOSURE

Do you have any felony convictions or pending legal issues? If yes, please explain:

Yes
No

Explain Below

REFERENCES

Full name and Address 1

Full name and Address 2

Full name and Address 3

CHILDREN

Child Name 1

Child Name 2

Child Name 3

Child Name 4

SIGNATURE

Write your name below *

Clear Signature

Date of Signature *

DESCRIBE YOURSELF

In your own words, tell us about yourself: who you are, why you seek to become a Mason, and what you hope to give to and gain from the brotherhood. (Please print.) *

THE PETITION FEE IS $75.00, NON-REFUNDABLE *

Price: $75.00

Stripe Credit Card *

Card

Name on Card

Total

$0.00

Under the auspices of the Most Worshipful Isaac Grand Lodge A.F. & A.M. of Texas

Membership Petition

Shem Lodge No. 8

Whether you are searching for brotherhood, a deeper sense of purpose, or a way to serve those around you, Shem Lodge No. 8 offers a foundation built to last. We are builders of civilization and servants of humanity, taking good men and making them better, one brother at a time.

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