COLUMBIAN AWARD APPLICATION
Council Number_____________ Location________________________________________ , _______________________
(City) (State or Province)
Those councils deemed outstanding in their implementation of the Service Program for the 20__-20__ fraternal year
are eligible to receive the Supreme Council’s COLUMBIAN AWARD. The award is a tangible testimonial of the effi-
ciency, industry and excellent activity program of the council. Those councils winning the award should display it
with justifiable pride.
In order to qualify for the Columbian Award, the council must:
1. Have completed and returned the Service Program Personnel Report Form (#365) to the Supreme Council
office by August 1, 20__.
2. Annually conduct and report at least four (4) major involvement programs in each of the following sections
of the Service Program: Church Activities, Community Activities, Council Activities, Family Activities, Pro-Life
Activities and Youth Activities.
3. Have completed and returned the Annual Survey of Fraternal Activity Report Form (#1728) to the Supreme
Council Department of Fraternal Services by January 31, 20__. (New councils instituted after November
1, 20__ need not meet this requirement.)
The council’s program director must complete the necessary information in this Columbian Award application.
Each application must be signed by the program director and the grand knight must attest to the information
contained herewith. When the application is completed, return to: Knights of Columbus Supreme Council,
Department of Fraternal Services, 1 Columbus Plaza, New Haven, CT 06510-3326.
This application must be received in the Supreme Council office no later than June 30, 20__.
Please list and briefly describe the four major involvement programs sponsored by your council between July 1,
20__ and June 30, 20__ in each of the six activity areas.
CHURCH ACTIVITIES (vocations, parish roundtable, parochial services, Keep Christ in Christmas, etc.)
* Participating in the RSVP program, and meeting minimum participation requirements will fulfill all four activity requirements in this category.
Due By JUNE 30
This Area For Supreme Council Use Only
Form #365 Received _______________________
Fraternal Survey Received _____________________
Application Received__________________________
Acknowledged _______________________________
Signed________________________________________
Program Director
Attest:__________________________________________
Grand Knight
Date_________________________________________
(Additional information required on reverse side.)
MAIL ORIGINAL TO: Supreme Council Department of Fraternal Services.
MAIL COPIES TO: State Deputy, District Deputy, Council File.
Available in electronic format at www.kofc.org/forms
SP-7 11/11
1436 1-12 inside_1436 2/6/12 11:31 AM Page 29