COLUMBIAN AWARD APPLICATION
Due by June 30th
FAITH PROGRAMS: (RSVP, Into the Breach, Marian Icon Prayer Program, Building the Domestic Church Kiosk, Rosary Program, Holy Hour,
Sacramental Gifts, Spiritual Reflection Program is the required program)
Council Number: ____________________ Jurisdiction: ____________________ 20 _____- 20 _____
1. Program
Name: ____________________________________________
Program
Description: ___________________________________________________________________________________________________________
2. Program
Name: ____________________________________________
Program
Description: ___________________________________________________________________________________________________________
3. Program
Name: ____________________________________________
Program
Description: ___________________________________________________________________________________________________________
4. Program
Name: ____________________________________________
Program
Description: ___________________________________________________________________________________________________________
FAMILY PROGRAMS: (Food for Families, Family of the Month/Year, Keep Christ in Christmas, Family Fully Alive, Family Week,
Family Prayer Night, Good Friday Family Promotion, Consecration to the Holy Family is the required program)
Page 1 of 2
_________ x _________ = _________
Participants Hours Total Hours
Donations: ______________________
Recruitment
YES NO
Oppurtunity?
_________ x _________ = _________
Participants Hours Total Hours
Donations: ______________________
Recruitment
YES NO
Oppurtunity?
_________ x _________ = _________
Participants Hours Total Hours
Donations: ______________________
Recruitment
YES NO
Oppurtunity?
_________ x _________ = _________
Participants Hours Total Hours
Donations: ______________________
Recruitment
YES NO
Oppurtunity?
1. Program
Name: ____________________________________________
Program
Description: ___________________________________________________________________________________________________________
2. Program
Name: ____________________________________________
Program
Description: ___________________________________________________________________________________________________________
3. Program
Name: ____________________________________________
Program
Description: ___________________________________________________________________________________________________________
4. Program
Name: ____________________________________________
Program
Description: ___________________________________________________________________________________________________________
_________ x _________ = _________
Participants Hours Total Hours
Donations: ______________________
Recruitment
YES NO
Oppurtunity?
_________ x _________ = _________
Participants Hours Total Hours
Donations: ______________________
Recruitment
YES NO
Oppurtunity?
_________ x _________ = _________
Participants Hours Total Hours
Donations: ______________________
Recruitment
YES NO
Oppurtunity?
_________ x _________ = _________
Participants Hours Total Hours
Donations: ______________________
Recruitment
YES NO
Oppurtunity?
0
0
0
0
0
0
0
0
SP-7 9/18
COMMUNITY PROGRAMS: (Coats for Kids, Global Wheelchair Mission, Habitat for Humanity, Disaster Preparedness, Free Throw
Championship, Catholic Citizenship Essay Contest, Soccer Challenge, Helping Hands is the required program)
LIFE PROGRAMS: (Marches for Life, Special Olympics, Ultrasound Program, Christian Refugee Relief, Silver Rose, Mass for People with
Special Needs, Pregnancy Center Support, Novena for Life is the required program)
Page 2 of 2
SUBMIT ELECTRONICALLY TO: fraternalmission@kofc.org • SEND COPIES TO: State Deputy, District Deputy, Council File
Signed:____________________________________________
Grand Knight
Signed:____________________________________________ _____________
Program Director Date
1. Program
Name: ____________________________________________
Program
Description: ___________________________________________________________________________________________________________
2. Program
Name: ____________________________________________
Program
Description: ___________________________________________________________________________________________________________
3. Program
Name: ____________________________________________
Program
Description: ___________________________________________________________________________________________________________
4. Program
Name: ____________________________________________
Program
Description: ___________________________________________________________________________________________________________
_________ x _________ = _________
Participants Hours Total Hours
Donations: ______________________
Recruitment
YES NO
Oppurtunity?
_________ x _________ = _________
Participants Hours Total Hours
Donations: ______________________
Recruitment
YES NO
Oppurtunity?
_________ x _________ = _________
Participants Hours Total Hours
Donations: ______________________
Recruitment
YES NO
Oppurtunity?
_________ x _________ = _________
Participants Hours Total Hours
Donations: ______________________
Recruitment
YES NO
Oppurtunity?
1. Program
Name: ____________________________________________
Program
Description: ___________________________________________________________________________________________________________
2. Program
Name: ____________________________________________
Program
Description: ___________________________________________________________________________________________________________
3. Program
Name: ____________________________________________
Program
Description: ___________________________________________________________________________________________________________
4. Program
Name: ____________________________________________
Program
Description: ___________________________________________________________________________________________________________
_________ x _________ = _________
Participants Hours Total Hours
Donations: ______________________
Recruitment
YES NO
Oppurtunity?
_________ x _________ = _________
Participants Hours Total Hours
Donations: ______________________
Recruitment
YES NO
Oppurtunity?
_________ x _________ = _________
Participants Hours Total Hours
Donations: ______________________
Recruitment
YES NO
Oppurtunity?
_________ x _________ = _________
Participants Hours Total Hours
Donations: ______________________
Recruitment
YES NO
Oppurtunity?
0
0
0
0
0
0
0
0
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