Instructions
Knights of Columbus
Member # :

ANNUAL SURVEY

OF FRATERNAL ACTIVITY

JANUARY 1, 20
  THRU
 
DECEMBER 31, 20

ASSEMBLY  NUMBER
Jurisdiction
Section I. Fraternal Program Activities
FAITH ACTIVITIES
(where applicable)
CHARITABLE
DISBURSEMENTS
HOURS
OF SERVICE
a. RSVP Program
b. Church Facilities
c. Catholic Schools/Seminaries
d. Religious/Vocations Education
e. Prayer & Study Programs
f. Sacramental Gifts
g. Miscellaneous Faith Activities
Total Faith Contributions
FAMILY ACTIVITIES
(where applicable)
a. Food for Families
b. Family Formation Programs
c. Keep Christ in Christmas
d. Family Week
e. Family Prayer Night
f. Miscellaneous Family Programs
Total Family Contributions
COMMUNITY ACTIVITIES
(where applicable)
a. Coats For Kids
b. Global Wheelchair Mission
c. Habitat for Humanity
d. Disaster Preparedness/Relief
e. Physically Disabled/Intellectual Disabilities
f. Elderly/Widow(er) Care
g. Hospitals/Health Organizations
h. Columbian Squires
i. Scouting/Youth Groups
j. Athletics
k. Youth Welfare/Service
l. Scholarships/Education
m. Veteran Military/VAVS
n. Miscellaneous Community/Youth Activities
TOTAL COMMUNITY CONTRIBUTIONS
LIFE ACTIVITIES
(where applicable)
a. Special Olympics
b. Marches for Life
c. Ultrasound Initiative
d. Pregnancy Support
e. Christian Refugee Relief
f. Memorials to Unborn Children
g. Miscellaneous Life Activities
TOTAL LIFE CONTRIBUTIONS
TOTAL
Section II. Fraternal Commitment Activities
MEETINGS
1. Regular
2. Social
3. Special / Committee
Total Meetings
OTHER FRATERNAL COMMITMENTS:
Visit to the Sick
Visits to the Bereaved
Number of Blood Donations
Masses Held for Members
 
 
Hours of Fraternal Service to Sick / Disabled Member and thier Families

All information provided on this report is to be form Programs & Activities conducted January 1st through December 31st annually.
Submitted By
Date