The form will be emailed to all email address(es) entered. Comma " , " separated. Please double check that you entered YOUR email address correctly. AGAIN, you MUST use a Comma " , "  NOT a Semicolon " ; " Otherwise you will not receive the email.  

DDGM full name

Masonic District No. i.e. 3, 54, 1B

Name only. Do not use "Lodge"

i.e. 16, 22

Average attendance at meetings in the past 12 months?

Average length of meetings in the past 12 months? (Enter as minutes. i.e. 60, 90, 120 )

The number of fraternal visits (not the number of members) made to other Lodges by your Lodge in the last 12 months?

How many service projects did the Lodge sponsor in the past 12 months? (Meals on Wheels, hospital or doctor transportation, etc.) 0 if none

How many community events did the Lodge participate in over the past 12 months? (Sponsor a youth team in sports, 4-H program, scholarship at schools, etc.) 0 if none

Is the Worshipful Master a Past Master?

Is the Worshipful Master repeating from the immediate previous year?

Does the Lodge have a Lodge Instructor of Work?

Does the Lodge have a Lodge Educational Officer?

Does the Lodge have a Masonic Home Representative?

Does the Lodge have a Lodge Blood Coordinator?

Did the DEO make a planned visit to the Lodge and present a program for the meeting?

Does the Lodge have a budget?

If so, is there a Budget committee in place?

How many members owe more than the current year’s dues? 0 if none

Has personal contact been made with the delinquent members by the Worshipful Master or Secretary?

Are the Treasurer’s records up-to-date and do they balance with the audit report?

As required by IRS law, did the Lodge file Form 990-N, Form 990-EZ, or Form 990 last year?

Was the Audit Committee Report available and did the committee sign it?

Was the Trustees' Report available and did the committee sign it?

Are the current Trustees recorded with the Circuit Court?

Does the Lodge own its building?

What is the condition of the building?

Does the Lodge have Liability and Property Insurance on the facilities and furniture?

Can the Lodge confer all degrees?

Can the Lodge deliver the lectures in all degrees?

Does the Lodge have an adequate number of Catechism Coaches?

Does the Lodge utilize the DIW and/or Division Lecturer?

Did the Junior Warden receive the Degree of Past Master?

If the JW did receive his Degree of Past Master, where was it obtained at?

Date the JW received the Degree of Past Master?

If “no,” has the Junior Warden previously served as Worshipful Master?

Does the Senior Warden have a Certificate of Qualification?

Senior Warden Certificate Number

Does the Junior Warden have a Certificate of Qualification?

Junior Warden Certificate Number

Are the minutes of the Lodge signed by the Worshipful Master and Secretary up to the last meeting?

Does the Lodge have a current copy of the Methodical Digest?

Does the Lodge have a “List of Lodges Masonic”?

If so, what year is it? (yyyy)

Compiled by: Secretary full name?

Is there anything that you would like us to know?