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Have you ever been convicted of a felony or are you currently under indictment or preliminary hearing bind-over for a felony? (If yes, please provide details below.)
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Do you believe in a Supreme Being or Deity?
The degree ceremonies consist of three degrees followed by a proficiency lecture after each degree. Will you be able to spend time with a coach to learn each proficiency lecture?
Do you understand that if you are rejected, or if you withdraw your petition, only the unexpended portion of your fee for the degrees will be refunded?
Have you ever petitioned or been rejected by this or any other Lodge of Freemasonry?
If so, when and where?
Have you any limitations or infirmities that would prevent you from participating in light physical activities?
If so, describe briefly
To what other fraternal organizations or societies do you belong?
What motive prompted this petition?
Provide at least three character references: (Other than immediate family or the Masons recommending you for membership. You may attach additional letters of reference from family members and others as you desire.)
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With the understanding that all information obtained shall be treated as confidential, I consent to a full background investigation
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