"ESTO DIGNUS - BE WORTHY"

FORMS...

All correspondence intended for the California State Circle is to be addressed as follows: 

Armando L. Mena, Chairman
California State Circle - Columbian Squires
621 Monica Circle
Oceanside, CA 92057-3508
E-mail: americanaztec@sbcglobal.net
(760) 967-9125 (Home)
(760) 213-1535 (Cell) 

Supreme Circle Forms

Both online and print forms are listed below in order of due date. For help, please view our Help Section.

To access these forms, you need Adobe Acrobat Reader (version 7.0 or higher). This is a free download.

Tips when using online forms:

  • Please print out a copy of the form before submission.
  • To email a copy to yourself, include your email address at the bottom of the form.

Due Date
Form Name
Form #
OnlinePrint
1/31Annual Survey of Fraternal Activity1728CAnnual Survey of Fraternal Activity - Online Version Annual Survey of Fraternal Activity - Print Version
6/30Corps d'Elite Award278-NCCorps d'Elite Award - Online Version Corps d'Elite Award - Print Version
6/30Brother Barnabas279-NCBrother Barnabas - Online Version Brother Barnabas - Print Version
8/1Columbian Squires Officers & Chairmen468Columbian Squires Officers & Chairmen - Print Version
As neededSurvey of Fraternal Activity Individual Member Worksheet1728ASurvey of Fraternal Activity Individual Member Worksheet - Print Version
As neededSemiannual Circle Status and Audit247-NC-1Semiannual Circle Status and Audit - Print Version
As neededSemiannual Circle Status and Audit247-NC-2Semiannual Circle Status and Audit - Print Version
As neededRSVP and Plaque Application2863RSVP and Plaque Application - Print Version
As neededSomething More - video order form333Something More - video order form - Online Version Something More - video order form - Print Version
As neededSquires Newsletter/Major Activity Report363Squires Newsletter/Major Activity Report - Online Version Squires Newsletter/Major Activity Report - Print Version
As neededYouth Leader4348Youth Leader - Print Version
As neededNotice of Intent to Establish a Circle457Notice of Intent to Establish a Circle - Print Version
As neededNotice of Institution of Circle460Notice of Institution of Circle - Print Version

Every circle is responsible for making the report and sending them to the appropriate state/district officials if necessary. In every instance, copies of each report form should be kept for the circle files.

Any questions concerning the online report forms site or the forms themselves should be directed to: Supreme Council Department of Fraternal Services, 1 Columbus Plaza, New Haven, CT 06510-3326 or (203) 752-4270.

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State Circle Forms

Select from below list and click on form to display:

State Circle Form 1 (Insurance) - due 1/15 (to be paid by all active circles unless covered by sponsoring council/assembly with form to that effect signed by Grand Knight/Faithful Navigator)

State Circle Form 3 (CY '10-'11 Per Capita) - due 5/15/10

State Circle Form 3 (CY '11-'12 Per Capita) - due 5/15/11

State Circle Form 3 (CY '12-'13 Per Capita) - due 5/15/12

State Circle Form 4 (Squires Activity Report) - as needed

State Circle Form 5 (Release from liability) - as needed for activities

State Circle Form 61ST (Attendees) - as needed for convention payment(s)

Fr. McGivney Guild Application - send completed form to State Director

State Circle Form 2 (Convention Ad Contract) 2012 - use to purchase ads before 6/02/12

State Circle Form 2P (Convention Patrons) 2012 - use to become patron before 6/02/12

State Circle Form 5 (Release from liability) 2012 - as needed for convention 2012

State Circle Form 6 (Squire of The Year Nomination) - due not later than 6/09/12

State Circle Form 7 (Counselor of The Year Nomination) - due not later than 6/09/12

Page last updated 07/28/14