Installation of Officers Form – Second New Jersey District

Complete the information below for the Assembly officers being installed. Please coordinate the installation date with the District before submitting. Fields marked * are required.

Manual Fillable PDF

Prefer to complete the information offline? Download the blank fillable form, complete it on your computer, and save it for your records. This download does not submit information to the District.

Download Blank Fillable PDF

ASSEMBLY INFORMATION

Assembly Number * Assembly Name * Approved Installation Date * Installation Time

OFFICERS TO BE INSTALLED

Enter each officer's full name. No member numbers or home addresses are requested.

Faithful NavigatorFaithful CaptainFaithful PilotFaithful ComptrollerFaithful ScribeFaithful PurserInner SentinelOuter SentinelFaithful AdmiralTrustee - 1 YearTrustee - 2 YearsTrustee - 3 YearsFaithful Friar

INSTALLATION DETAILS

Assembly contacts, location and installation protocol

CONTACT INFORMATION

Faithful Navigator Phone Faithful Navigator Email Faithful Captain Phone Faithful Captain Email Contact Person (if different) Contact Email * Contact Phone Emergency Contact Phone

INSTALLATION LOCATION

Venue / Building Name Street Address (venue only) CityState ZIP Code

CEREMONY ARRANGEMENTS

Will Mass be celebrated? Will there be a reception afterward? Additional Notes / Special Instructions

Installation Preparation & Protocol

Officers should be appropriately dressed for installation.
Invite wives and family members to attend.
Have an American flag, officer jewels, and a gavel available.
Plan to begin the ceremony on time.

I have reviewed the installation preparation information. *