Distinguished Service Award Reporting

DeMolay International Distinguished Service Award Reporting Form

The ISC established the Distinguished Service Award in the Fall of 1959. In some jurisdictions, this award is known as the "DeMolay of the Year" award. The purpose of the award is to recognize one DeMolay in each jurisdiction for outstanding service to others, in his home, school, church, Chapter, community and country.

* Must be submitted by an Executive Officer

Recipient Name*

Reciptient ID#*

Jurisdiction*

Chapter Name*

Year*

Select Term*

Awarded On Date (After this date the DSA badge will appear on the awardees profile in eScribe)*

Date Needed By*

Executive Officer Name*

Executive Officer Email*

Executive Officer Phone

Ship regalia to*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

* Jurisdictions outside the US will be billed via PayPal for shipping costs and are furthermore responsible for any customs fees and/or taxes.

Attach Supporting Documents

Drop files here or

Max. file size: 128 MB.