REPORT OF COMMITTEE OF INVESTIGATION ON PETITION FOR
DEGREES OF MASONRY
Hall of ______, Lodge No. ______, A.F. & A.M.
TO THE WORSHIPFUL MASTER, WARDENS, AND BRETHREN OF
______Lodge No. ______, A.F. & A.M.
Your committee to which was referred the petition of ______
for the degrees of Masonry, find in answer to the below interrogatories as follows:
1. What is his age? ______
2. What is his occupation, and where is he employed? ______
______
3. Is he married? ______
4. If married, is he living with his wife? ______Wife’s name ______
5. Is he physically qualified for admission? ______
6. What is the character of his company and associates? ______
______
7. Is he addicted to the intemperate use of intoxicating liquors? ______
8. Does he habitually gamble? ______
9. Does he habitually use profane or indecent language? ______
10. Has he licentious or immoral habits? ______
11. Is he a law-abiding citizen? ______
12. Does he possess sufficient education and intelligence to understand and value the doctrines and tenets of Masonry and the requirements for advancement? ______
13. Has he ever made previous application for the degrees? ______
If so, where and when? ______
14. State any other facts of value to the Lodge in arriving at a correct conclusion:
______
______
______
15. We (recommend) (do not recommend) him.
Given under our hands this ______day of ______, 20 ______.
______
Committee
Form 20 (161) Rev. 2001