Supreme Forms

New Member/Form 100

  • Form 100 (fillable)
  • Supreme Department: Fraternal Services
  • Video by Andy Airriess, PSD on YouTube explains how submit the Form 100 electronically (as a PDF) from your smartphone.
  • Officers Online Options:
    • You can use the PROSPECT Tab for an online member to join your council.
    • The CANDIDATE Tab can be used with the information from the Form 100.  See this FAQ about using the candidate tab.
  • Tips:
    • Combining multiple Form 100s in a single PDF is preferable, as long as all the Form 100s in a single PDF are of the same type (New Member are one type, Transfers are another). If you have different types of Form 100s, they should be submitted in different emails. Follow the instructions in the video (linked above).
    • Submitting as a JPG or other graphics file is not recommended.
    • If sending electronically, forms should not be sent using other means as well.
    • Not submitting it electronically?  Mail the original Form 100 to: 1 Columbus Plaza, New Haven, CT. 06510-3326 Att. Fraternal Services.

Report of Officers Chosen for Term (Form 185)

  • Due: 1 July
  • Supreme Department: Membership Records
  • Online Form: Log in to Officers Online at www.KofC.org/oo there are directions available.
    • Note: For best results, use Internet Explorer to view the video (issues reported with chrome, Firefox, Edge)
  • Supreme Council Contact: Robin Wood 1-800-524-3611 ext 4636 Fax 203-752-4113

Service Program Personnel Report Officer (Form 365)

  • Due: 1 August
  • Supreme Department: Fraternal Services
  • Online Form: Log in to Officers Online at www.KofC.org/oo there are directions available.
    • Note: For best results, use Internet Explorer to view the video (issues reported with chrome, Firefox, Edge)
  • Supreme Council Contact: Lisa Gagliardi 203-752-4245 Fax 203-752-4108

Annual Survey of Fraternal Activity (Form 1728)

Partnership Profile Report with Special Olympics (Form 4584)

Food for Families

  • Due: 30 June

Columbian Award (Form SP-7)

  • Due: 30 June
  • Supreme Department: Fraternal Services
  • Online Form (Faith in Action): Award Application PDFOnlineInstructions
  • OBSOLETE Online Form (BEFORE FAITH IN ACTION): https://www.kofc.org/un/cm/html/SP-7/index.html
  • Supreme Council Contact:Lisa Gagliardi 203-752-4245 Fax 203-752-4108. Email completed form to fraternalservices —- kofc.org

Building the Domestic Church Participation Form (#3006)

Semiannual Council Audit (Form 1295)

  • Due: 15 August
  • Supreme Department: Fraternal Services
  • Supreme Council Contact: 203-752-4392 Fax 203-752-4103

Semiannual Council Audit (Form 1295-2)

  • Due: 15 February
  • Supreme Department: Fraternal Services
  • Supreme Council Contact: 203-752-4392 Fax 203-752-4103

District Deputy Semiannual Report (Form 944A)

  • Due: 31 December
  • Supreme Department: Fraternal Services
  • Supreme Council Contact: Lisa Gagliardi 203-752-4245 Fax 203-752-4108

District Deputy Semiannual Report (Form 944B)

  • Due: 30 June
  • Supreme Department: Fraternal Services
  • Supreme Council Contact: Lisa Gagliardi 203-752-4245 Fax 203-752-4108

State Forms

State Service Program Award Entry – One copy of this form is to be used for each program your council enters for the State Service Program Awards (up to four, one for each of the Faith in Action program categories).  Attach extra pages as necessary. Create a PDF of each entry and submit each separately to the State Deputy by Midnight, March 15th. You can mail the forms (remembering to include 13 paper copies — the number of districts plus two) or email the forms once (as a PDF to Utah.State.Deputy.Forms@ gmail.com).  www.kofc.org/forms also has the Family of the Year form.  The “Knight of the Year” award submissions doesn’t have a form; it’s submitted on “council letterhead” and include similar information as the Family of the Year.

Chaplain of the Year submissions should be submitted using the “State Blessed Michael McGivney Award – Council Nominee ” form  SBMMA.  This form was introduced for the 2022-2023 fraternal year.

Utah State Member Conservation Program – This process provides the Council requirements, who can be suspended, and Council process including the Conservation Form. The Conservation Form must be completed prior to submission to the State “Membership Retention Chairman” Bill Kelly.

Forms to Help Run Your Council – This spreadsheet contains a good portion of all the forms you will need to be a strong and successful Knights council.

Utah State Conservation Form

Utah Knights of Columbus Endowment Scholarship Information (Application PDF)

Supreme’s Lists of Forms

Coming Events

May
2
Thu
XXGrad Party / BBQ (Council 14764)
05-02-2024   7:30 pm - 9:30 pm
St. Catherine of Siena Newman Center, 170 S, 170 S University St, Salt Lake City, UT 84102, USA
From: fcarmona3169 <fcarmona3169@gmail.com>
Date: Sun, Mar 17, 2024 at 3:54 PM
Subject: 14764 Update events
May 2 Grad party/BBQ after daily Mass (Mass is at 7pm).
Viva Christo Rey,
Frank Carmona KHS, FMFD
Utah State Secretary
Go to Event
7:30 pm Grad Party / BBQ (Council 14764)
May
3
Fri
XXHG: Processional and Devotional (Mass, Eucharistic Procession, Benediction) (District)
05-03-2024   6:30 pm - 8:45 pm
St. Catherine of Siena Newman Center, 170 S, 170 S University St, Salt Lake City, UT 84102, USA
https://www.signupgenius.com/go/10C0949A4A72FAAF5C16-46986380-uofu
~~ rough estimate of the timeline ~~
6:00pm: Simple Exposition & Vespers
6:30pm: Confessions
6:30pm: Honor Guard assembles (for Mass)
6:45pm: Simple Reposition
7:00pm: Mass (HG).
7:45pm: Solemn Exposition & Procession (HG).
8:45pm: Conclusion of First Friday Devotion & Benediction (HG).
~~
Report time is 6:30 PM at Saint Catherine of Siena Newman Center 170 S. University Avenue,
Mass starts at 7 PM, after Mass the processional will commence followed by a benediction.
Note: NO KNEELERS at the congregation's chairs.  You may want to consider a pad.
Go to Event
6:30 pm HG: Processional and Devotional (Mass, Eucharistic Procession, Benediction) (District)
May
4
Sat
XXREMINDER: April 26-27 is the State Convention!
05-04-2024   All Day Event


Go to Event
All Day REMINDER: April 26-27 is the State Convention!
XXWalk MS: Salt Lake City 2024
05-04-2024   8:30 am - 11:30 am
Veterans Memorial Park, 1985 W 7800 S, West Jordan, UT 84088, USA
~~
https://events.nationalmssociety.org/index.cfm?fuseaction=donorDrive.participant&participantID=420493
~~
https://nmss.galaxydigital.com/need/index?need_id=864769&need_init_id=9855
~~
Walk MS: Salt Lake City 2024

Join us for Walk MS: Salt Lake City 2024!
May 4th, Salt Lake City, Utah
Each year, thousands of people across the country join the Walk MS volunteer team.
From planning event details and calling past participants to providing safety and support for participants at the event, volunteers make Walk MS happen, and are the foundation of why Walk MS is the largest walking fundraising event in the country.
Volunteers make Walk MS possible!
Thank you for your consideration in volunteering to help end MS forever.
IMPORTANT: All volunteers under 18 must bring a completed volunteer consent form with guardian signature to the event. You can download our consent form by clicking HERE.
---------- Forwarded message ---------
From: Tim Lozano <timisaias@gmail.com>
Date: Fri, Jan 19, 2024 at 10:07 PM
Subject: [KofC-UT-Leaders] MS Walk
To: <kofc-ut-leaders@googlegroups.com>
Knights,
The MS Walk for 2024 is Saturday, May 4th.
Location: Veterans Memorial Park
1985 w 7800 s West Jordan, UT
Site Opens: 8:30 am
Program Starts: TBD
Walk Kickoff: 10:00 am
Walk MS unites the MS community in the largest gathering of its kind to raise funds
and make difference for everyone living with MS. The community has raised over
$1 billion to fuel the National Multiple Sclerosis Society's mission to cure MS while
empowering people affected by MS to live their best lives.
The Utah Knights of Columbus are a part of that community and I would like to
challenge every council to donate $25 dollars or more to support this great cause.
Use the link to donate or participate:
https://events.nationalmssociety.org/participant/Utah-knights
For now you can send checks to me. Make them out to MS Society and then
for MS Walk. Make sure you let me know what council you're with.
Any questions contact me.
God Bless
Tim Lozano
8013490153
timisaias@gmail.com
Go to Event
8:30 am Walk MS: Salt Lake City 2024
May
5
Sun
XX123-CUF, Live/English, Saint Francis Xavier, Kearns
05-05-2024   8:15 am - 9:15 am
St Francis Xavier Catholic Church, 4501 W 5215 S, Kearns, UT 84118, USA
English in-person CUF Ceremonial before Mass. In the library.   ~~ 8:15 AM -- Registration 8:30 AM -- Ceremonial 9:30 AM -- Mass ~~ Expecting 3 candidates. ~~ Contact: Tim Lozano
Go to Event
8:15 am 123-CUF, Live/English, Saint Francis Xavier, Kearns
XXHG: Andy/Giselle Airriess Farewell Mass
05-05-2024   8:30 am - 10:30 am
Saint Joseph the Worker Catholic Church, 7405 S Redwood Rd, West Jordan, UT 84084, USA
https://www.signupgenius.com/go/10C0949A4A72FAAF5C16-49222735-farewell ~~ Final Mass at Saint Joseph the Worker before moving to Vancouver Island, Canada. ---------- Forwarded message --------- From: Andy Airriess  Date: Mon, Apr 15, 2024 at 7:47 AM My last day of work is May 3.  Last Mass at SJW is 9 AM May 5.  Moving van loads on Friday, May 10.  We have two nights in a hotel May 10-11 in downtown SLC (Giselle won them at the CCW conference last year).  Vigil Mass at the Cathedral May 11..  Early Sunday, May 12, we hit the road.  Overnight in Ellensburg, WA.  Monday, May 13 we arrive in Nanaimo for our first night in our new house.  Phew! Andy
Go to Event
8:30 am HG: Andy/Giselle Airriess Farewell Mass
XXHG: First Communion at Saint Vincent de Paul, Holladay (A2577)
05-05-2024   4:30 pm - 6:30 pm
Saint Vincent de Paul Catholic Parish Church, Holladay, 1375 Spring Ln, Holladay, UT 84117, USA
https://www.signupgenius.com/go/10C0949A4A72FAAF5C16-49284811-first
~~
Added 2024.04.23 once request was confirmed and details available. 
~~
5:00 PM Mass
~~
Go to Event
4:30 pm HG: First Communion at Saint Vincent de Paul, Holladay (A2577)
May
6
Mon
XXFYI - Vigil Service - Father Michael Ross Sciumbato
05-06-2024   6:00 pm - 8:00 pm
Saint Ambrose Catholic Church, 2315 E Redondo Ave, Salt Lake City, UT 84108, USA
~~
Obituary: http://icatholic.org/article/father-michael-ross-sciumbato-68418216
~~
Mon. May 6, 6-8 PM Vigil at Saint Ambrose
~
Tue. May 7, 11 AM Funeral Mass at Saint Ambrose -- See also https://www.signupgenius.com/go/10C0949A4A72FAAF5C16-49436815-funeral
~~
Go to Event
6:00 pm FYI - Vigil Service - Father Michael Ross Sciumbato
May
7
Tue
XXHG: Funeral - Father Michael Ross Sciumbato
05-07-2024   10:30 am - 12:30 pm
Saint Ambrose Catholic Church, 2315 E Redondo Ave, Salt Lake City, UT 84108, USA
https://www.signupgenius.com/go/10C0949A4A72FAAF5C16-49436815-funeral
~~
Obituary: http://icatholic.org/article/father-michael-ross-sciumbato-68418216
~~
Mon. May 6, 6-8 PM Vigil at Saint Ambrose
~
Tue. May 7, 11 AM Funeral Mass, burial at Mount Calvary to immediately follow.
~~
Go to Event
10:30 am HG: Funeral - Father Michael Ross Sciumbato

Submit your event

Have an upcoming Knights event to promote? Use this form Click Here – UT KofC Event Form