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. There are directions available.
  • 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. There are directions available.
  • Supreme Council Contact: Lisa Gagliardi 203-752-4245 Fax 203-752-4108

Annual Survey of Fraternal Activity (Form 1728)

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

Partnership Profile Report with Special Olympics (Form 4584)

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

Columbian Award (Form SP-7)

  • Due: 30 June
  • Supreme Department: Fraternal Services
  • Online Form: OnlineInstructions
  • 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)

  • Due: 30 June
  • Supreme Department: Fraternal Services

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).

Family of the Year form

The “Knight of the Year” Award submissions does not 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. 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 Application

Coming Events

Feb
11
Wed
XXCouncil 11246 Breakfast Gathering
02-11-2026   8:30 am - 10:00 am
Amber Kay's Cafe, 1327 S Interstate Dr, Cedar City, UT 84720, USA
As a friendly reminder every Wednesday morning at 830 am we meet at Amber Kay's Cafe on the south side of town for breakfast. All are welcome. There is a location map in the events calendar you can access at the top of this email thru the events calendar link.
Go to Event
8:30 am Council 11246 Breakfast Gathering
Feb
14
Sat
XX11479 Valentine Spaghetti Dinner
02-14-2026   All Day Event
Saint Thomas More Catholic Church, 3015 Creek Rd, Cottonwood Heights, UT 84093, USA

Go to Event
All Day 11479 Valentine Spaghetti Dinner
Feb
18
Wed
XXCouncil 11246 Breakfast Gathering
02-18-2026   8:30 am - 10:00 am
Amber Kay's Cafe, 1327 S Interstate Dr, Cedar City, UT 84720, USA
As a friendly reminder every Wednesday morning at 830 am we meet at Amber Kay's Cafe on the south side of town for breakfast. All are welcome. There is a location map in the events calendar you can access at the top of this email thru the events calendar link.
Go to Event
8:30 am Council 11246 Breakfast Gathering
Feb
21
Sat
XXParrish Chili Cook Off HAFB
02-21-2026   6:00 pm - 9:00 pm
Hill Air Force Base, Hill AFB, UT, USA


Saturday 21 February @ 6:00pm
Christ Prince of Peace - Hill Air Force Base
>>  Parrish Chili Cook Off 

Go to Event
6:00 pm Parrish Chili Cook Off HAFB
Feb
25
Wed
XXCouncil 11246 Breakfast Gathering
02-25-2026   8:30 am - 10:00 am
Amber Kay's Cafe, 1327 S Interstate Dr, Cedar City, UT 84720, USA
As a friendly reminder every Wednesday morning at 830 am we meet at Amber Kay's Cafe on the south side of town for breakfast. All are welcome. There is a location map in the events calendar you can access at the top of this email thru the events calendar link.
Go to Event
8:30 am Council 11246 Breakfast Gathering
Feb
27
Fri
XXCouncil 11479 Fish Fry
02-27-2026   All Day Event
Saint Thomas More Catholic Church, 3015 Creek Rd, Cottonwood Heights, UT 84093, USA

Go to Event
All Day Council 11479 Fish Fry
Feb
28
Sat
XX4th Degree Exemplification
02-28-2026   1:00 pm - 10:00 pm
Saint Francis of Assisi Catholic Church, 65 500 N, Orem, UT 84057, USA
Fourth Degree Exemplification Welcome my Brother Knights, on February 28, 2026, we will hold an Exemplification of the Patriotic Fourth Degree hosted by Father Escalante Assembly 1146 at Saint Francis of Assisi Catholic Parish located at 65 E. 500 North, Orem, Utah. Candidate check-in will be in the church. General Information: Exemplification of the Patriotic Fourth Degree of the Knights of Columbus is the formal initiation into the Degree. It is an afternoon of history about the Knights of Columbus. Any Third-Degree member in good standing is eligible for thePatriotic Fourth Degree. ● A Form 4 (Fourth or Patriotic Degree Membership Application), processed through your Assembly is required for all candidates. The cost of the Degree is $75 before January 15, 2026. After that date the cost is $85 until registration closes on February 16, 2026. Make checks payable Knights of Columbus Utah District Master upon submission of Form 4 application. Mail the Form 4 and payment to Utah District Master Tom Odle, 11149 S. Jonagold Dr., South Jordan, UT 84009. Online registration click here or visit the state website www.UtahKnights.org The candidate cost includes the ceremony, flag, a lapel pin, and certificate. The cost also includes the candidate’s dinner at the banquet following the ceremony and Mass at Saint Francis of Assisi. Additional meals for guests/wives/families/etc. are $30 each. Deadline for candidates’ names must be submitted to the District Master by February 16, 2026. For additional information, contact District Master Tom Odle via phone at (720) 301-2115 or email at utahdistmaster@gmail.com The mandatory dress for the exemplification for candidates is a dark suit, white shirt and tie, and Knights will be in a Dark Suit or currentuniform. Members of the Armed Forces, Police, and Firefighters may wear their full-dress uniform. Priests may wear Clerical attire with collar. The new Patriotic Exemplification Ceremony is open to all so wives, family, and friends can attend. Honoree: The honoree for this exemplification is Nick Nielson, PSD, FMFD. Other Information: The “Form 4” application can be filled out online (and printed or saved as a PDF file) at www.UtahKnights.org/fourth-degree/#form4 (instructions available at the same link). Exemplification Agenda (at St. Francis of Assisi Parish): 02:00 PM Registration starts (candidate check-in) 02:45 PM Registration closes 03:00 PM Degree Exemplification Begins 04:30 PM Ceremonial Complete, Mass Honor Guard assembles 05:00 PM Mass (Church) 06:15 PM Social and Banquet Dinner Vivat Jesus and God Bless America! Tom Odle Utah District Master
Go to Event
1:00 pm 4th Degree Exemplification
Mar
1
Sun
XXState Convention 2025
03-01-2026   4:00 pm - 5:30 pm
Holy Hour with the Knights at St Francis Xavier on the 1st Sunday
Holy Hour with the Knights at St Francis Xavier on the 1st Sunday of the month at 4 pm. We will have the Exposition, the Holy Rosary, the Divine Mercy Chaplet and a short homily from Father Sebastian. 
May 4, June 1, July 6, August 3, 
DD George Jockisch
Go to Event
4:00 pm State Convention 2025
Mar
4
Wed
XXCouncil 11246 Breakfast Gathering
03-04-2026   8:30 am - 10:00 am
Amber Kay's Cafe, 1327 S Interstate Dr, Cedar City, UT 84720, USA
As a friendly reminder every Wednesday morning at 830 am we meet at Amber Kay's Cafe on the south side of town for breakfast. All are welcome. There is a location map in the events calendar you can access at the top of this email thru the events calendar link.
Go to Event
8:30 am Council 11246 Breakfast Gathering

Submit your event

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