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

Jun
17
Tue
XXSilver Rose District 10
06-16-2025 - 06-17-2025
SLC

Silver Rose Reporting: Councils report their Silver Rose hours in the Faith in Action “Fraternal Programs Report Form” #10784online – Click hereto submit your membership number and last name to receive the form 10784 linkin your email.  (Video on using Form 10784)

 

Transferring the Rose: District Deputies/Councils need to coordinate thetransfer of the Rose between the individual councils/districts themselves.District Deputies can submit and be reimbursed for mileage traveled intransferring the Rose; Reminder: miles submitted cannot exceed the districtboundaries. Record the total distance traveled to either pick-up ortransfer the Rose to another council. Reminder, on form #10784,“Distance Traveled” make sure you enter the miles, not kilometers, when fillingout the form.

 

Note: When submitting form #10784 to Supreme, please send mea copy. It will assist me in completing my report for the State.

 

Advertising Your Silver RoseProgram

The State Council will gladlypost planned activities on the state council website at www.UtahKnights.org.  The form at https://www.cognitoforms.com/UTKofC/UTKofCActivityForm isthe best way to submit the information for both the state events calendar andthe event sliders on the website homepage. When submitting your council’s plans, make sure you provide the link toany virtual or hybrid services, along with the usual information of date, time,location, and contact information.  Thesame information that is needed (by May 30th) for the form 10720 mentionedabove.

 

Intermountain Catholic: On May 31, 2025, I will be submitting to TheIntermountain Catholic newspaper the Knights of Columbus Silver RoseSchedule. 

 

Resources:  The State hasboth English and Spanish Silver Rose Program pamphlets which will accompany theRose.  For additional resources,including the guide sheet(a useful overview for those new to the program), posters, pledge cards andmore, visit www.kofc.org/SilverRose

 

Vivat Jesus!

 

Michael Leith

Silver Rose Chairman, Utah

801-834-0969

MjlFaith@protonmail.com

The following is the tentativesequence.

DistrictOne: (Jun 8/9), George Muggee, DD (Ogden, Logan)

DistrictThirteen: (Jun 10/11), Marco Gonzalez (Brigham City, West Valley)

DistrictNine: (Jun 12/13) Stacey Yeager, DD, (South Ogden, Layton, Hill AFB)

DistrictTwo: (Jun 14/15), Joseph Nesi, DD, (SLC, Bountiful)

DistrictTen: (Jun 16/17), Richard Green, DD, (SLC)

DistrictEleven: (Jun 18/19), Thomas DeMars, Jr., DD, (Park City/Heber, Vernal)

DistrictEight: (Jun 20/21), Barry Stine, DD, (Tooele, Magna)

DistrictThree: (Jun 22/23), Alex Reynoso, DD, (Sandy, Cottonwood Heights)

DistrictFive: (Jun 24/26), Bob Diaz, DD, (Riverton, West Jordan, Draper)

DistrictSix: (Jun 27/29), Tim Soran, Jr. (Kearns, Holladay, Taylorsville)

DistrictFour: (Jun 30/Jul 1), Jon Gouchay, DD, (Orem/Provo, American Fork, Payson)

DistrictTwelve: (Jul 2/3), Bill Mundy, DD, (Helper, Price)

DistrictEight: (Jul 4/5), Bob Masse, Jr., DD, (St. George/Kanab, Cedar City) 


Go to Event
06-16-2025 - 06-17-2025 Silver Rose District 10
Jun
18
Wed
XXSilver Rose District 11
06-18-2025 - 06-19-2025
Park City/Heber, Vernal

Silver Rose Reporting: Councils report their Silver Rose hours in the Faith in Action “Fraternal Programs Report Form” #10784online – Click hereto submit your membership number and last name to receive the form 10784 linkin your email.  (Video on using Form 10784)

 

Transferring the Rose: District Deputies/Councils need to coordinate thetransfer of the Rose between the individual councils/districts themselves.District Deputies can submit and be reimbursed for mileage traveled intransferring the Rose; Reminder: miles submitted cannot exceed the districtboundaries. Record the total distance traveled to either pick-up ortransfer the Rose to another council. Reminder, on form #10784,“Distance Traveled” make sure you enter the miles, not kilometers, when fillingout the form.

 

Note: When submitting form #10784 to Supreme, please send mea copy. It will assist me in completing my report for the State.

 

Advertising Your Silver RoseProgram

The State Council will gladlypost planned activities on the state council website at www.UtahKnights.org.  The form at https://www.cognitoforms.com/UTKofC/UTKofCActivityForm isthe best way to submit the information for both the state events calendar andthe event sliders on the website homepage. When submitting your council’s plans, make sure you provide the link toany virtual or hybrid services, along with the usual information of date, time,location, and contact information.  Thesame information that is needed (by May 30th) for the form 10720 mentionedabove.

 

Intermountain Catholic: On May 31, 2025, I will be submitting to TheIntermountain Catholic newspaper the Knights of Columbus Silver RoseSchedule. 

 

Resources:  The State hasboth English and Spanish Silver Rose Program pamphlets which will accompany theRose.  For additional resources,including the guide sheet(a useful overview for those new to the program), posters, pledge cards andmore, visit www.kofc.org/SilverRose

 

Vivat Jesus!

 

Michael Leith

Silver Rose Chairman, Utah

801-834-0969

MjlFaith@protonmail.com

The following is the tentativesequence.

DistrictOne: (Jun 8/9), George Muggee, DD (Ogden, Logan)

DistrictThirteen: (Jun 10/11), Marco Gonzalez (Brigham City, West Valley)

DistrictNine: (Jun 12/13) Stacey Yeager, DD, (South Ogden, Layton, Hill AFB)

DistrictTwo: (Jun 14/15), Joseph Nesi, DD, (SLC, Bountiful)

DistrictTen: (Jun 16/17), Richard Green, DD, (SLC)

DistrictEleven: (Jun 18/19), Thomas DeMars, Jr., DD, (Park City/Heber, Vernal)

DistrictEight: (Jun 20/21), Barry Stine, DD, (Tooele, Magna)

DistrictThree: (Jun 22/23), Alex Reynoso, DD, (Sandy, Cottonwood Heights)

DistrictFive: (Jun 24/26), Bob Diaz, DD, (Riverton, West Jordan, Draper)

DistrictSix: (Jun 27/29), Tim Soran, Jr. (Kearns, Holladay, Taylorsville)

DistrictFour: (Jun 30/Jul 1), Jon Gouchay, DD, (Orem/Provo, American Fork, Payson)

DistrictTwelve: (Jul 2/3), Bill Mundy, DD, (Helper, Price)

DistrictEight: (Jul 4/5), Bob Masse, Jr., DD, (St. George/Kanab, Cedar City) 


Go to Event
06-18-2025 - 06-19-2025 Silver Rose District 11
XXCouncil 11246 Breakfast Gathering
06-18-2025   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
Jun
19
Thu
XXCORPUS CHRISTI {Solemnity} THE MOST HOLY BODY AND BLOOD OF CHRIST (Corpus Christi)
06-19-2025   All Day Event

https://www.usccb.org/resources/liturgical-calendar-dioceses-united-states-america
~
12/2024-11/2025 https://www.usccb.org/resources/2025cal.pdf
~
Go to Event
All Day CORPUS CHRISTI {Solemnity} THE MOST HOLY BODY AND BLOOD OF CHRIST (Corpus Christi)
XXFraternal Training: Engaging Your Members with Summer Activities
06-19-2025   All Day Event
Virtual Training Webinar
June 19, 2025.............Engaging Your Members with Summer Activities
~~
Registration Link - TBA
~~
(training description - TBA)
~~
The Fraternal Training Calendar is online at https://www.kofc.org/en/for-members/resources/fraternal-training/regional-training-director-page.html
~
www.KofC.org/Training
~
The Fraternal Mission department is planning a series of exciting and informative webinars for the 2024-2025 fraternal year. Check out the schedule below and mark your calendars today to ensure you don’t miss one. Watch future issues of the FLA to register throughout the year.
~
2024.08.08.FLA - Save the Date! https://conta.cc/3Aiymt1
Go to Event
All Day Fraternal Training: Engaging Your Members with Summer Activities
XX🇺🇸 Juneteenth (USA)
06-19-2025   All Day Event
USA
https://en.wikipedia.org/wiki/Juneteenth
Go to Event
All Day 🇺🇸 Juneteenth (USA)
Jun
20
Fri
XXSilver Rose District 08
06-20-2025 - 06-21-2025
Tooele, Magna

Silver Rose Reporting: Councils report their Silver Rose hours in the Faith in Action “Fraternal Programs Report Form” #10784online – Click hereto submit your membership number and last name to receive the form 10784 linkin your email.  (Video on using Form 10784)

 

Transferring the Rose: District Deputies/Councils need to coordinate thetransfer of the Rose between the individual councils/districts themselves.District Deputies can submit and be reimbursed for mileage traveled intransferring the Rose; Reminder: miles submitted cannot exceed the districtboundaries. Record the total distance traveled to either pick-up ortransfer the Rose to another council. Reminder, on form #10784,“Distance Traveled” make sure you enter the miles, not kilometers, when fillingout the form.

 

Note: When submitting form #10784 to Supreme, please send mea copy. It will assist me in completing my report for the State.

 

Advertising Your Silver RoseProgram

The State Council will gladlypost planned activities on the state council website at www.UtahKnights.org.  The form at https://www.cognitoforms.com/UTKofC/UTKofCActivityForm isthe best way to submit the information for both the state events calendar andthe event sliders on the website homepage. When submitting your council’s plans, make sure you provide the link toany virtual or hybrid services, along with the usual information of date, time,location, and contact information.  Thesame information that is needed (by May 30th) for the form 10720 mentionedabove.

 

Intermountain Catholic: On May 31, 2025, I will be submitting to TheIntermountain Catholic newspaper the Knights of Columbus Silver RoseSchedule. 

 

Resources:  The State hasboth English and Spanish Silver Rose Program pamphlets which will accompany theRose.  For additional resources,including the guide sheet(a useful overview for those new to the program), posters, pledge cards andmore, visit www.kofc.org/SilverRose

 

Vivat Jesus!

 

Michael Leith

Silver Rose Chairman, Utah

801-834-0969

MjlFaith@protonmail.com

The following is the tentativesequence.

DistrictOne: (Jun 8/9), George Muggee, DD (Ogden, Logan)

DistrictThirteen: (Jun 10/11), Marco Gonzalez (Brigham City, West Valley)

DistrictNine: (Jun 12/13) Stacey Yeager, DD, (South Ogden, Layton, Hill AFB)

DistrictTwo: (Jun 14/15), Joseph Nesi, DD, (SLC, Bountiful)

DistrictTen: (Jun 16/17), Richard Green, DD, (SLC)

DistrictEleven: (Jun 18/19), Thomas DeMars, Jr., DD, (Park City/Heber, Vernal)

DistrictEight: (Jun 20/21), Barry Stine, DD, (Tooele, Magna)

DistrictThree: (Jun 22/23), Alex Reynoso, DD, (Sandy, Cottonwood Heights)

DistrictFive: (Jun 24/26), Bob Diaz, DD, (Riverton, West Jordan, Draper)

DistrictSix: (Jun 27/29), Tim Soran, Jr. (Kearns, Holladay, Taylorsville)

DistrictFour: (Jun 30/Jul 1), Jon Gouchay, DD, (Orem/Provo, American Fork, Payson)

DistrictTwelve: (Jul 2/3), Bill Mundy, DD, (Helper, Price)

DistrictEight: (Jul 4/5), Bob Masse, Jr., DD, (St. George/Kanab, Cedar City) 


Go to Event
06-20-2025 - 06-21-2025 Silver Rose District 08
XXHG: Marco Gonzalez Wedding
06-20-2025   12:30 pm - 2:00 pm
Cathedral of the Madeleine, 331 E S Temple St, Salt Lake City, UT 84111, USA
Honor Guard assemble 12:30 PM, Ceremony at 1:00 PM
Signup link: https://www.signupgenius.com/go/10C0949A4A72FAAF5C16-57292355-marco
Marco has requested an Honor Guard at his wedding, if available please come and support a brother Knight.
Go to Event
12:30 pm HG: Marco Gonzalez Wedding
Jun
22
Sun
XXSilver Rose District 03
06-22-2025 - 06-23-2025
Sandy, Cottonwood Heights

Silver Rose Reporting: Councils report their Silver Rose hours in the Faith in Action “Fraternal Programs Report Form” #10784online – Click hereto submit your membership number and last name to receive the form 10784 linkin your email.  (Video on using Form 10784)

 

Transferring the Rose: District Deputies/Councils need to coordinate thetransfer of the Rose between the individual councils/districts themselves.District Deputies can submit and be reimbursed for mileage traveled intransferring the Rose; Reminder: miles submitted cannot exceed the districtboundaries. Record the total distance traveled to either pick-up ortransfer the Rose to another council. Reminder, on form #10784,“Distance Traveled” make sure you enter the miles, not kilometers, when fillingout the form.

 

Note: When submitting form #10784 to Supreme, please send mea copy. It will assist me in completing my report for the State.

 

Advertising Your Silver RoseProgram

The State Council will gladlypost planned activities on the state council website at www.UtahKnights.org.  The form at https://www.cognitoforms.com/UTKofC/UTKofCActivityForm isthe best way to submit the information for both the state events calendar andthe event sliders on the website homepage. When submitting your council’s plans, make sure you provide the link toany virtual or hybrid services, along with the usual information of date, time,location, and contact information.  Thesame information that is needed (by May 30th) for the form 10720 mentionedabove.

 

Intermountain Catholic: On May 31, 2025, I will be submitting to TheIntermountain Catholic newspaper the Knights of Columbus Silver RoseSchedule. 

 

Resources:  The State hasboth English and Spanish Silver Rose Program pamphlets which will accompany theRose.  For additional resources,including the guide sheet(a useful overview for those new to the program), posters, pledge cards andmore, visit www.kofc.org/SilverRose

 

Vivat Jesus!

 

Michael Leith

Silver Rose Chairman, Utah

801-834-0969

MjlFaith@protonmail.com

The following is the tentativesequence.

DistrictOne: (Jun 8/9), George Muggee, DD (Ogden, Logan)

DistrictThirteen: (Jun 10/11), Marco Gonzalez (Brigham City, West Valley)

DistrictNine: (Jun 12/13) Stacey Yeager, DD, (South Ogden, Layton, Hill AFB)

DistrictTwo: (Jun 14/15), Joseph Nesi, DD, (SLC, Bountiful)

DistrictTen: (Jun 16/17), Richard Green, DD, (SLC)

DistrictEleven: (Jun 18/19), Thomas DeMars, Jr., DD, (Park City/Heber, Vernal)

DistrictEight: (Jun 20/21), Barry Stine, DD, (Tooele, Magna)

DistrictThree: (Jun 22/23), Alex Reynoso, DD, (Sandy, Cottonwood Heights)

DistrictFive: (Jun 24/26), Bob Diaz, DD, (Riverton, West Jordan, Draper)

DistrictSix: (Jun 27/29), Tim Soran, Jr. (Kearns, Holladay, Taylorsville)

DistrictFour: (Jun 30/Jul 1), Jon Gouchay, DD, (Orem/Provo, American Fork, Payson)

DistrictTwelve: (Jul 2/3), Bill Mundy, DD, (Helper, Price)

DistrictEight: (Jul 4/5), Bob Masse, Jr., DD, (St. George/Kanab, Cedar City) 


Go to Event
06-22-2025 - 06-23-2025 Silver Rose District 03

Submit your event

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