Family of the
Y
ear
Council:
Submitter Name:
Submitter E-mail Address:
Council City:
A. Personal Data
Member's Name
Wife's Name
Home Address
Home Phone
Business Phone
Childen's Names / Ages
Parish
Pastor
Church Address
Church Phone
B. Knights of Columbus Data
How many years has member been a Knight of Columbus
Positions (offices / program directorships / chairmanships / committee assignments) held:
Explain the entire family's involvement within the Knights of Columbus:
C. Family Involvement
Explain the entire family's involvement within the Church:
Explain the entire family's involvement within the community:
Explain why this family was chosen as the model family in your council. Why does this family deserve the distinction of being named Knights of Columbus Family of the Year?