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APPLICATION FOR MEMBERSHIP!
Interested? Then fill out the form below and a representative from Michigan DeMolay will get back to you within the next 48 hours.

Or...you can download our paper MEMBERSHIP APPLICATION, fill it out and then send it to:

Michigan DeMolay
Membership Application
P.O. Box 130345
Ann Arbor, MI 48113

I am 13 years of age or older and have my parent's permission to proceed:

Name:
Address:
Address 2:
City:
State:
Zip Code:
Phone:
E-Mail:
Birthdate:
School:
Grade:
Favorite School Subjects:
Hobbies/Interests:
Clubs and Organizations:
Church/Synagogue:
References: List three friends your age that you have known for at least one year.
Name:
Address:
Phone:

Name:
Address:
Phone:

Name:
Address:
Phone:

Father's Name:
Mother's Name:

Is your father a Senior
DeMolay? If so, where?

Is your father a Mason?
If so, where?

Do you have a DeMolay
referring you? If so, who?

Do you have a Second DeMolay
referring you? If so, who?

Do you have a Masonic
Sponsor referring you? If so, who?

Please type your name in the box below. By doing so, you certify that the above information is true to the best of your knowledge.
My parents approve of my joining the Order of DeMolay: