Petition

[ PETITION FOR THE \
DEGREES OF FREEMASONRY
INFORMATION FOR PETITIONER
The question of becoming a Freemason is a matter for very serious consideration, and since you have expressed desire to be
a member, we deem it advisable that you should be informed on certain points which may affect your decision to apply.
In all ages, Freemasonry has insisted that men should come to its doors unsolicited and entirely of their own free will and
accord. Moreover, those joining in the hope of selfish personal gain will be bitterly disappointed.
Freemasonry has for its foundation the great basic principles of the Fatherhood of God and the Brotherhood of Man. No
atheist can be made a Mason.
Freemasonry is not in any way an insurance society nor does it provide benefits in case of sickness or death. In a correct and
broad sense it is a charitable association, but it only extends such charity as it feels willing and able to grant, not as a matter
or right to the recipient, but in its desire to do good and exemplify its moral teachings. The yearly dues are entirely
inadequate to permit other than temporary assistance to a member or his family in case of need.
A universal custom requires that, through oral instruction, certain portions of the work is to be memorized after each degree
and before a candidate is advanced.
Every Member is expected to pay promptly the annual dues fixed by his Lodge.
FEES
Total fee for the three degrees: $
. Installment plan: $
After becoming a Master Mason, the annual dues are $
with Petition,
before receiving Fellow Craft degree,
before receiving Master Mason degree.

, payable in advance.
RECOMMENDERS
We, Freemasons in good standing, recommend this applicant as a fit and proper candidate. (At least one
recommender must have known the applicant for at least six months.)
SIGNATURE
LODGE:
PRINTED NAME
LOCATION:
SIGNATURE
LODGE:
Revised February, 2009, Grand Lodge of Utah
PRINTED NAME
LOCATION:
I have known him for
years.
I have known him for
years.
PHONE
E-MAIL:
PHONE
E-MAIL:
Page 1 of 2
TO THE WORSHIPFUL MASTER, WARDENS AND MEMBERS OF
I,
LODGE
F. & A.M.
, freely and voluntarily offer myself as a candidate for the mysteries of

print full name, including middle name
Freemasonry and respectfully petition that I may become a member of your Lodge. I make this request unbiased by the
solicitation of friends and uninfluenced by mercenary or other unworthy motives, being prompted by a favorable opinion
conceived of the institution, a desire for knowledge and a sincere wish to be serviceable to my fellow men. If found
worthy and elected, I will conform to all the ancient usages and regulations of the fraternity. I believe in the existence of a
Supreme Being. I will see that my family understands that Masonry is NOT an insurance or benefit society. I have
carefully read the Information for Petitioner on the obverse side of this Petition.
Occupation & company:
Work phone:
Business address:
E-mail:
Residence address:
Please send mail to:
Home phone:
Cell phone:
Place of birth:
I am:
single
Date of birth:
Legal residence for last six months:

divorced
married. Wifes name:
Please state explicitly your occupation for the past ten years and where conducted (use additional paper if needed):
Have you ever been convicted of a felony?
No or
Yes, explain:
During the past five years I have resided in:

If more than one place, state the years in each:
I
have, or
have not previously presented a petition to any Masonic Lodge.
If so: when, to what Lodge, and what action was taken?

I have a physical condition that would affect my participating in
the conferring of the degrees:
No.
Yes. Please describe:
Other organizations or groups I belong to:
List two character references, preferably Masons, other than your recommenders:
Name:
Phone:
E-mail:
Name:
Phone:
E-mail:
Upon my honor, I declare all the foregoing statements to be true.
SIGNATURE
DATE
Word process or print all information legibly and complete the entire application or the petition will be returned without processing.
Revised February, 2009, Grand Lodge of Utah
Page 2 of 2

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[ PETITION FOR THE \

After becoming a Master Mason, the annual dues are $

before receiving Fellow Craft degree,

before receiving Master Mason degree.

Revised February, 2009, Grand Lodge of Utah

I have known him for

I have known him for

TO THE WORSHIPFUL MASTER, WARDENS AND MEMBERS OF

, freely and voluntarily offer myself as a candidate for the mysteries of

Legal residence for last six months:

married. Wifes name:

During the past five years I have resided in:

have not previously presented a petition to any Masonic Lodge.

If so: when, to what Lodge, and what action was taken?

Upon my honor, I declare all the foregoing statements to be true.

Revised February, 2009, Grand Lodge of Utah

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