LODGE NAME:     NO   LOCATION

STATE DEPUTY’S NAME:


CIRCLE / FILL IN #
     NUMBER OF MEETINGS STATE DEPUTY ATTENDED
     DURING LAST QUARTER?#

     DO LODGE MEMBERS REALIZE STATE DEPUTY IS THE
     REPRESENTATIVE OF THE STATE PRESIDENT ANDY / N
    GRAND LODGE?

     DO LODGE MEMBERS RESPECT STATE DEPUTY?  Y / N

     DOES STATE DEPUTY DISCUSS MESSAGES AND   Y / N
     ACTIVITIES OF GRAND LODGE?

      DOES STATE DEPUTY TAKE ADVANTAGE (OVERDO)    Y / N
     HIS/HER POSITION?

      DOES STATE DEPUTY PROVIDE ASSISTANCE?      Y / N

      ARE LODGE MEMBERS SATISFIED WITH STATE DEPUTY?    Y / N

      ARE LODGE MEMBERS DESIROUS OF OBTAINING A NEW    Y / N
      STATE DEPUTY?

      IS STATE DEPUTY PERMITTED TO ATTEND COUNCIL      Y / N
      MEETINGS?

      DOES PRESIDENT HAVE ANY SPECIAL PROBLEMS OR IS     Y / N
      IN NEED OF HELP ON ANY LODGE MATTERS?


REMARKS / RECOMMENDATIONS:










SIGNATURE OF LODGE PRESIDENT                                                                                  DATE



MAIL COMPLETED REPORT TO
STATE DEPUTY CHAIRMAN
GRAND LODGE OF MASSACHUSETTS
ORDER SONS OF  ITALY IN AMERICA
93 CONCORD AVE., BELMONT, MA 02478-4044

Order Sons of Italy in America                           Grand Lodge of Massachusetts
PRESIDENT’S QUARTERLY REPORT OF STATE DEPUTY
.