VISION 2013 AWARD

2012 VISION 2013 AWARD FORM This form covers Lodge activities during 2012 and must be submitted by January 31, 2013. After completing this form, please scroll down to the bottom and click the SUBMIT button. You may also print a copy of this form, blacken the appropriate circles and mail it to the Grand Secretary's office.
Grand Lodge of TN F&AM
100 7th Avenue North Suite 4
Nashville, TN 37203-3726
This form is submitted by:
Lodge Name and Number
email address of brother submitting this form

SECTION 1--MANAGEMENT

QUESTION 1-1--Does your Lodge have some means of regular communication with its membership, i.e. a monthly or quarterly newsletter? If yes, score 1 point. Add one extra point if it is distributed to your Widows, E.A.'s and/or F.C.'s NO
1
2

QUESTION 1-2--Did your Lodge have an OPEN INSTALLATION OF OFFICERS this year? If yes, score 1 point. NO
1

QUESTION 1-3--Did all your Lodge officers attend at least one District Meeting this year? If yes, score 1 point NO
1

QUESTION 1-4--Did all your Lodge officers attend at least one Grand Lecturer's SCHOOL OF INSTRUCTION this year? If yes, score 1 point. NO
1

QUESTION 1-5--Did all your Lodge officers attend at least one Grand Lecturer's OFFICIAL VISIT this year? If yes, score 1 point. NO
1

QUESTION 1-6--Was your Lodge represented at the annual Grand Lodge Communication by your stationed officers and/or your Secretary this year? If yes, score one point for each attendee up to a maximum of 4 points. NO
1
2
3
4

QUESTION 1-7--Does your Lodge have an assigned committee for oversight or implementation of the VISION 2013 program OR does it have a LONG RANGE PLANNING COMMIMTTEE? If yes, score 1 point. NO
1

QUESTION 1-8--Does your Lodge conduct a regular scheduled leadership educational program for your officers? If yes, score 1 point. NO
1

QUESTION 1-9--Did any of your officers attend a training session conducted by the EDUCATION COMMITTEE in January and February? If yes, indicate the number of officers who attended. Please leave blank if none attended.

QUESTION 1-10--Does your Lodge conduct a regular scheduled educational program for ritual? If yes, score 1 point. NO
1

QUESTION 1-11--Does your Lodge conduct a regular scheduled educational program for other than ritual (Masonic History, Code etc.)? If yes, score 1 point. NO
1

QUESTION 1-12--Does your Lodge utilize videos and other paraphernalia from the VISION 2013 program in its training, including orientation of new or prospective members? If yes, score 1 point. NO
1

QUESTION 1-13--Does your Lodge have a regular building and grounds clean-up program with supervision? If yes, score 1 point. NO
1

QUESTION 1-14--Does your Lodge have an internet home page? If yes, score 1 point. NO
1

QUESTION 1-15--Can your Lodge confer all sections of all 3 degrees from memory using only your members? If yes, score 1 point. NO
1

QUESTION 1-16--Does your Lodge have at least one brother who can conduct a Masonic Funeral from memory? If yes, score 1 point. NO
1

QUESTION 1-17--Did your Lodge submit a JOSEPH C. MOBLEY award form this year? If yes, score 1 point. NO
1

SECTION 2--MEMBERSHIP

QUESTION 2-1--Did your Lodge hold a special meeting to recognize Past Masters this year? If yes, score 1 point. NO
1

QUESTION 2-2--Did your Lodge hold a special meeting to recognize 25 and 50 year members and/or an "Old Timer's Night" this year? If yes, score 1 point. NO
1

QUESTION 2-3--Does your Lodge sponsor a DeMolay, Rainbow Chapter or a Job's Daughters Bethel? If yes, score 1 point for each body. NO
1
2
3

QUESTION 2-4--Did your Lodge have an Open House for the community or a community group (e.g. Chamber of Commerce, elected officials, pastors, scout leaders etc.)? Enter the number of meetings held--please leave blank if no such meetings were held.

QUESTION 2-5--Does your Lodge have a formal orientation program for new members? If yes, score 1 point. NO
1

QUESTION 2-6--Does your Lodge assign a "buddy" or some specific individual to each new member to teach lectures etc? If yes, score 1 point. NO
1

QUESTION 2-7--Does your Lodge include the wives and family members of new or prospective members in the initial orientation? If yes, score 1 point. NO
1

QUESTION 2-8--Does your Lodge serve refreshments at degrees, stated meetings and/or installations? If yes, score 1 point for degrees, 1 for stated meetings and 1 for installations. NO
1
2
3

QUESTION 2-9--Does your Lodge formally notify local newspapers and/or radio/TV stations about meetings and special events? If yes, score 1 point for meetings and 1 point for special events. NO
1
2

QUESTION 2-10--How many of your Lodge members have earned a VOLUNTARY SERVICE AWARD? Please indicate only the highest award level for each individual brother--for example, if a Brother has earned a Silver award, enter 0 in the BRONZE box and 1 in the Silver box--please leave blank if no brother has earned an award. Bronze
Silver
Gold

SECTION 3--FRATERNAL RELATIONS

QUESTION 3-1--Did your Lodge hold a special meeting to recognize its Masonic Widows and Orphans this year? If yes, score 1 point. NO
1

QUESTION 3-2--Does your Lodge present Grand Lodge Masonic Widows' pins to its widows? If yes, score 1 point. NO
1

QUESTION 3-3--Does your Lodge present Blue Slipper pins to members' wives and/or daughters? If yes, score 1 point. NO
1

QUESTION 3-4--Did your Lodge hold a special meeting to commemorate St. John's Day in June and/or December? If yes, score 1 point for each. NO
1
2

QUESTION 3-5--Did your Lodge hold any type of special meetings designed for the inclusion of the ladies and/or children of the brethren (Christmas Party, family night etc)? If yes, score 1 point for each--maximum 3 points. NO
1
2
3

QUESTION 3-6--Did your Lodge hold any meeting or function jointly with one of the appendant bodies this year? If yes, score 1 point for each--maximum 3 points. NO
1
2
3

QUESTION 3-7--Did your Lodge visit another Masonic Lodge in this or any other Grand Jurisdiction this year for the purpose of conferring a Masonic Degree? If yes, score 1 point for each--maximum 3 points. NO
1
2
3

QUESTION 3-8--Did your Lodge host another Masonic Lodge from this or any other Grand Jurisdiction this year for the purpose of conferring a Masonic Degree? If yes, score 1 point for each--maximum 3 points. NO
1
2
3

QUESTION 3-9--Did your Lodge sponsor a trip to another Lodge in this or any other Grand Jurisdiction this year for any purpose other than conferring a Masonic Degree? If yes, score 1 point for each--maximum 3 points. NO
1
2
3

QUESTION 3-10--Did your Lodge hold or participate in a special patriotic function this year? If yes, score 1 point for each--maximum 3 points. NO
1
2
3

QUESTION 3-11--Did your Lodge recognize its outstanding member who has been a member for less than 2 years (rookie)? For more than 2 years (veteran)? If yes, score 1 point for each--maximum 2 points. NO
1
2

SECTION 4--COMMUNITY INVOLVEMENT AND BENEVOLENCE

QUESTION 4-1--Did your Lodge donate to or hold a special fund raising event this year to benefit the Masonic Widows and Orphans' Fund? If yes, score 1 point for each occasion--maximum 2 points. NO
1
2

QUESTION 4-2--How many of your Lodge members have pre-paid their $200 building assessment?

QUESTION 4-3--How many of your 50-year members and/or life members have donated to the Grand Lodge building renovation effort?

QUESTION 4-4--Did your Lodge donate to the George Washington Masonic Memorial this year? If yes, score 1 point. NO
1
QUESTION 4-5--Did your Lodge hold a special fund raising event or assist any other organization(s) in any fund raising event for charity this year? If yes, score 1 point for each--maximum 3 points. NO
1
2
3

QUESTION 4-6--Did your Lodge hold or participate in a Masonic dedication this year? If yes, score 1 point for each--maximum 3 points. NO
1
2
3

QUESTION 4-7--Did your Lodge participate in a HABITAT FOR HUMANITY project this year? If yes, score 1 point for each--maximum 3 points. NO
1
2
3

QUESTION 4-8--Did your Lodge provide aid to a spousal abuse/domestic violence shelter this year? If yes, score 1 point. NO
1
QUESTION 4-9--Did your Lodge provide aid to a public school library reading assistance program? If yes, score 1 point. NO
1
QUESTION 4-10--Did your Lodge provide aid to a Masonic Service Association (MSA) program? If yes, score 1 point. NO
1
QUESTION 4-11--Did your Lodge conduct a C.H.I.P. event this year? If yes, score 1 point. NO
1
QUESTION 4-12--Did your Lodge sponsor a youth sports team this year? If yes, score 1 point. NO
1
QUESTION 4-13--Did your Lodge participate in a highway clean-up and/or adopt-a-highway this year? If yes, score 1 point. NO
1
QUESTION 4-14--Did your Lodge sponsor or work with a Boys' or Girls' Club and or Big Brothers/Sisters this year? If yes, score 1 point. NO
1
QUESTION 4-15--Did your Lodge sponsor a 4-H club year? If yes, score 1 point. NO
1
QUESTION 4-16--How many academic scholarships has your Lodge awarded this year? Please leave blank if none were awarded.

QUESTION 4-17--Did your Lodge participate in programs or event of interaction with the public school system this year? (Anti-drug, D.A.R.E., anti-crime, speech or essay contests, science fairs, reading programs etc.). If yes, score 1 for each--maximum 3 points. NO
1
2
3

QUESTION 4-18--Did your Lodge provide assistance to the welfare of a distressed brother, widow or orphan this year? Please indicate how many individuals your Lodge assisted--leave blank if no assistance was provided.

QUESTION 4-19--Did your Lodge "loan" its facilities or equipment to a community group or church to facilitate their public or private event? If yes, score 1 for each event--maximum 3 points. NO
1
2
3

QUESTION 4-20--Did your Lodge co-sponsor or joint venture a community event or project with another non-Masonic organization? If yes, score 1 for each event--maximum 3 points. NO
1
2
3

QUESTION 4-21--Did your Lodge join in sponsorship of a Masonic county or district charity fund? If yes, score 1 point. NO
1

SECTION 5--OTHER

In the spaces below, please describe any other activity(ies) your Lodge has conducted during 2012 not addressed in any of the questions above:

2012 VISION 2013 AWARD FORM This form covers Lodge activities during 2012 and must be submitted by January 31, 2013. After completing this form, please scroll down to the bottom and click the SUBMIT button. You may also print a copy of this form, blacken the appropriate circles and mail it to the Grand Secretary's office. Grand Lodge of TN F&AM 100 7th Avenue North Suite 4 Nashville, TN 37203-3726 This form is submitted by: Lodge Name and Number email address of brother submitting this form
SECTION 1--MANAGEMENT
QUESTION 1-1--Does your Lodge have some means of regular communication with its membership, i.e. a monthly or quarterly newsletter? If yes, score 1 point. Add one extra point if it is distributed to your Widows, E.A.'s and/or F.C.'s	NO 1 2
QUESTION 1-2--Did your Lodge have an OPEN INSTALLATION OF OFFICERS this year? If yes, score 1 point.	NO 1
QUESTION 1-3--Did all your Lodge officers attend at least one District Meeting this year? If yes, score 1 point	NO 1
QUESTION 1-4--Did all your Lodge officers attend at least one Grand Lecturer's SCHOOL OF INSTRUCTION this year? If yes, score 1 point.	NO 1
QUESTION 1-5--Did all your Lodge officers attend at least one Grand Lecturer's OFFICIAL VISIT this year? If yes, score 1 point.	NO 1
QUESTION 1-6--Was your Lodge represented at the annual Grand Lodge Communication by your stationed officers and/or your Secretary this year? If yes, score one point for each attendee up to a maximum of 4 points.	NO 1 2 3 4
QUESTION 1-7--Does your Lodge have an assigned committee for oversight or implementation of the VISION 2013 program OR does it have a LONG RANGE PLANNING COMMIMTTEE? If yes, score 1 point.	NO 1
QUESTION 1-8--Does your Lodge conduct a regular scheduled leadership educational program for your officers? If yes, score 1 point.	NO 1
QUESTION 1-9--Did any of your officers attend a training session conducted by the EDUCATION COMMITTEE in January and February? If yes, indicate the number of officers who attended. Please leave blank if none attended.
QUESTION 1-10--Does your Lodge conduct a regular scheduled educational program for ritual? If yes, score 1 point.	NO 1
QUESTION 1-11--Does your Lodge conduct a regular scheduled educational program for other than ritual (Masonic History, Code etc.)? If yes, score 1 point.	NO 1
QUESTION 1-12--Does your Lodge utilize videos and other paraphernalia from the VISION 2013 program in its training, including orientation of new or prospective members? If yes, score 1 point.	NO 1
QUESTION 1-13--Does your Lodge have a regular building and grounds clean-up program with supervision? If yes, score 1 point.	NO 1
QUESTION 1-14--Does your Lodge have an internet home page? If yes, score 1 point.	NO 1
QUESTION 1-15--Can your Lodge confer all sections of all 3 degrees from memory using only your members? If yes, score 1 point.	NO 1
QUESTION 1-16--Does your Lodge have at least one brother who can conduct a Masonic Funeral from memory? If yes, score 1 point.	NO 1
QUESTION 1-17--Did your Lodge submit a JOSEPH C. MOBLEY award form this year? If yes, score 1 point.	NO 1
SECTION 2--MEMBERSHIP
QUESTION 2-1--Did your Lodge hold a special meeting to recognize Past Masters this year? If yes, score 1 point.	NO 1
QUESTION 2-2--Did your Lodge hold a special meeting to recognize 25 and 50 year members and/or an "Old Timer's Night" this year? If yes, score 1 point.	NO 1
QUESTION 2-3--Does your Lodge sponsor a DeMolay, Rainbow Chapter or a Job's Daughters Bethel? If yes, score 1 point for each body.	NO 1 2 3
QUESTION 2-4--Did your Lodge have an Open House for the community or a community group (e.g. Chamber of Commerce, elected officials, pastors, scout leaders etc.)? Enter the number of meetings held--please leave blank if no such meetings were held.
QUESTION 2-5--Does your Lodge have a formal orientation program for new members? If yes, score 1 point.	NO 1
QUESTION 2-6--Does your Lodge assign a "buddy" or some specific individual to each new member to teach lectures etc? If yes, score 1 point.	NO 1
QUESTION 2-7--Does your Lodge include the wives and family members of new or prospective members in the initial orientation? If yes, score 1 point.	NO 1
QUESTION 2-8--Does your Lodge serve refreshments at degrees, stated meetings and/or installations? If yes, score 1 point for degrees, 1 for stated meetings and 1 for installations.	NO 1 2 3
QUESTION 2-9--Does your Lodge formally notify local newspapers and/or radio/TV stations about meetings and special events? If yes, score 1 point for meetings and 1 point for special events.	NO 1 2
QUESTION 2-10--How many of your Lodge members have earned a VOLUNTARY SERVICE AWARD? Please indicate only the highest award level for each individual brother--for example, if a Brother has earned a Silver award, enter 0 in the BRONZE box and 1 in the Silver box--please leave blank if no brother has earned an award.	Bronze Silver Gold
SECTION 3--FRATERNAL RELATIONS
QUESTION 3-1--Did your Lodge hold a special meeting to recognize its Masonic Widows and Orphans this year? If yes, score 1 point.	NO 1
QUESTION 3-2--Does your Lodge present Grand Lodge Masonic Widows' pins to its widows? If yes, score 1 point.	NO 1
QUESTION 3-3--Does your Lodge present Blue Slipper pins to members' wives and/or daughters? If yes, score 1 point.	NO 1
QUESTION 3-4--Did your Lodge hold a special meeting to commemorate St. John's Day in June and/or December? If yes, score 1 point for each.	NO 1 2
QUESTION 3-5--Did your Lodge hold any type of special meetings designed for the inclusion of the ladies and/or children of the brethren (Christmas Party, family night etc)? If yes, score 1 point for each--maximum 3 points.	NO 1 2 3
QUESTION 3-6--Did your Lodge hold any meeting or function jointly with one of the appendant bodies this year? If yes, score 1 point for each--maximum 3 points.	NO 1 2 3
QUESTION 3-7--Did your Lodge visit another Masonic Lodge in this or any other Grand Jurisdiction this year for the purpose of conferring a Masonic Degree? If yes, score 1 point for each--maximum 3 points.	NO 1 2 3
QUESTION 3-8--Did your Lodge host another Masonic Lodge from this or any other Grand Jurisdiction this year for the purpose of conferring a Masonic Degree? If yes, score 1 point for each--maximum 3 points.	NO 1 2 3
QUESTION 3-9--Did your Lodge sponsor a trip to another Lodge in this or any other Grand Jurisdiction this year for any purpose other than conferring a Masonic Degree? If yes, score 1 point for each--maximum 3 points.	NO 1 2 3
QUESTION 3-10--Did your Lodge hold or participate in a special patriotic function this year? If yes, score 1 point for each--maximum 3 points.	NO 1 2 3
QUESTION 3-11--Did your Lodge recognize its outstanding member who has been a member for less than 2 years (rookie)? For more than 2 years (veteran)? If yes, score 1 point for each--maximum 2 points.	NO 1 2
SECTION 4--COMMUNITY INVOLVEMENT AND BENEVOLENCE
QUESTION 4-1--Did your Lodge donate to or hold a special fund raising event this year to benefit the Masonic Widows and Orphans' Fund? If yes, score 1 point for each occasion--maximum 2 points.	NO 1 2
QUESTION 4-2--How many of your Lodge members have pre-paid their $200 building assessment?
QUESTION 4-3--How many of your 50-year members and/or life members have donated to the Grand Lodge building renovation effort?
QUESTION 4-4--Did your Lodge donate to the George Washington Masonic Memorial this year? If yes, score 1 point.	NO 1
QUESTION 4-5--Did your Lodge hold a special fund raising event or assist any other organization(s) in any fund raising event for charity this year? If yes, score 1 point for each--maximum 3 points.	NO 1 2 3
QUESTION 4-6--Did your Lodge hold or participate in a Masonic dedication this year? If yes, score 1 point for each--maximum 3 points.	NO 1 2 3
QUESTION 4-7--Did your Lodge participate in a HABITAT FOR HUMANITY project this year? If yes, score 1 point for each--maximum 3 points.	NO 1 2 3
QUESTION 4-8--Did your Lodge provide aid to a spousal abuse/domestic violence shelter this year? If yes, score 1 point.	NO 1
QUESTION 4-9--Did your Lodge provide aid to a public school library reading assistance program? If yes, score 1 point.	NO 1
QUESTION 4-10--Did your Lodge provide aid to a Masonic Service Association (MSA) program? If yes, score 1 point.	NO 1
QUESTION 4-11--Did your Lodge conduct a C.H.I.P. event this year? If yes, score 1 point.	NO 1
QUESTION 4-12--Did your Lodge sponsor a youth sports team this year? If yes, score 1 point.	NO 1
QUESTION 4-13--Did your Lodge participate in a highway clean-up and/or adopt-a-highway this year? If yes, score 1 point.	NO 1
QUESTION 4-14--Did your Lodge sponsor or work with a Boys' or Girls' Club and or Big Brothers/Sisters this year? If yes, score 1 point.	NO 1
QUESTION 4-15--Did your Lodge sponsor a 4-H club year? If yes, score 1 point.	NO 1
QUESTION 4-16--How many academic scholarships has your Lodge awarded this year? Please leave blank if none were awarded.
QUESTION 4-17--Did your Lodge participate in programs or event of interaction with the public school system this year? (Anti-drug, D.A.R.E., anti-crime, speech or essay contests, science fairs, reading programs etc.). If yes, score 1 for each--maximum 3 points.	NO 1 2 3
QUESTION 4-18--Did your Lodge provide assistance to the welfare of a distressed brother, widow or orphan this year? Please indicate how many individuals your Lodge assisted--leave blank if no assistance was provided.
QUESTION 4-19--Did your Lodge "loan" its facilities or equipment to a community group or church to facilitate their public or private event? If yes, score 1 for each event--maximum 3 points.	NO 1 2 3
QUESTION 4-20--Did your Lodge co-sponsor or joint venture a community event or project with another non-Masonic organization? If yes, score 1 for each event--maximum 3 points.	NO 1 2 3
QUESTION 4-21--Did your Lodge join in sponsorship of a Masonic county or district charity fund? If yes, score 1 point.	NO 1
SECTION 5--OTHER
In the spaces below, please describe any other activity(ies) your Lodge has conducted during 2012 not addressed in any of the questions above: