Michigan District 1 Forms
SPECIAL NOTICES
Korean and Vietnam War Veteran Census
Following the World Wars, the Knights of Columbus documented war service by its members. The results of these efforts are recorded in the archives at the Blessed Michael J. McGivney Pilgrimage Center. Similar efforts were not conducted following either the Korean or Vietnam Wars. Both the Korean and Vietnam Wars marked a significant departure in how troops served and returned from war, as service was no longer for the duration. Gone were the hero’s welcome on return. Vietnam veterans in particular returned to a hostile and divided nation, where they were either overlooked or criticized for their service.
The Supreme Council gave direction to the Supreme Master to conduct a census of those that served in the Korean and Vietnam wars such that these efforts can also be recorded in the archives. Note that the Korean War commenced in 1950, making the approximate minimum age of surviving veterans ninety-one. Similarly, the approximate minimum age of surviving Vietnam veterans serving from 1965-1973 is 68-76. It is imperative to gather this information at this point before it is lost forever.
Assemblies are directed to work in conjunction with their assigned councils to conduct a census of their membership using the provided forms. Where possible, documented service of deceased members will be recorded.
Inclusion in the census shall be limited to veterans meeting the requirements established by Congress for the Korean and Vietnam Service Medals, to wit 25 June 1950-27 July 1953 for Korea and 3 July 1965-28 March 1973 for Vietnam.
The program will culminate with a Mass at the National Basilica of the Immaculate Conception on Saturday, April 26, 2025, in recognition of the 50th Anniversary of the end of the Vietnam War (April 30, 2025). Following Mass, the Supreme Officers and Board of Directors with an escort of a 4th Degree Honor Guard will lay wreaths at the Korean and Vietnam War Memorials. Certificates recognizing service will be delivered to surviving veterans via their councils.
In April and May, assemblies, working with their councils, should have an event recognizing the veterans for their service and distribute the certificates that will be provided.
125th Anniversary Exemplification in New York City
The following item was sent to all Sir Knights with an email address. This information can also be given to prospective Fourth Degree members that may want to make the trip and participate.
You’re invited to a celebration commemorating the 125th anniversary of the Fourth Degree.
Join us Saturday, Feb. 22, 2025, at St. Patrick’s Cathedral in New York City as we:
- Conduct the revised Exemplification of the Fourth Degree exemplification
- Attend Mass concelebrated by Cardinal Timothy Dolan, archbishop of New York, and Archbishop William Lori, our Worthy Supreme Chaplain and archbishop of Baltimore
- Dedicate a new statue of Blessed Michael McGivney
- Continue the celebration with a banquet at the New York Hilton Midtown
This milestone day is a once-in-a-lifetime opportunity to join the Fourth Degree if you haven’t already.
For current Fourth Degree members, it’s an equally exciting chance to renew your dedication to the Catholic virtue of patriotism.
Visit the registration page for more details and to sign up today!
We can’t wait to see you at this historic event!
Fraternally,
Knights of Columbus
P.S. If you want to join the Fourth Degree but can’t travel to New York, you can join locally — contact a Fourth Degree assembly!
The following forms are available on this website in other locations. They have been gathered here for your convenience. Depending on the computer being used, you may have to "right click" to download the form.
2025 March Exemplification
The 2025 March Fourth Degree Exemplification is scheduled for Saturday, March 15, 2025 at St. John Neumann, 44800 Warren Rd, Canton, MI 48187 (click here for map). Registration will start at 9:00am.
Registration for the Exemplification must be in the hands of the District 10 DAYS prior to the event (March 5, 2025). LATE REGISTRATIONS WILL NOT BE TAKEN, NOR WILL WALK-INS ON THE DAY OF THE REGISTRATION. This is a change to past policy, though it is necessary to ensure a successful Exemplification event.
The dress code for this event will be enforced. Anyone not properly dressed will not be allowed to participate. For men, the dress code is the Fourth Degree Uniform, or, a tux or dark suit, white shirt, dark long tie, black socks and shoes.
2025 August 125th Anniversary Fourth Degree Exemplification
The 2025 August 125th Anniversary Fourth Degree Exemplification is being planned for August 23rd, 2025, at a location to be named. Please check later for updated information.
District One General Forms
District Master Award (formerly Red, White and Blue Award)
Due: August 15
Veterans Administration Volunteer Services (VAVS) Forms
General Forms - Supreme
Survey of Fraternal Activity Individual Member Worksheet (Form 1728A)
Note: This will get the most recent form from the KofC Supreme website.
This form is intended to be sent to individual members for them to record their activity that would be included in the Annual Survey. Consider sending this to your members in late November or early December so they can return it in early January.
Annual Survey of Fraternal Activity (Form 1728)
Due: January 31
Note: This will get the most recent form from the KofC Supreme website.
If emailed, send this form to fraternalmission@kofc.org, District Master, VSM and assembly file
To Be a Patriot Award Entry Form
Due: April 30 (for Assemblies)
Note: This will get the most recent form from the KofC Supreme website.
If emailed, send this form to District Master and assembly file
RSVP Refund and Plaque Application for Assemblies
Due: June 30
Note: This will get the most recent form from the KofC Supreme website.
If emailed, send this form to fraternalmission@kofc.org, District Master, VSM, state vocations chairman and assembly file
Civic Award Application (Form 2321)
Due: June 30
Note: This will get the most recent form from the KofC Supreme website.
If emailed, send this form to fraternalmission@kofc.org, District Master, VSM and assembly file
Report of Officers Chosen for the Term (Form 186)
Due: July 1
Note: This will get the most recent form from the KofC Supreme website.
If emailed, send this form to membershiprecords@kofc.org, District Master, VSM and assembly file
Annual Assembly Audit Report (Form 1315)
Due: August 1
Note: This will get the most recent form from the KofC Supreme website.
If emailed, send this form to suprememaster@kofc.org, District Master, VSM and assembly file
Reference Material - Supreme
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Master's Staff
District Friar:
Rev. Paul Ballien
Master:
Gene Suchyta
Sr. Marshal:
George Roumaya
Marshal:
Curt Best
Marshal:
Bob Greening
Marshal:
Dale Miller
Comptroller:
Norm Pranger
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Contact Us
Email: Click on any name listed under Master's Staff
Phone: 734.748.2644
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