Knights of Columbus
2009 Annual Survey of Fraternal Activity
Individual Member Worksheet

Last year, the Knights of Columbus donated approximately $145 million to charitable and benevolent causes and 68 million hours of volunteer community service to aid the less fortunate.

This information will assist us in determining the total number of hours of community service volunteered by our members during 2009.

To help prepare our Fraternal Survey for the Supreme Council office, PLEASE complete and submit as soon as possible.

The information will be forwarded to: Bro. Paul Rydl, Financial Secretary, KofC Council 7432, 228 Parkland Cres. SE, Calgary, AB, T2J 3Y5

Name
Number of visits you made during 2009 to:
Sick - caring for the sick / nursing homes / hospitals
Bereaved - visits of condolence
Number of times you served as a blood donor during 2009:	1 2 3 4 5 6 7
Estimated hours of community volunteer service during 2009:
Church Activities - service in all Church related activities
Community Activities - service in all community related activities
Youth Activities - service in all youth related activities
Habitat for Humanity - service in all related projects
Miscellaneous Activities - service in areas not outlined above
Number of hours of fraternal service during 2009:
Sick/disabled members and their families - household chores, transportation, tutoring, counselling, etc.