I have never applied for any of the Scottish Rite Degrees, and I now respectfully petition to receive the Degrees from the 4th to the 32nd, inclusive, promising always to bear true faith and allegiance to the Supreme Council of the 33rd Degree of the Southern Jurisdiction, U.S.A.

As required, I herewith provide a copy of my current blue lodge dues card.

The Supreme Council requires the acceptance of the following fundamental principles: The inculcation of patriotism, respect for law and order, undying loyalty to the principles of civil and religious liberty, and the entire separation of church and state as set forth in the Constitution of the Unites States of America. Do you approve wholeheartedly of these principles?

YesNo

Have you ever held or expressed opinions contrary to the foregoing or been affiliated with an organization which has? (Yes or No )

I, , state on my oath as a Master Mason that I was certified after examination in open lodge in Lodge No. , under the Grand Lodge, A.F. & A.M. of Maryland on (Date) , for having successfully attained proficiency on the Master Mason’s Degree, which was accomplished within one year of my raising.

I understand that, as a Master Mason in a Maryland lodge, in order to make application to the Scottish Rite for its degrees, I must fulfill the requirements set forth in Section 6, Paragraph D, of Article XVI of the Constitution and Bylaws of the Grand Lodge A.F. & A.M. of Maryland which reads as follows:

D. Proficiency Examinations — Lodges shall exact from all candidates for advancement from one degree to another, an examination in open lodge. No Lodge may advance a brother until he has shown sufficient proficiency. The proficiency shall be determined by ballot.

1. Lodges shall also exact from candidates who have received their Master Mason Degree an examination in open Lodge as to their proficiency in that degree. The proficiency shall be determined by ballot as in previous degrees.
2. The examination shall be exacted within twelve months from the date of raising.
   1. Until passing a satisfactory examination, a Master Mason may not make application to any Masonic Order or Organization which requires its members to be Masons. Any violation may subject a member to disciplinary action
   2. If a Brother fails to pass his examination within twelve months, he shall be summoned by the Worshipful Master to show cause and, upon failure to do so, is subject to charges for unmasonic conduct.