Washington D.C. Scottish Rite Petition For Degrees


To the Officers and Members of:

Mithras Lodge of Perfection, Evangelist Chapter Rose Croix, Robert de Bruce Council of Kadosh, and Albert Pike Consistory.

Full Name Full name must be provided – Do not use initials

First name Middle Name Last Name
I am currently a Master Mason in good standing in Lodge No. located at
and under the jurisdiction of the Grand Lodge of
I was raised to that degree on in Lodge No. which is located at

Current Residence

Street Address City or Town State Postal Code Country

Mailing Residence

Number and Street or PO Box City or Town State Postal Code Country
Mobile Telephone Home Telephone Work Telephone Email Address
Date of Birth Place of Birth
Last four (4) digits of your Social Security No. If married, spouse’s full name: My occupation, position or trade is that of

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?

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

If your answer is Yes, provide particulars:

This Petitioner is recommended by two (2) members in good standing of the Valley of Washington, Orient of the District of Columbia:

Printed Name of Sponsor Sponsor Signature Scottish Rite Number from Dues Card
Printed Name of Sponsor Sponsor Signature Scottish Rite Number from Dues Card

PLEASE UPLOAD A COPY OF YOUR CURRENT BLUE LODGE DUES CARD WITH YOUR PETITION.

 

PLEASE COMPLETE THE FOLLOWING IF YOUR BLUE LODGE IS UNDER THE JURISDICTION OF THE GRAND LODGE A.F. & A.M. OF MARYLAND.

Signature of Petitioner Signature Date

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.
Signature of Petitioner Signature Date
Method of Payment
FULL FEE MUST ACCOMPANY PETITION

Make all checks payable to MITHRAS LODGE OF PERFECTION

Leave this empty:

Signature arrow sign here

Signed by Walter Hoenes
Signed On: November 29, 2021


Signature Certificate
Document name: Washington D.C. Scottish Rite Petition For Degrees
lock iconUnique Document ID: 6ca39965d27c6a425ebadc7f2cba1daa864e8977
Timestamp Audit
September 17, 2020 7:17 am GMTWashington D.C. Scottish Rite Petition For Degrees Uploaded by Walter Hoenes - membership@dcsr.org IP 122.163.82.103