Forms

By Department

Forms are also listed alphabetically by title.

When you click on a form, be patient while it opens in a new browser window.

Agriculture Agriculturalist of the Year Application due to State Agriculture Director postmarked no later than June 1.

Audit Procedures and Report
Community Service Annual Community Service Report due to the State Community Service Director postmarked no later than June 1.

Community Service Volunteer Log:  Have members record their volunteer hours once a month when they are fresh in their minds.

Volunteer of the Year:  Mail nomination form to the State Grange Community Service Director postmarked no later than June 1.

Firefighter, Law Enforcement Officer, and Teacher of the Year Awards
Mail nomination form to the State Grange Community Service Director postmarked no later than June 1.

County Deputy Grange Report
Request for Reimbursement Form
Grange Bulletin Submit News Story to Grange Bulletin Editor

Change of Address Form

In Memoriam Form

Grange Awards
Junior Grange State Junior Officer Application is due to the State Grange office or State Junior Directors April 1

Photo Release Form
Have parents sign this Model Release form when Juniors or other children participate in activities that you photograph to use in publicity for future events.

Lecturer’s 2017 Calendar Order form
Membership 2017 Calendar Order form

Brochures

Life Membership Application

OSG Foundation Kitty Thomas Hearing Impaired Fund

The fund can be used to reimburse out-of-pocket expenses for the current year.  The form must be postmarked no later than December 31.

Scholarships See Scholarships
Secretary Change of Address Form for Grange Bulletin

In Memoriam Form for Grange Bulletin

Individual Membership Record

Investment Guidelines for Subordinate & Pomona Granges

Life Membership Application

Memorial Life Membership Application

Meeting Record

  • Print form: Write information with pen.
  • Type-in form: Type and print. While you can type more than three lines for each committee report, only three will print.

Quarterly Report:  Back side where list members gained and lost.  The front side is generated for each Grange based on the number of members.


25-year Silver Certificate or Seals for 40, 55, 60, 65, & 70 years

Application

Order form

Both pages must be completed!


50 & 75-year Certificates & 80 & 85-Year Letters of Congratulations

Application

Order form

Both pages must be completed!


Secretary’s and Treasurer’s Account Book

  • Download as an Microsoft Excel worksheet into which you can enter your receipts and disbursements, and the worksheet will do the math for you.

Supply Order Form

Music Performance License

State Convention

Delegates

  • Subordinate/Community Delegate Credentials:  Bring to the Convention or mail to the State Grange office by June 1. Required for elected 1st and 2nd delegates and alternates, but not the Master.
  • Pomona Credentials: Bring to the Convention or mail to the State Grange office by June 1. Required for elected 1st and 2nd delegates and alternates, but not the Master.
  • Delegates can request a committee by completing the Committee Assignment Preference form, marking their 1st, 2nd, and 3rd choices, and sending it to the State Grange office postmarked no later than May 15.
Youth State Youth Officer application is due to State Youth Director March 30.

Oregon Teenager Award application must be sent to the State Youth Director postmarked no later than May 15

National Grange Youth Officer application must be sent to National Youth Director postmarked no later than September 1

John Trimble National Youth Legislative Experience application must be sent to National Youth Director postmarked no later than September 1

Grassroots Activism Award deadline to submit application to National Grange Legislative Director is December 1

Forms Alphabetically by Title

Click a letter to jump to form names that begin with that letter:

A  C   D   E   F   G   H   I   J  K  L   M   N   O   P  Q  R   S   T   V   Y

Titles are shortened to the significant words.  In other words, “Grange” or “Oregon State Grange” is not included.
A Agriculturalist of the Year Application due to State Agriculture Director postmarked no later than June 1.

Annual Community Service Report due to the State Community Service Director postmarked no later than June 1

Application for 25-year Silver Certificate or Seals for 40, 55, 60, 65, & 70 years

Must also complete Order Form: Membership Recognition Certificates and Seals

Application for 50 & 75-Year Certificates & 80 & 85-Year Letters of Congratulations

Must also complete Order Form: Membership Recognition Certificates and Letters

Audit Report

 C Calendar order form

Committee Assignment Preference form: Delegates can mark their 1st, 2nd, and 3rd choices, and send it to the State Grange
office postmarked no later than May 15.

Community Service Volunteer Log:  Have members record their volunteer hours once a month when they are fresh in their minds.

County Deputy Grange Report

D
E Expense Report: Request for Reimbursement Form

F Firefighter of the Year
Send nominations to the State Community Service Director postmarked no later than June 1.

G Grassroots Activism Award deadline to submit application to National Grange Legislative Director is December 1

National GROW Club Scholarship Application must be postmarked no later than September 1

H Honor Grange Award Program

Hotels, bed & breakfasts and RV camping sites in and near Florence.

I In Memoriam Form

Individual Membership Record

Investment Guidelines for Subordinate & Pomona Granges

J  State Junior Officer Application is due to the State Grange office or State Junior Directors April 1

K Kitty Thomas Hearing Impaired Fund

The fund can be used to reimburse out-of-pocket expenses for the current year.  The form must be postmarked no later than December 31.

L Law Enforcement Officer of the Year
Send nominations to the State Community Service Director postmarked no later than June 1.

Life Membership Application

M Meal Ticket Order form for the State Grange Convention must be received with payment by Peggy Jillson, 987 Tivoli St,

Eugene 97404 by June 1.

Meeting Record

  • Print form: Write information with pen.
  • Type-in form: Type and print. While you can type more than three lines for each committee report, only three will print.

Membership Recognition Application

25-year Silver Certificate or Seals for 40, 55, 60, 65, & 70 years

Must also complete Order form: Membership Recognition Certificates and Seals

50 & 75-Year Certificates & 80 & 85-Year Letters of Congratulations

Must also complete Order Form: Membership Recognition Certificates and Letters

Memorial Life Membership Application

Model Release 

Have parents sign this Model Release form when Juniors or other children participate in activities that you photograph to use in publicity for future events.

Music Performance License

N National Grange Youth Officer application must be sent to National Youth Director postmarked no later than September 1

News Story Submission Form for OSG Bulletin

O Order Form: Membership Recognition Certificates and Seals 25-year Silver Certificate or Seals for 40, 55, 60, 65, & 70 years

Must also complete Membership Recognition Application.

Order Form: Membership Recognition Certificates and Letters

50 & 75-year Certificates & 80 & 85-Year Letters of Congratulations

Must also complete Membership Recognition Application.

P Pomona Delegate Credentials: Bring to the Convention or mail to the State Grange office by June 1.
Required for elected 1st and 2nd delegates and alternates, but not the Master.Pre-Registration form for State Convention: Send to the State Grange office with your check postmarked no later than June 8
to avoid having to stand in line or wait for a name tag.
Q Quarterly Report:  Back side where list members gained and lost.  The front side is generated for each Grange based on the number of members.

R Request for Reimbursement Form

S Secretary’s and Treasurer’s Account Book

  • Download as an Microsoft Excel worksheet into which you can enter your receipts and disbursements, and the worksheet will do the math for you.

Subordinate/Community Delegate Credentials:  Bring to the Convention or mail to the State Grange office by June 1.
Required for elected 1st and 2nd delegates and alternates, but not the Master.

Supply Order Form

T Oregon Teenager Award application must be sent to the State Youth Director postmarked no later than May 15

Teacher of the Year
Send nominations to the State Community Service Director postmarked no later than June 1.

John Trimble National Youth Legislative Experience application must be sent to National Youth Director postmarked no later than September 1

V  Volunteer of the Year:  Mail nomination form to the State Grange Community Service Director postmarked no later than June 1.

Y State Youth Officer application is due to State Youth Director March 30.

National Grange Youth Officer application must be sent to National Youth Director postmarked no later than September 1