Forms

By Department

Forms are also listed alphabetically by title.

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Agriculture	Agriculturalist of the Year Application due to State Agriculture Director postmarked no later than June 1. Print form: Write information with pen. Type-in form: Type, print, and mail.
Audit	Procedures and Report
Community Service	Annual Community Service Report due to the State Community Service Director postmarked no later than June 1. Print form: Write information with pen. Type form: Type, print, and mail. Community Service Volunteer Log: Have members record their volunteer hours once a month when they are fresh in their minds. Print the Community Service Volunteer Log, make copies, and distribute them to your members. Volunteer of the Year: Mail nomination form to the State Grange Community Service Director postmarked no later than June 1. Print form: Write information with a pen. Type-in form: Type, print, and mail. 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. Print form: Write information with pen. Type-in form: Type, print, and mail.
County Deputy Grange Report	Print form: Write information with pen. Type-in form: Type, print, and mail.
Request for Reimbursement Form	Print form: Write information with pen. Type-in form: Type, print, and mail.
Grange Bulletin	Submit News Story to Grange Bulletin Editor Print form: Write information with pen. Type-in form: Type, print, and mail. Change of Address Form Print form: Write information with pen. Type-in form: Type, print, and mail. In Memoriam Form Print form: Write information with pen. Type-in form: Type, print, and mail.
Grange Awards	2016 Honor Grange Levels 2016 Honor Grange Tracking form, which is due to the State Grange office March 31, 2017 at 5 pm
Junior Grange	State Junior Officer Application is due to the State Grange office or State Junior Directors April 1 Print application form: Write information with pen. Type-in application form: Type, print, and mail. 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 The Grange: You Belong Oregon Grange Youth Oregon Junior Grange The Grange: Join Online Life Membership Application Print form: Write information with pen. Type-in form: Type, print, and mail.
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. Print form: Write information with pen. Type-in form: Type, print, and mail.
Scholarships	See Scholarships
Secretary	Change of Address Form for Grange Bulletin Print form: Write information with pen. Type-in form: Type, print, and mail. In Memoriam Form for Grange Bulletin Print form: Write information with pen. Type-in form: Type, print, and mail. Individual Membership Record Print form: Write information with pen. Type-in form: Type and print. Investment Guidelines for Subordinate & Pomona Granges Print application: Write information with pen. Type application: Type, print, and mail. Life Membership Application Print form: Write information with pen. Type-in form: Type, print, and mail. Memorial Life Membership Application Print form: Write information with pen. Type-in form: Type, print, and mail. 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. Print form: Write information with pen. Type-in form: Type, print two (2) copies, and mail one. 25-year Silver Certificate or Seals for 40, 55, 60, 65, & 70 years Application Print application: Write information with pen. Type-in application: Type, print, and mail. Order form Print order form: Write information with pen. Type-in order form: Type, print, and mail. Both pages must be completed! 50 & 75-year Certificates & 80 & 85-Year Letters of Congratulations Application Print application: Write information with pen. Type-in application: Type, print, and mail. Order form Print order form: Write information with pen. Type-in order form: Type, print, and mail. 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 Letter from National Master Survey
State Convention	Hotels, bed & breakfasts and RV camping sites in and near Florence. Meal Ticket Order form must be received with payment by Peggy Jillson, 987 Tivoli St, Eugene 97404 by June 1. Pre-Registration form: 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. 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. Print form: Write information with pen. Type-in form: Type, print, and mail. Oregon Teenager Award application must be sent to the State Youth Director postmarked no later than May 15 Print form: Write information with pen. Type-in form: Type, print, and mail. National Grange Youth Officer application must be sent to National Youth Director postmarked no later than September 1 Print application: Write information with pen. Type-in form: Type, print, and mail. John Trimble National Youth Legislative Experience application must be sent to National Youth Director postmarked no later than September 1 Print application: Write information with pen. Type-in form: Type, print, and mail. Grassroots Activism Award deadline to submit application to National Grange Legislative Director is December 1 Print form: Write information with pen. Type-in form: Type, print, and mail.

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. Print form: Write information with pen. Type-in form: Type, print, and mail. Annual Community Service Report due to the State Community Service Director postmarked no later than June 1 Print form: Write information with pen. Type form: Type, print, and mail. Application for 25-year Silver Certificate or Seals for 40, 55, 60, 65, & 70 years Print application: Write information with pen. Type-in application: Type, print, and mail. Must also complete Order Form: Membership Recognition Certificates and Seals Application for 50 & 75-Year Certificates & 80 & 85-Year Letters of Congratulations Print application: Write information with pen. Type-in application: Type, print, and mail. 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. Print the Community Service Volunteer Log, make copies, and distribute them to your members. County Deputy Grange Report Print form: Write information with pen. Type-in form: Type, print, and mail.
D
E	Expense Report: Request for Reimbursement Form Print form: Write information with pen. Type-in form: Type, print, and mail.
F	Firefighter of the Year Send nominations to the State Community Service Director postmarked no later than June 1. Print form: Write information with pen. Type-in form: Type, print, and mail.
G	Grassroots Activism Award deadline to submit application to National Grange Legislative Director is December 1 Print form: Write information with pen. Type-in form: Type, print, and mail. National GROW Club Scholarship Application must be postmarked no later than September 1 Print form: Write information with pen. Type-in form: Type, print, and mail.
H	Honor Grange Award Program 2016 Honor Grange Levels 2016 Honor Grange Tracking form, which is due to the State Grange office March 31, 2017 at 5 pm Hotels, bed & breakfasts and RV camping sites in and near Florence.
I	In Memoriam Form Print form: Write information with pen. Type-in form: Type, print, and mail. Individual Membership Record Print form: Write information with pen. Type-in form: Type and print. Investment Guidelines for Subordinate & Pomona Granges Print application: Write information with pen. Type application: Type, print, and mail.
J	State Junior Officer Application is due to the State Grange office or State Junior Directors April 1 Print application form: Write information with pen. Type-in application form: Type, print, and mail.
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. Print form: Write information with pen. Type-in form: Type, print, and mail.
L	Law Enforcement Officer of the Year Send nominations to the State Community Service Director postmarked no later than June 1. Print form: Write information with pen. Type-in form: Type, print, and mail. Life Membership Application Print form: Write information with pen. Type-in form: Type, print, and mail.
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 Print application: Write information with pen. Type-in application: Type, print, and mail. Must also complete Order form: Membership Recognition Certificates and Seals 50 & 75-Year Certificates & 80 & 85-Year Letters of Congratulations Print application: Write information with pen. Type-in application: Type, print, and mail. Must also complete Order Form: Membership Recognition Certificates and Letters Memorial Life Membership Application Print form: Write information with pen. Type-in form: Type, print, and mail. 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 Letter from National Master Survey
N	National Grange Youth Officer application must be sent to National Youth Director postmarked no later than September 1 Print application: Write information with pen. Type-in form: Type, print, and mail. News Story Submission Form for OSG Bulletin Print form: Write information with pen. Type-in form: Type, print, and mail.
O	Order Form: Membership Recognition Certificates and Seals 25-year Silver Certificate or Seals for 40, 55, 60, 65, & 70 years Print order form: Write information with pen. Type-in order form: Type, print, and mail. Must also complete Membership Recognition Application. Order Form: Membership Recognition Certificates and Letters 50 & 75-year Certificates & 80 & 85-Year Letters of Congratulations Print order form: Write information with pen. Type-in order form: Type, print, and mail. 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. Print form: Write information with pen. Type-in form: Type, print two (2) copies, and mail one.
R	Request for Reimbursement Form Print form: Write information with pen. Type-in form: Type, print, and mail.
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 Print form: Write information with pen. Type-in form: Type, print, and mail. Teacher of the Year Send nominations to the State Community Service Director postmarked no later than June 1. Print form: Write information with pen. Type-in form: Type, print, and mail. John Trimble National Youth Legislative Experience application must be sent to National Youth Director postmarked no later than September 1 Print application: Write information with pen. Type-in form: Type, print, and mail.
V	Volunteer of the Year: Mail nomination form to the State Grange Community Service Director postmarked no later than June 1. Print form: Write information with a pen. Type-in form: Type, print, and mail.
Y	State Youth Officer application is due to State Youth Director March 30. Print form: Write information with pen. Type-in form: Type, print, and mail. National Grange Youth Officer application must be sent to National Youth Director postmarked no later than September 1 Print application: Write information with pen. Type-in form: Type, print, and mail.