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.

1 in 1,000 Club  Donation to National Grange Foundation
Agriculture Agriculturalist of the Year Application due to State Agriculture Director postmarked no later than June 1.

Audit Procedures and Report
Calendar The calendar features photos from the 2017 Oregon State Grange Lecturer’s photography contest.

Flyer
Order form: $10 each, 3 for $25, 12 for $90

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
Entry form for GWA & Lecturer’s Contests
Expense Form (Request for Reimbursement)
Grange Bulletin Submit News Story to Grange Bulletin Editor

Change of Address Form

In Memoriam Form

Grange Awards  

Distinguished Subordinate/ Community Grange 

  • Print form: Write information with pen, which must be sent to the National Grange postmarked no later than August 6, 2018 or sent electronically by 11:59 pm EDT.

Distinguished Youth Program application must be postmarked to the National Youth Director by September 1.

Legacy Family (5 or more generations, including current Juniors) Application due to National Grange August 6, 2018 to receive recognition at 2018 National Grange Convention

Is your Grange celebrating 100 years?  125 years?  Order a certificate and plaque from National Grange.  The cost is $10 for shipping.

Grange Hall Rental Agreement This Grange Hall Use and Hold Harmless Agreement has been updated to allow renters to serve alcoholic beverages and identify whether use is high-risk requiring additional insurance

IRS Annual 990- N Filing
Junior Grange State Junior Officer Application is due to the State Grange office or State Junior Directors March 31.

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.

Membership Brochures

Life Membership

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

  • Word Document: In some cases when you insert info, (meeting time) the line will “fall off the page,” and you will have to delete spaces to get it back.
  • Print form: Write information with pen.
  • Type-in form: Type and print.  User must have Adobe Acrobat or Adobe LiveCycle Reader Extensions to save the document.  If you do not and there are corrections, you’ll Have to write them by hand. Also while you can type more than three lines for each committee report, only three 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

State Convention Motels & RVs

Meal Ticket Order form due June 1

Pre-Registration form must be postmarked no later than June 7

Credentials:  Mail to State Grange office before June 1 or bring to registration at the convention

Committee Assignment Preference form due to the State Grange office by May 15

Memorial Service form to report state officers, directors and delegates who have passed away in the last year; due to the State Grange office by May 15

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

Horizon Ambassador & Young Patron application, letter of recommendation, and Trivia Challenge must be sent to State Youth Director postmarked no later than May 15.

Youth Booster Award nominations must be sent to the State Youth Director postmarked no later than May 15

Youth Community Service Award entry form must be sent to the State Youth Director postmarked no later than June 1.

Folding Display & entry form must be submitted for judging at the State Grange Convention by noon on Sunday June 24.

Western Regional Grange Leadership & Youth Conference

Junior Mentor Award application
must be sent to the National Youth Director by September 1.

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

Forms Alphabetically by Title

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

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

Horizon Ambassador & Young Patron application, letter of recommendation, and Trivia Challenge must be sent to State Youth Director postmarked no later than May 15.

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

B Youth Booster Award nominations must be sent to the State Youth Director postmarked no later than May 15

 C Calendar Order Form: The calendar features photos from the 2017 Oregon State Grange Lecturer’s photography contest.

Flyer
Order form: $10 each, 3 for $25, 12 for $90

Change of Address Form

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

Contest Entry form for GWA & Lecturer’s Contests:

County Deputy Grange Report

D Distinguished Subordinate/ Community Grange 

  • Print form: Write information with pen, which must be sent to the National Grange postmarked no later than August 6, 2018 or sent electronically by 11:59 pm EDT.

Distinguished Youth Program application must be postmarked to the National Youth Director by September 1.

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.

Folding Display & entry form must be submitted for judging at the State Grange Convention by noon on Sunday June 24.

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

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

H Hall Rental Agreement
This Grange Hall Use and Hold Harmless Agreement has been updated to allow renters to serve alcoholic beverages and identify whether use is high-risk requiring additional insurance

Horizon Ambassador & Young Patron application, letter of recommendation, and Trivia Challenge must be sent to State Youth Director postmarked no later than May 15.

I In Memoriam Form

Individual Membership Record

Investment Guidelines for Subordinate & Pomona Granges

IRS Annual 990-N Filing

J State Junior Officer Application is due to the State Grange office or State Junior Directors March 31

Junior Mentor Award application must be sent to the National Youth Director by September 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.

Legacy Family (5 or more generations, including current Juniors)
Application due to National Grange August 6, 2018 to receive recognition at 2018 National Grange Convention

Life Membership

M Meeting Record

  • Word Document: In some cases when you insert info, (meeting time) the line will “fall off the page,” and you will have to delete spaces to get it back.
  • Print form: Write information with pen.
  • Type-in form: Type and print.  User must have Adobe Acrobat or Adobe LiveCycle Reader Extensions to save the document.  If you do not and there are corrections, you’ll Have to write them by hand. Also while you can type more than three lines for each committee report, only three 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.

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

Nominations for Oregon State Grange Officers due to State Office January 25

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

State Junior Officer Application is due to the State Grange office or State Junior Directors March 31

State Youth Officer application is due to State Youth Director March 31.

100 year or 125 year certificate and plaque from National Grange.  The cost is $10 for shipping.

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

R Rental Agreement

This Grange Hall Use and Hold Harmless Agreement has been updated to allow renters to serve alcoholic beverages and identify whether use is high-risk requiring additional insurance

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.

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.

W Western Regional Grange Leadership & Youth Conference

Y State Youth Officer application is due to State Youth Director March 31.

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

Youth Community Service Award entry form must be sent to the State Youth Director postmarked no later than June 1.