Forms

By Department

Forms are also listed alphabetically by title.

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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. 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.
Entry form for GWA & Lecturer’s Contests	Print form: Write information with pen.
Expense Form (Request for Reimbursement)	Print: EXPENSE REPORT – fill in 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	Distinguished Subordinate/ Community Grange Print Form: Write information with pen, which must be sent to the National Grange postmarked no later than August 1 or sent electronically by 11:59 pm EDT. Distinguished Youth Program application must be postmarked to the National Youth Director by September 1. Print form: Write information with pen. The online application is at https://form.jotform.us/71975736589175 Legacy Family (5 or more generations, including current Juniors) Application due to National Grange August 6, 2018 to receive recognition at 2020 National Grange Convention Print form: Write information with pen. Is your Grange celebrating 100 years? 125 years? Order a certificate and plaque from National Grange. The cost is $10 for shipping. 100 years 125 years
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 Print form: Write information with pen. Type in form: Type, print, and mail.
IRS Annual 990- N Filing	Directions
Junior Grange	State Junior Officer Application is due to the State Grange office or State Junior Directors March 31. 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.
Membership	Brochures The Grange: You Belong Oregon Grange Youth Oregon Junior Grange The Grange: Join Online Life Membership Print Application: Write information with pen. Type-in Application: 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. 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 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. Print form: Write information with pen, then mail form to OSG Headquarters. Report Page 2-2019 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
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 Subordinate/Community Grange Delegates Credential Pomona Delegates Credential 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 Print form: Write information with pen. Type-in form: Type, print, and mail. Horizon Ambassador & Young Patron application, letter of recommendation, and Trivia Challenge must be sent to State Youth Director postmarked no later than May 15. Print form: Write information with pen. See https://form.jotform.us/71925141989164 for the online application. Youth Booster Award nominations must be sent to the State Youth Director postmarked no later than May 15 Print form: Write information with pen. Youth Community Service Award entry form must be sent to the State Youth Director postmarked no later than June 1. Print form: Write information with pen. Folding Display & entry form must be submitted for judging at the State Grange Convention by noon on Sunday June 24. Print form: Write information with pen. Type-in form: Type, print, and mail. Western Regional Grange Leadership & Youth Conference Registration, deadline July 15. Junior Mentor Award application must be sent to the National Youth Director by September 1. Print application: Write information with pen National Grange Youth Officer application must be sent to National Youth Director postmarked no later than September 1 Print form: Write information with pen. The online applications is at https://form.jetform.us/71934339689170 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. The online application is at https://form.jotform.us/7192824708416

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. Print form: Write information with pen. Type-in form: Type, print, and mail. Horizon Ambassador & Young Patron application, letter of recommendation, and Trivia Challenge must be sent to State Youth Director postmarked no later than May 15. Print form: Write information with pen. See https://form.jotform.us/71925141989164 for the online application. 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
B	Youth Booster Award nominations must be sent to the State Youth Director postmarked no later than May 15 Print form: Write information with pen.
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 Print form: Write information with pen. Type-in 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. Contest Entry form for GWA & Lecturer’s Contests: Print form: Write information with pen. County Deputy Grange Report Print form: Write information with pen. Type-in form: Type, print, and mail.
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. Print form: Write information with pen. The online application is at https://form.jotform.us/71975736589175
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. Folding Display & entry form must be submitted for judging at the State Grange Convention by noon on Sunday June 24. 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 March 1 Print form: Write information with pen. The online application is at https://form.jotform.us/71926116589163 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	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 Print form: Write information with pen. Type in form: Type, print, and mail. Horizon Ambassador & Young Patron application, letter of recommendation, and Trivia Challenge must be sent to State Youth Director postmarked no later than May 15. Print form: Write information with pen. See https://form.jotform.us/71925141989164 for the online application.
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. IRS Annual 990-N Filing Directions
J	State Junior Officer Application is due to the State Grange office or State Junior Directors March 31 Print application form: Write information with pen. Type-in application form: Type, print, and mail. Junior Mentor Award application must be sent to the National Youth Director by September 1. Print application: Write information with pen
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. 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 Print form: Write information with pen. Life Membership Print Application: Write information with pen. Type-in Application: Type, print, and mail.
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 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.
N	National Grange Youth Officer application must be sent to National Youth Director postmarked no later than September 1 Print form: Write information with pen. News Story Submission Form for OSG Bulletin Print form: Write information with pen. Type-in form: Type, print, and mail. Nominations for Oregon State Grange Officers due to State Office January 25 Print form: Write information with pen. Type-in form: Type, print, and mail.
O	National Grange Youth Officer application must be sent to National Youth Director postmarked no later than September 1 Print form: Write information with pen. The online applications is at https://form.jetform.us/71934339689170 State Junior Officer Application is due to the State Grange office or State Junior Directors March 31 Print application form: Write information with pen. Type-in application form: Type, print, and mail. State Youth Officer application is due to State Youth Director March 31. Print form: Write information with pen. Type-in form: Type, print, and mail. 100 year or 125 year certificate and plaque from National Grange. The cost is $10 for shipping. 100 years 125 years 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
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. Print form: Write information with pen. Type-in form: Type, print two (2) copies, and mail one.
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 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.
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 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. The online application is at https://form.jotform.us/7192824708416
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.
W	Western Regional Grange Leadership & Youth Conference Registration, deadline July 15.
Y	State Youth Officer application is due to State Youth Director March 31. Print form: Write information with pen. Type-in form: Type, print, and mail. National Youth Officer application must be sent to National Youth Director postmarked no later than September 1 Print form: Write information with pen. Youth Community Service Award entry form must be sent to the State Youth Director postmarked no later than June 1. Print form: Write information with pen.

Forms

By Department

Forms Alphabetically by Title