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.
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Audit | Procedures and Report |
Community Service | Annual Community Service Report due to the State Community Service Director postmarked no later than March 31.
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
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County Deputy Grange Report |
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Entry form for GWA & Lecturer’s Contests |
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Expense Form (Request for Reimbursement) |
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Grange Bulletin | Submit News Story to Grange Bulletin Editor
Change of Address Form
In Memoriam Form
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Grange Awards | Distinguished Subordinate/ Community Grange
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 2020 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
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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 |
Membership | Brochures
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OSG Foundation | Kitty Thomas Hearing Impaired FundThe fund can be used to reimburse out-of-pocket expenses for the current year. The form must be postmarked no later than December 31.
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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
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
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State Convention | Please refer to Oregon State Grange page for All FORMS RELATED TO THE ANNUAL CONVENTION.
Meal Tickets Order form due June 1 Pre Registration form must be postmarked no later than June 7 Subordinate Delegate Credentials: Mail to State Grange office before June 1 Committee Preference form due to the State Grange office by May 15 Memorial Service Report 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 | See the YOUTH page/link for forms related to the YOUTH program. |
Forms Alphabetically by TitleClick a letter to jump to form names that begin with that letter: |
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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 |
B | Youth Booster Award nominations must be sent to the State Youth Director postmarked no later than May 15
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C | 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
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D | Distinguished Subordinate/ Community Grange
Distinguished Youth Program application must be postmarked to the National Youth Director by September 1.
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E | Expense Report: Request for Reimbursement Form
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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.
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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
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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.
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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
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K | Kitty Thomas Hearing Impaired FundThe fund can be used to reimburse out-of-pocket expenses for the current year. The form must be postmarked no later than December 31.
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L | Law Enforcement Officer of the Year See Community Service page/link for information and application for this recognition.Legacy Family (5 or more generations, including current Juniors) Application due to National Grange August 1 to receive recognition at 2021 National Grange Convention
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M | Meeting Record
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 – See YOUTH page/link for information and applications.News Story Submission Form for OSG Bulletin
Nominations for Oregon State Grange Officers due to State Office January 25
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O | National Grange Youth Officer application and information are on YOUTH page/link.State Junior Officer Application – See JUNIOR LINK/PAGE for information and application.
State Youth Officer – SEE YOUTH PAGE/LINK for information and application. 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. |
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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.
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R | Rental AgreementThis 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
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S | Secretary’s and Treasurer’s Account Book
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T | Oregon Teenager Award application and information are on YOUTH PAGE/Link.Teacher of the Year Send nominations form and information are available on the Community Service page/link. John Trimble National Youth Legislative Experience application and information are on the YOUTH PAGE/LINK. |
V | Volunteer of the Year: Information and application form are available on the Community Service Page/Link. |
W | Western Regional Grange Leadership & Youth ConferenceInformation available on the YOUTH Page/Link. |
Y | State Youth Officer Information available on the YOUTH Page/Link.National Youth Officer Information available on the YOUTH Page/Link.
Youth Community Service Award Information available on the YOUTH Page/Link. |