INTERNATIONAL ORDER OF
THE KING'S DAUGHTERS AND SONS

Chautauqua, New York
August 28 - September 2, 2010

PLEASE PRINT
Applicant's Name: ___________________________________________

Name you prefer to be called: ____________________________________

Address: __________________________________________________________Zip:_______

Birthday (month and day): _________________

Phone: (____) _____________ E-Mail: _____________________

Branch: ________________________ Circle: ______________________

Number of years you have been an Order member: _____________

Positions you have held at Circle, City Union/District, or Branch:

_____________________________________________________________________

Are you your Branch or Circle Officer? YES or NO _________

Is there anything that would limit your climbing two or three flights of stairs and walking up and down hills?

Please indicate your willingness to participate in the following:
1. I am willing to give an oral report about my New Horizons experiences at the next Branch
convention. _____
2. I am willing to share my experiences with Circles in my Branch. _____
3. I am willing to write an article for my Branch newsletter. _____
4. I am willing to share ideas and help implement plans for the future of our Order. _____
5. I know that I must be prepared to share a brief (5 minute) Bible meditation at New Horizons. _______
6. I know that I must present a three (3) minute informative talk about the work of my Branch. (If more than one person from your Branch is participating, please do this together.) ______
7. I understand that I will be rooming with a member from another Circle or Branch and I will have to share a bathroom with other members. ______
8. This is an Order Scholarship Program with limited free time.

Please attach a separate sheet of paper on which you have TYPED OR NEATLY WRITTEN a paragraph explaining why you would like to participate in the New Horizons 2010 Program and how you would use your experiences to help your Circle, Branch, and International grow.

Applicant's Signature: ______________________________

Branch President's Signature: _______________________

*** (This application will not be processed without the Branch President's signature.)

The completed application must be received by the New Horizons Chairperson by June 30, 2010.

The Branch President must forward the completed application to :

Phoebe McLelland
612-1705 Playfair Drive
Ottawa, Ontario, Canada K1H 8P6
613-733-5721
phoebe.mclelland@opera.ncf.ca

OR

Sue Malone
1343 Crofton Park Drive
Columbia, TN 38401
931-388-5700
jshmalone@charter.net

To be completed by New Horizons Chairman

Date application received: ______________

Date application approved: ______________ Application not approved: _________

Acceptance acknowledged: ___________________