Consent* I agree and consent to the terms of this petition.
Having resided during the past six months within the jurisdiction of the Grand Lodge, F. & A.M., of Indiana, I hereby state that I am an adult
male, believe in the Supreme Being and the immortality of the soul. I am unbiased by friends and uninfluenced by mercenary motives. I hereby
freely and voluntarily offer myself as a candidate for the degrees of Masonry, being prompted to solicit this privilege by a favorable opinion
conceived of the Institution, a desire for knowledge and a sincere wish of being of service to my fellow creatures. Should this petition be granted,
I will cheerfully conform to all the established usages and customs of the Fraternity and abide by its laws, rules and regulations. I have read and
acknowledge the information for the applicant noted at the top of the reverse side of this petition. Also, I certify all information contained on this
application to be accurate as of the date of my signature and acknowledge that any inaccuracies may void this application.