Are you willing to consent to a background check?:
There are many factors that contribute to being accepted into this fraternal brotherhood and a background check can be one of them. Freemasonry in Indiana uses background checks to verify the information you provided is true and accurate. Some, not all of Indiana’s Lodge’s require a background check before you can be accepted as a member.

If you have a criminal history, it does not preclude you from becoming a member but disclosure of that information on a petition is required. Therefore, a background check can work in your favor along with giving you the ability to make sure your information is correct and not somehow compromised.

Yes, I would consent to a background check No, I would not consent to a background check

First Name:

Middle Name or Initial:

Last Name:

Birth Date:
You must be 18 or older on the day you join.

Cell Phone:
US-based Phone Number in the format of: 123-456-7890

Home Phone:
US-based Phone Number in the format of: 123-456-7890

Email Address:

Home Address:

City:

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Zip Code:

What is your current employment status?: I am currently employed I am currently not employed I am retired

Company Name:

Job Title:

Job City:

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What is the best evening for you to attend Lodge?

What is the best way to contact you? Phone Email Text

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I'm located in. Central Indiana Northern Indiana Southern Indiana Eastern Indiana Western Indiana

Please tell us about yourself and your interest in Freemasonry.

Do you know of a Lodge you are Interested in Petitioning?