adopted for both the Intermediate (13-16 years) and Senior (17-20 years)
Departments, the blue indicating loyalty and the white purity.

=Application Blank=
for
=International Certificate of Recognition=

=Secondary Division=
Years 13-20.

Name of Class ________________________________
Name of Sunday School ________________________
Name of Denomination _________________________
Town or City ________________ County _________
State or Province ____________________________
Has the class the following officers: President, Vice-President,
Secretary and Treasurer? ___________
Is the class of intermediate age (13-16), or senior
age (17-20)? ______________
What is the average age of the members of your
class? __________
Name of Class Teacher __________
Post-office address __________
Name of Class President __________
Post-office address __________
Does the class use the Secondary Division Emblem?
____________________________________
Class motto _______________________________________
Date of organization ______________________
Present Membership _______________________