The document is a form from a Brazilian Bethéis Congress held from October 19-21, 2012 in Pernambuco, Brazil. It asks the representative of a Bethel of the International Daughters of Job to indicate whether they agree or disagree with holding a Miss Daughters of Job Brazil contest and provide a justification for their choice in the space provided. It requires signatures from the Bethel Guardian, Associate Bethel Guardian, Honorable Queen, and Secretary.