Page 1

The Community History Project Member Questionnaire Date of this Record: ______________

Name: ______________________________________ Maiden Name: Date of Birth: ____________________________ Place of Birth: _______________________________ Date of Death (if applicable): __________________ Place of Death (if applicable): _______________________________ Residence(s) (with approx. dates): ____________________________________________________________________ ____________________________________________________________________ Mother (include maiden name): _________________________________________________ Father: __________________________________________________ Children: ______________________________________________________________ Spouse/Partner: ___________________________________________________________________________ Godmother or Godfather: Relatives: __________________________________________________________________________________ ___________________________________________________________________________________ Family Origin in Greece: _____________________________________________________________________ Year of Immigration: ___________________ Who emigrated? _________________________________________ Education & Degree(s) Earned (with dates): _________________________________________________________ ___________________________________________________ _____ Military Service: __________________________________________________________________________________ Occupation(s): ____________________________________________________________________________________ Clubs/Organizations: ____________________________________________________________________________ Personal Interests: _______________________________________________________________________________ Awards, Honors, or other Recognition: _____________________________________________________________ Other Information: _______________________________________________________________________________

Community History Questionnaire  

Gathering history for member of the greek -americans in Portland, OR and SW Washington areas

Read more
Read more
Similar to
Popular now
Just for you