My Name _________________________

Date ___________

My Email______________________________________
Ok to give to my classmates? Yes ( ) No ( )

I have Years/Months _______________Experience in Genealogy

My Localities of Interest (States, Countries, etc):

My Surnames of Interest:

I am a Member of the Following Genealogical, Historical, Lineage Societies:

What I hope to learn in this class:

I have the following (Brand, type, etc):

Computer:

Genealogical Software Program

Digital Camera

Scanner

Website(s)

Other:

I have taken (and or have sponsored) the following DNA Tests: (circle all that apply)

Ancestry- Autosomal

23 and me-Autosomal

Family Tree DNA- Y-DNA 12,25,37,67,111

Family Tree DNA Mt-DNA

Family Tree DNA- Autosomal