1.  Each appointment is 15 minutes.  Further consultation(s) may be scheduled as needed.

  2.  Please bring support information (Pedigree Charts, Family Group Sheets and other
     documents to your interview.

  3.  Please use reverse side to provide additional information.

  NAME_____________________________________________________________
  
  ADDRESS__________________________________________________________

  TELEPHONE_____________________  E-MAIL__________________________

 
 What is your research problem?_____________________________________________
 _____________________________________________________________________
 _____________________________________________________________________
 

 What have you done to solve this problem?____________________________________
 _____________________________________________________________________
 _____________________________________________________________________


 What area is your problem in? 
 _____________________________________________________________________
 _____________________________________________________________________
 _______________________________________________________


 Please provide the family names being researched and the exact places of origin of the families.
 If you do not have complete geographical information, provide what you do have.
 _______________________________________________________
 _______________________________________________________
 _______________________________________________________
 _______________________________________________________
_______________________________________________________
 

Have you used any of the following?

Yes___  No___  The Internet
Yes___  No___  www.Ancestry.com, www.ellisisland.org or www.stephenmorse.org
Yes___  No___  Hamburg passenger Lists
Yes___  No___  U.S. Immigration Lists:  New York, Boston, Philadelphia, Baltimore, New
                           Orleans, Galveston
Yes___  No___  Gazetteers and maps of the country
Yes___  No___  Have you checked available LDS films of parish records

 Please mail to:  Diane Szepanski, 138 Fern Drive, Plantsville, CT  06479

 *** Please return Registration, Consultation Appointment, and
      Lecture Selection forms at the same time.