2013 Polish Genealogy Conference
Consultation Appointment Form

**Request for a consultation appointment must be made by September 20, 2013.  Space is limited**
**No appointments will be made on the day of the conference**

 

1.  Each appointment is 15 minutes. 
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 return Registration, Consultation Appointment and Lecture Selection forms at the same time.

 

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