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BIOGRAPHICAL INFORMATION

FORM

 

Name____________________________________________________________

Address__________________________________________________________

 

_________________________________________________________

Phone__________________________________________________________

Birth Date_______________________________________________________

Birthplace_______________________________________________________

Ethnic Identity___________________________________________________

Birthplace-Mother________________________________________________

Birthplace-Father________________________________________________

When your family came to Beaver County_____________________________

From Where_____________________________________________________

Occupation(s)____________________________________________________

 

___________________________________________________________

Religious /community groups and clubs belong to:

 

 

Topics I know a lot about: