22. Give political, civil, or ecclesiastical offices, or positions held, with date of appointment or election, 

 and the term of service in each 



23. Principal public services which you have rendered 



24. Have vou seen military or naval service ? If so in what capacity, and for what length of time ?. 



25. Titles of books you have written, with date of publication 



26. Works of art, inventions, scientific investigation or discovery. (Please give date of any important 

 patent taken out by you.) 



27. Of what prominent fraternities, societies or clubs are you a member ? 



28. Name any official positions which you hold or have held in sucb societies. 



29. With what political party are you identified ? 



30. If you have ever changed your political or party allegiance, do you care to say upon what issue 



or , ia9^?.^^i&^.¥x&...,t^i~.&rh>mi*»M^^™l'- .~.-.-«4 — ■„..,.~. v ......-. < * r .Uj. ft +...... ....,...,..,.^,,4. 



81. Name church organization and denomination, ethical society, or philosophical movement with which 

 you are affiliated 



32. What has been, and what now is, the sport, amusement, form of exercise, or mode of relaxation 



which you enjoy and find helpful ? 



33. Married (year) (month) (day) _ 



to daughter of and ( ) grand- 

 daughter of and ( ) and of _ 



and ( ) and a descendant from 



who came from to on the. 



Number of children born to you Names of those now living, with 



occupations, etc. 



