Genealogy Research Intake Form Genealogy Intake Form If you are human, leave this field blank. Your Name * Your Address * Phone Number * Email Address * Your Specific Short-Term Goal * Subjects’ names (with alternate spellings), birth and death dates, and locations if known * Marriages, dates and locations Religious affiliations, churches, locations Military service Sources that you have consulted thus far (e.g., publications, websites, etc.) Other pertinent information If you have a simple pedigree chart or family group sheet, please upload here Drop a file here or click to upload Choose File Maximum upload size: 2.1MB