Applicant's Full Name	     
Applicant's Address	     
Applicant's Occupation	     
Name	     
Date & Place of Birth	     
Date & Place of Marriage      
     
     
     
     
     
     
College & Degrees	     
     
Military Service / Civil Service	     
Examined and approved by Society Genealogist	

Approved by the Membership Committee	
     

Society No.........

Society of the Descendants of the 

Founders of Hartford 

I, the undersigned, apply for membership in the Society by right of descent from Founder
a recognized Founder of Hartford, through descent from
of this Society.

, a past or current member

Applicant's Spouse

Applicant having living children as follows:

Name/Relationship

Date & Place of Birth

Signature

Signature

Date

Date

Secretary's signature

 
I	     
     
     
married at	     
     
to (1, 2 3)	     
born at	     
     
died at	     
     
REFERENCES	     
     
2	     
     
     
died at	     
     
married at	     
on	     
to (1, 2 3)	     
     
on	     
     
     
REFERENCES	     
     
3	     
     
     
died at	     
     
married at	     
on	     
to (1, 2 3)	     
     
on	     
     
     
REFERENCES	     
     
4	     
     
     
died at	     
     
married at	     
on	     
to (1, 2 3)	     
     
on	     
     
     
REFERENCES	     
     
	     

Line of Ancestry

This short form is for the use of those who have, within the first 4 generations (counting parents as Gen. 2), an ancestor
in the line of a blood-relative Society member. Fill out the form only as far as the join ancestor. Give FULL NAME and
SOCIETY NUMBER of the relative and relationship to the member whose line is being used. 

born at

on

Applicant

on

on

on

born at

on

my qualified ancestor from previous generation

on

born at

died at

on

.

born at

on

my qualified ancestor from previous generation

on

born at

died at

on

.

born at

on

my qualified ancestor from previous generation

on

born at

died at

on

.

My member Ancestor's application for membership in this Society

The facts stated in this application are the truth to the best of my information and belief.

Signature of Applicant