Genealogy Research Data Questionnaire Genealogy Research Form Please fill this out if you have scheduled an appointment with us or have requested a research project. Step 1 of 6 16% Getting StartedLet’s start with you. Please complete this section as much as possible. Any information that you provide about your family background can be instrumental in yielding better results in your search.Name(Required) First Last Email(Required) PhoneHave you done a DNA test? Yes No Which one(s)FamilyTreeDNAAncestryDNA23andMeOtherWhat is your DNA Kit # What is your GEDMATCH number?If you have uploaded your DNA to an online service, you probably have a GEDMATCH number. Please visit gedmatch.com for more information on how to obtain your unique identifier. How would you rate your skills doing ancestry research on a computer?Computer ResearchNoneLearningOKAdvancedPower UserHow would you describe your progress on your family tree research so far.Family TreeNoneJust Getting StartedGetting ThereAdvancedAlmost CompleteGoalTell us about what you hope to achieve in your work with us. Please be as specific as possible. About YouYour Name First Middle Last Suffix Your Birthplace Town you grew up in Your DOB MM slash DD slash YYYY Current Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country About Your Father's Side of Your FamilyYour FATHER'S Name First Middle Last Suffix Your FATHER'S Birthplace FATHER's DOB MM slash DD slash YYYY FATHER Lived In FATHER'S Place of Death FATHER's Death MM slash DD slash YYYY Your PATERNAL GRANDMOTHER's Name First Middle Last Suffix PATERNAL GRANDMOTHER Lived In PATERNAL GRANDMOTHER's Place of Death PATERNAL GRANDMOTHER's DOB MM slash DD slash YYYY Your PATERNAL GRANDFATHER's Name First Middle Last Suffix PATERNAL GRANDFATHER Lived In PATERNAL GRANDFATHER's Place of Death PATERNAL GRANDFATHER's DOB MM slash DD slash YYYY Please tell us anything additional about your father's side that may help us track down clues about that line of your family. About Your Mother's Side of the FamilyYour MOTHER'S Name First Middle Last Suffix Your MOTHER'S Birthplace MOTHER's DOB MM slash DD slash YYYY MOTHER Lived In MOTHER's Place of Death MOTHER's Death MM slash DD slash YYYY Your MATERNAL GRANDMOTHER's Name First Middle Last Suffix Your MATERNAL GRANDMOTHER's Birthplace MATERNAL GRANDMOTHER's DOB MM slash DD slash YYYY MATERNAL GRANDMOTHER Lived In MATERNAL GRANDMOTHER's Place of Death MATERNAL GRANDMOTHER's Death MM slash DD slash YYYY Your MATERNAL GRANDFATHER's Name First Middle Last Suffix Your MATERNAL GRANDFATHER's Birthplace MATERNAL GRANDFATHER's DOB MM slash DD slash YYYY MATERNAL GRANDFATHER Lived In MATERNAL GRANDFATHER's Place of Death MATERNAL GRANDFATHER's Death MM slash DD slash YYYY Additional BackgroundOverview of Your ResearchPlease provide information on the research done furthest back in your family tree of the Irish lines that you are seeking assistance with. This includes any relatives, dates, places, and names that will be helpful in this research. Whatever you can provide will assist in speeding up the research process and making us more efficient in finding something new for you.Upload FilesPlease upload a copy of your family tree if you have one already as well as any other items that you feel will be helpful to us. Drop files here or Select files Accepted file types: pdf, jpg, jpeg, tiff, png, Max. file size: 128 MB. Person of InterestIf there is one particular person that you would like to concentrate on, please list as much information as you can about that person, i.e. Siblings, places that they lived, workplaces, churches, etc.: Thank YouWe will do the best that we can to uncover as much information as possible in the time agreed. This service is for general searches. There are cases where we are able to gain much information in a short time and others where the digging is much more of a challenge. We strive to do our best to help you gain knowledge of your roots and will always be upfront and fair in our assessment of the scope of the project. This service is limited to what we can research in the Maine Irish Heritage Center and our online resources within the time purchased. If you agree to these terms and want us to proceed with your research, please hit the submit button below. If you have not yet purchased your research credits, please do. We will not begin your project until the funds have been received. Thank you! CAPTCHAPhoneThis field is for validation purposes and should be left unchanged.