Full Name:

What facts, lessons, memories, or virtues would you most like reflected in your narrative history?

What specific knowledge or experience would you want to impart to future generations?

What is your willingness to reveal private, painful, or difficult memories? Would you prefer to focus on positive events, or is struggle and overcoming life's obstacles open to discussion?

Will you be the sole narrator in this history or is it your intention to include other participants?

How do you view your place in the history of your (family, institution, church, community, etc.)?

What are the significant events that shaped your world or determined your path in life?

Would you like us to submit your oral history narrative to university libraries or national archives?

This form sends an e-mail to Brent D. Johnson, Principal Historian of Heritage Preservation Consultants

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