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Full Name:

BIOGRAPHY TEMPLATE

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Birth Date: __________________________ Birth Place: ________________________________


Father Name: _______________________ Mother Name (Maiden):______________________
Early Childhood Years (where you grew up, and significant things about your childhood):
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Education (high schools attended, activities involved and date graduated):
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College attended, major and date graduated:
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Major Achievements/Honors (if any):
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Spouse Information:
Spouse Full Name: ______________________________________________________________
Spouse Birth Date: ____________________________ Birth Place: _______________________
Marriage Date: _______________________________ Place (City): _______________________
Spouse Parents: ________________________________________________________________

Children:
NAME

BIRTHDDATE

BIRTH PLACE

SPOUSE

Highlight What would you like for the family to remember about you?
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CONTACT INFORMATION:
Mailing Address:
Address: ______________________________________________________________________
City: ______________________________________ State: ________ Zip: ________________
Email Address: _________________________________________________________________
Phone Number: ________________________________________________________________

Dusty
Harrell

Digitally signed by Dusty Harrell


DN: cn=Dusty Harrell, o, ou,
email=harrell393@gmail.com,
c=US
Date: 2014.02.25 12:13:44 -05'00'

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