Name______________________________ Class Period_____

Autobiography Outline

Open Information
1 Full name, mother’s and father’s
full names
2 Sex, height, weight, hair and eye
color, complexion, build, scars
and any other important physical
characteristics
3 Birth place and date

4 Previous address

5 Marital Status

6 Name of Husband/wife

Closed Information
7a Have you had any physical
disease? If so what?
7b Have you ever been in poor
mental health? (If yes, where,
when, why, and consequences)
8 Education- How many years of
education have you completed?
Where? List ALL
9a List your previous jobs and
lengths of time you held each
job.
9b How many jobs have you held in
the past year? Why did you
leave each job?
9c Where you ever apprenticed to
learn a trade?
9d Have you had any training in a
particular skill?

9e What are your future career

hopes?

10a If you have been in trouble with

the law? If so, tell when, where,
why and consequences
10b How much time have you spent
in jail? If any, tell why, where,
for how long, and with what
consequences?
11a Indicate whether you are
wealthy or poor.
11b If you are wealthy, what exactly
is your wealth? (cash, objects)
11c What is your source of wealth?
(inheritance. Your effort)
12a Did you belong to any political
party in the country you are
leaving?
12b Are you apathetic (do not care),
moderate, or extreme in your
political viewpoints?
12c Explain you political viewpoints.
13a What religious faith do you
follow, if any?
13b Do others in you family follow
the same or a different religion?
14a Feel free to add anything else
you consider important.