The Census of 1900

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Schedule No. 1 - Population.

State __________, County ________________.
Township or other division of county [Insert name of township, town, precinct, district, or other civil division, as the case may be] ______.
Name of institution, _____________________.
Name of incorporated city, town, or village within the above-named division, ___________.
Ward of city, ___________________________.
Enumerated by me on the __ day of June, 1900, ____________________________, Enumerator.

1. Location:
   In cities: street; house number
   Number of dwelling-houses in the order of visitation
2. Number of family, in order of visitation
3. Name of each person whose place of abode on June 1, 1900, was in this family. Enter surname first, then the given name and middle initial, if any. Include every person living on June 1, 1900. Omit children born since June 1, 1900
4. Relationship of this person to the head of the family
   Personal description:
5. Color or race
6. Sex
7. Date of birth: month, year
8. Age at last birthday
9. Whether single, married, widowed, or divorced
10. Number of years married
11. Mother of how many children
12. Number of these children living
    Nativity:
    Place of birth of each person and parents of each person enumerated. If born in the United States, give the State or Territory; if of foreign birth, give the Country only.
13. Place of birth of this person
14. Place of birth of father of this person
15. Place of birth of mother of this person
    Citizenship:
16. Year of immigration to the United States
17. Number of years in the United States
18. Naturalization
    Occupation, Trade or Profession:
    Of each person ten years of age and over:
19. Occupation
20. Months not employed
    Education:
21. Attended school (in months)
22. Can read
23. Can write
24. Can speak English
    Ownership of Home:
25. Owned or rented
26. Owned free or mortgaged
27. Farm or house
28. Number of farm schedule.

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