Please provide the following contact information:

            Name 
      Work Phone 
      Home Phone 
             FAX 
          E-mail 

Identify your Research Subject's name, age and gender.

            Name 
             Age 
             Sex Male Female

What is the Occupational History of your Research Subject? Give us some idea of their personal background and personality.

Describe the Local History Incident and the Impact it had on the Research Subject. Use some excerpts from your interview.
Answer must be at least 300 words in length.

Describe a National historical incident and the impact it had on your Research Subject. Utilize some excerpts from your interview.
Answer must be at least 300 words in length.

What did you learn from the Secondary Source? Did it influence your interpretation of the issues as presented by the Research Subject? Make sure you give a full citation of your source; (Example: David Marr, Vietnamese Anticolonialsm, (University of California Press, 1971) Book. Answer must be at least 200 words in length.

Based on your research, what are your conclusions about the meaning of history in our individual lives? Answer must be at least 200 words in length.