Colored Rosemont: Descendants Survey

1.Name(Required.)

2.Email Address

3.Phone Number

4.Are you a descendant or a former resident of Colored Rosemont?

Former Resident

Descendant of Former Resident

No, but I'd like to provide information about the neighborhood.

5.Please provide the name of the person(s) who resided in Colored Rosemont

6.Describe how you are related to the person(s) who resided in Colored Rosemont

7.Please upload any files related to your genealogy.

If you need staff assistance to scan your family memorabilia, please note in final comments box.

No file chosen

8.May staff contact you?

Yes

No

9.How would you prefer to be contacted?

Phone

Email