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FIELDWORK DATA SHEET


Number_______


Corresponding to:  Tape No._____Photo No._____


	                    Video No. _____Other______

Collector:__________________________________________________


Circumstances of interview:  _______________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________


Name of informant: __________________________________________


Address:____________________________________________________
____________________________________________________________
____________________________________zip_____________________


Others present at interview (names and addresses):  ________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________


Place and date of birth:____________________________________
____________________________________________________________


Family information:_________________________________________
____________________________________________________________


Size of family (names and ages):____________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________


Ethnic heritage (mother's and father's):____________________
____________________________________________________________
____________________________________________________________
____________________________________________________________


Generation of informant:____________________________________
(Date of informant's, parents', or grandparents' immigration.)
____________________________________________________________


Circumstances of immigration: (reasons)_____________________
____________________________________________________________
____________________________________________________________

Activities in Old World:____________________________________
____________________________________________________________
____________________________________________________________

Migrational experience and travel (U.S.A. and elsewhere):
____________________________________________________________
____________________________________________________________

Education, apprenticeship, and training experience:_________
____________________________________________________________

Occupational experience:____________________________________
____________________________________________________________

Church or religious affiliation:____________________________

Membership in organizations (civic, social, etc.): _________
____________________________________________________________
____________________________________________________________

Special interests, skills, and hobbies:_____________________
____________________________________________________________
____________________________________________________________

Important events during life (civic and personal):__________
____________________________________________________________
____________________________________________________________

Folklore and traditional materials in informant's repertoire 
(use additional page). Brief description of genre or type of 
performance):
____________________________________________________________
____________________________________________________________
____________________________________________________________

Informant's commentary on performance:______________________
____________________________________________________________
____________________________________________________________
____________________________________________________________

When does he or she perform?________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________

Time and circumstance:  ____________________________________
How, when, where, and from whom did he or she learn 
particular presentation?
____________________________________________________________
____________________________________________________________
____________________________________________________________

Additional observations by fieldworker: (Character of 
informant, contact with mass media and modern world, 
personal opinions and reactions that resulted 
from or influenced the interview)___________________________ 
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
					
 
      

Library of Congress
American Folklife Center
March 22, 2005