Full name: 
Regular name as used on ballots, etc.: 
Any other names used (e.g., maiden name, pen name): 
Nickname if any: 
Date of birth: 
Place of birth (city, county): 
Location of birth (e.g., log cabin, hospital, ship): 
Sex (M or F): 
Race/ethnic group/Indian tribe: 
Religious affiliation (denomination): 
Organizational affiliation (e.g., Masons, American Legion, Grange): 
Wartime military service and rank: 
Hometown or hometowns (city, county, state, etc. of residence during years of political activity): 
Political relatives (by blood/marriage/adoption): 
Occupation: 
Elected or appointed position(s) held and range of years 
Elective offices sought unsuccessfully, in which years 
Political party national conventions attended as delegate or alternate, in which years 
Political party positions held (e.g., national committee, state party chair), in which years 
Major awards/prizes/honors/medals (e.g., Pulitzer Prize, Medal of Honor, etc.): 
Special distinctions or achievements or historical significance (very briefly): 
Scandal, impeachment, expulsion or criminal prosecution (very briefly): 
Any involvement with professional sports (e.g., as player, owner, commissioner): 
Any involvement with the entertainment buisness (e.g., as actor, musician, screenwriter): 
Any assassination attempts or participation in duelling: 
Any handicaps or disabilities (e.g., loss or paralysis of limbs, blindness, etc.): 
Date of death: 
Place of death (city, county): 
Location of death (e.g., at home, hospital): 
Cause(s) of death: 
Whether cremated, buried at sea, or donated body to medical school: 
Place of burial or entombment (name and location of cemetery): 
Whether cemetery records/office/publications, or gravestone corroborate this: 
Reinterment to other location (year, name and location of cemetery): 
Other monuments or statues (e.g. courthouse or capitol grounds): 
Sources consulted: 
Explanations for any inconsistencies (e.g., if different dates of birth or different spellings of the name were given in different sources, which one is most reliable and why):