Alexandria gazette. [volume] (Alexandria, D.C.) 1834-1974, 1910-01-11
CENSUS APPLICATION FORMS

Census Supervisor Albert Fletcher,
IT,, whose oficj Is at Warrenton, Va,
has received from the Census Bureau 8
supply OF blank applications for persons
applying for positions as census enumera'
tors. These will be forwarded to hia
list Of applicants IS soon as possible.
The applications, properly filed out,
must be returned TO the supervisor not
later than January 81, the census direc-
tor having extended the time for fling
from January 20, which was the date
firt set for closing the consideration OF
application. The "test' will occur
February s, as previously announced.
The instructions printed on the appli-
cation form atate that q definite answer
is required to each Of the questions,
which are:
"Are you a citizen OF the United
States? II naturalized citizau, when and
where we're you nsturalizedY
"Of what state or territory are you
legal resident! How long have you been
legal resident thereof? OF Whsl
county and Of what town or city and
ward are you q resident? How lone
have you been q resident Iherao 7
"Wbst Is your sex and colo? Wba
was your sge at lsst birthday Whert
were you borl?
"WhAt 10 your education? give the
principal fact'.)
"Whst is your present occupation
"Wbat Is yolr professional or busi.
ness experience? give the principsl
facts, and, II at present an tficeholderi
name the Office you hold
"Have you ever besn employed on
census work, either national or STATE
II 90, 10 what capacity and for low long
a peiioc? Han enumerator, for VIDA
tsirltory or district? Describe as accu
rately as possible.)
care you physically capable of foil
discharge OF the duties OF a ctnsns emu
meratoi? Have you any defect Of eithsl
sight, hearing, speech, or limb? Ii so
safe nature Of deiec'.
"Do you speak Euglisba DO you I'M
derstsnd ADD speak any language othel
than Eoglisb? II go, what Language!
Specify Languages spoken, as B hemisp,
Ohiuesp, Danish, Frercb, German,
Greek, hungarian, Italian, JapsneSe,
Lithuanian, Magyar, Ncrwegisp, Polish
Portuguese, Russian, Slavic, Spanish
YiddiSb, etc.
"Are you q member OF political
committee Of any party? (AuSwes yes
or NO bat do not indicate what patty.
"In view OF The fact that you may bt
required to take test before postmas
ter, state what post-cfiCe would be mos
convenient to you for this purpose
This lest Is OF a political character,
consisting chiefly or wholly OF the illlut
out OF a sample actedule OF population
from information furnished regsrdiuI
typical families, and, 10 the case Of emu
/ meratofs whose work will be In ruTa
districts, the aIliug ont OF a sample
schedule OF agrlculture.)
care the answers TO each OF the fore
going questions true to The best OF you
knowledge aud belief Are they Ia you
own hsndwritiDG?'
Endorsements Of each applicant mus
be secured from two representative oil
z.ns OF the community In which the ap
pIcant resIdee. They must be at leas
81 years Of sge and acquainted with th'
applicant not less than one year. 10
dorsemenls will not be accepted from
any person who is 10 any way relsted t
the applicant. Tae Endorsement certl
| fss that the applicant ''is g thorough,
Trustworthy aud honest person, Of goo
habits, and, 10 my opinion, Is full
caTaSle of dlschargiug the duties OF
csnsus enun orator, II appointed"