KITTITAS COUNTY GENEALOGICAL SOCIETY
413 N. Main St., Suites L&M
ELLENSBURG, WA 98926-3183
Instructions to Applicants: See eligibility web page for details of eligibility, instructions, and lists of acceptable documentation. Fill in all blanks. Print out this page and type or print in ink all information. A check or money order for $10.00 must accompany each application.
A. Applicant's name For KCGS use only File #_________________ ________________________________________________________ Ancestor_______________ (as it is to appear on the certificate) Date Rec'd_____________ ________________________________________________________ Date Ret'd_____________ (street address) (for further data) ________________________________________________________ Date Completed_________ (city, state) Date Certificate Issued_______________ B. Name of Qualifying Ancestor Ck#____________________ ________________________________________________________ (as it is to appear on the certificate) Birth date and place ______________________________________________________________________ Father's Name_________________________________ Mother's Name ______________________________ Date when arrived in Kittitas County ______________________________________________________ Spouse's Name _____________________________________________________________________________ Date and Place of Marriage_________________________________________________________________ Emigrated from (if known)__________________________________________________________________ Place of Residence in Kittitas County______________________________________________________ Death date and place ______________________________________________________________________Be sure to enclose a pedigree chart (also called an Ancestral Chart) showing the descent of the applicant from the Pioneer ancestor. Below, give the names of each generation from the Pioneer. Proof must be submitted for arrival in Kittitas county and for each generation. Documents may include Church records, birth, marriage and death certificates, census records, and the like. Do NOT send originals as all copies become the property of KCGS. You are invited to submit a short sketch (no more than 5 pages) of your ancestor's life.
1. Self __________________________________________________________________ Type of proof____________________________ 2. Parent_________________________________________________________________ Type of proof____________________________ 3. Grandparent____________________________________________________________ Type of proof____________________________ 4. Great-grandparent______________________________________________________ Type of proof____________________________ 5. Great-great-grandparent________________________________________________ Type of proof____________________________ 6. Third-great-grandparent________________________________________________ Type of proof____________________________ 7. Fourth-great-grandparent_______________________________________________ Type of proof____________________________ 8. Fifth-great-grandparent________________________________________________ Type of proof____________________________ Remember that each generation must be proven with adequate documentation. I certify that the information contained in this application is correct to the best of my
knowledge and release the information to the potential and future publishing efforts
of the Kittitas County Genealogical Society. Signature of Applicant ___________________________________________________ Date of Application_______________________________________________________