The Chautauquan, Vol. 05, October 1884, No. 1

by Chautauqua Literary and Scientific Circle; Chautauqua Institution

APPLICATION FOR MEMBERSHIP.

Persons desiring to unite with the C. L. S. C. should forward answers to the following questions to Dr. J. H. Vincent, Plainfield, N. J. The class graduating in 1888 should begin the study of the lessons required October, 1884. They may begin as late as January 1, 1885.

1. Give your name in full.

2. Your post-office address, with county and State.

3. Are you married or single?

4. What is your age? Are you between twenty and thirty, or thirty and forty, or forty and fifty, or fifty and sixty, etc.?

5. If married, how many children living under the age of sixteen years?[E]

6. What is your occupation?

7. With what religious denomination are you connected?