S1ATE~N 3__LL-middot_BAPTIST BIOGRAPHY DATA FORM

Please read carefully the Instruction Sheet and then list the appropriate information as it directs

1 NAME ----I-I-=---o----h ------Y 5 _0 ----- R05Z e t ( ---------- h_(Last) (jIrst) ~--~---------r(Second-)------ shy

Give full names For a married woman please put maiden name in parentheses I [EXAMPLE Cole Mary Ann (Smith)]

2 BIRTH C hd hI D eci te Sr(lJ~~~~ ilcn n err AI e B (P ater ) I t Iq I (7 (Place) v ounty) (stte) f5i DEATH ________________________________

3 PARENTs __~~a n~~~ ( ~~~~~ h ~ln a~~ ~~ E ~~Jo~~$~v =- d ~ o~~~~~ O~~~~~ ~ a~t t t-=~~~__ [EXAMPL Alec Joe Doaks and Lucy Mae (Brown) D s1

Fathers occupation Fa I (( 11-6 Mothers occupation 1-1 yY1l ~ ~~ (d

4 BROTHERS (~) List full names and year of birth ________ (Living or deceased) T ( Number T e r I ~rha C(O 00 ~~sdYw- 1o- ~~-roe5 I1 ~Rdyen JO hYS~ q Of

G--r-tI)r e Wa)l d Jf) h1 50 b - q 1fT

5 SISTERS (4- ) List full names and year of birth (Living or deceased) Number bull T

Mue Jdh -nSIrn OdlA 1o -rt(()j B~aTVlte vobf5cY Coy)=n(l r~ fol flai y all Xl S n jp~ n e e- 1 0 q - E)lc e 11 ~ roh( s- S(() ~ Y -1917

6 CHILDHOOD RESIDENCE (Please list each residence of 3 years duration pr more up to the time of the 18th birthday)

Type of Community Post Oifice County State Dates Rural (R) town under 2500 pop (T) city 2500 or more pop (C) Check one

ql-1233R ~ T 0 C 0 cba IT beate Spfl1a5 ROT 0 C 0 ________________________ ROT 0 C 0 _________________________________ ROT 0 C 0 ________________________

7 EDUCATION

Grammar school Graduate Yes (i J No ( Year graduated __________

High school Graduate Yes (X) No ( Year graduated _____~--------

School attended --t-~~f++=~I-middot=s--_ ---hH-l ~Y~-- VC --_--iltrr=~__ arne (State)

aduate or not if more than one was attend show the last one)

College Years attended None ( ) One ( ) 2-3 ( ) Graduate ( i ) Whether graduated or not list college(s) attended (EXAMPLi ~935-38)

id4Ke f re-t WcHe ~ r~ ~-t t(e 1~J~-33 RA middot ( arne) (Pace) (State) ( ears attended) (Degree)

(Name) (Place) (State) (Years attended ) (Degree)

List college(s) seminary(ies) etc attended earned degrees (Place) II 1 (State) (Years attended) (Degree)

CJa VI J tt r pre q1e3 --1 [J shyGraduate-level

bullbull

8 SPECIAL AWARDS OR RECOG NITION RECEIVED (Honorary degrees such as DD Howard College 1948 citations such as Whos Who in American Colleges and Universities 1939 honorary positions such as Man of the Year-Pryor Okla 1943

etc) pe(lSonq thes 1 rhQ Saye i k y 97

9 MARITAL INFORMATION Spouse Birthdate Place of Marriage Date of

of Spouse (Town and State) Marriage

(1) -+-ilampJLLflkL(k-~J-J~tf~trn ~ e bull=f- 3S-~---f) ttljlJlL+---+=~~+-~~F-f----7J e 1 ~~J

(2

Number of children ( ) List their full names and birthdates (an example of a married daughter would be Mrs John Alan (Mary Lou) Ross 3-7-1918)

tiltS Sf-d ul y regttaldCPd~a SU~) Ar (~ JJ ~-J-~-~Lf

10 VOCATIONAL HISTORY (List all vocations occupations trades or professions engaged in for two or more years) t ~ c2 ( ltSo ~ if Eo( e -n C J Lt C1 laquo(l I (t -() J

Bt--hl t l t C6d e h - ~ Ytar 5 iJ 5 e I tJI I Pr ne t f~e J - 3 Ye d 5

11 RELIGIOUS EXPERIENCE Conversion I q)-- II Baptism tJ J J- Spu ~~ CAli I ybtu I-e

(Date) (Agp) mate) lLOCat~ ~hurch) 3 fl f~ List any c~urch other than Baptist with which formerly affiliated lI- Ordained as Minister ( ) Deacon ( ) Other _ _______________

(Date ordamed) (Church) (Place) (State) 12 LOCAL CHURCH ACTIVITY tJNSALARIED (Place the number of years servicein

the space provided for each office ever held) -CQen supt) (~t SUDt) tTeache) List below other Other OfficesDirector Director -CounseTor offices or service (give number of years service)President Circle Chm Sponsor such as Sec Leader Assoc Supt etc Deacon 1Ji Ch Treas -

Trustee - Ch Library -3t yS Jlea rS Usher -- ChRecreation__

SS 1 l~ (P lf5 ~S5De lAo1- Ch Clerk - Choir Mem -I I I Other - Choir Direc -

TU Ch Committee Chm List completed Study Course diplomas

VBS (Indicate related organizations such as SS T U etc)

Broth

WMU

13 DENOMINATIONAL SERVICE UNSALARIED (Please list positions held in Baptist associations conventions (state or Southern) national and world-wide organizations such as moderator president clerk trustee board commission or committee members etc) Example SS Superintendent Bethel Association Kentucky 1942-1944

(Position) (Organization board agency etc) (State) (Date)

5 5 r$A re f1 +~YldlI-r --13 1uao f- JV t 6L-1- dLJ-----_____---bull=__

bullbull

8 SPECIAL AWARDS OR RECOG NITION RECEIVED (Honorary degrees such as DD Howard College 1948 citations such as Whos Who in American Colleges and Universities 1939 honorary positions such as Man of the Year-Pryor Okla 1943

etc) pe(lSonq thes 1 rhQ Saye i k y 97

9 MARITAL INFORMATION Spouse Birthdate Place of Marriage Date of

of Spouse (Town and State) Marriage

(1) -+-ilampJLLflkL(k-~J-J~tf~trn ~ e bull=f- 3S-~---f) ttljlJlL+---+=~~+-~~F-f----7J e 1 ~~J

(2

Number of children ( ) List their full names and birthdates (an example of a married daughter would be Mrs John Alan (Mary Lou) Ross 3-7-1918)

tiltS Sf-d ul y regttaldCPd~a SU~) Ar (~ JJ ~-J-~-~Lf

10 VOCATIONAL HISTORY (List all vocations occupations trades or professions engaged in for two or more years) t ~ c2 ( ltSo ~ if Eo( e -n C J Lt C1 laquo(l I (t -() J

Bt--hl t l t C6d e h - ~ Ytar 5 iJ 5 e I tJI I Pr ne t f~e J - 3 Ye d 5

11 RELIGIOUS EXPERIENCE Conversion I q)-- II Baptism tJ J J- Spu ~~ CAli I ybtu I-e

(Date) (Agp) mate) lLOCat~ ~hurch) 3 fl f~ List any c~urch other than Baptist with which formerly affiliated lI- Ordained as Minister ( ) Deacon ( ) Other _ _______________

(Date ordamed) (Church) (Place) (State) 12 LOCAL CHURCH ACTIVITY tJNSALARIED (Place the number of years servicein

the space provided for each office ever held) -CQen supt) (~t SUDt) tTeache) List below other Other OfficesDirector Director -CounseTor offices or service (give number of years service)President Circle Chm Sponsor such as Sec Leader Assoc Supt etc Deacon 1Ji Ch Treas -

Trustee - Ch Library -3t yS Jlea rS Usher -- ChRecreation__

SS 1 l~ (P lf5 ~S5De lAo1- Ch Clerk - Choir Mem -I I I Other - Choir Direc -

TU Ch Committee Chm List completed Study Course diplomas

VBS (Indicate related organizations such as SS T U etc)

Broth

WMU

13 DENOMINATIONAL SERVICE UNSALARIED (Please list positions held in Baptist associations conventions (state or Southern) national and world-wide organizations such as moderator president clerk trustee board commission or committee members etc) Example SS Superintendent Bethel Association Kentucky 1942-1944

(Position) (Organization board agency etc) (State) (Date)

5 5 r$A re f1 +~YldlI-r --13 1uao f- JV t 6L-1- dLJ-----_____---bull=__

bullbull

14 TO BE FILLED OUT ONLY BY THOSE WHO ARE OR HAVE BEEN IN SALshyARIED CHURCH-RELATED VOCATIONS (Including pastors denominational workshyers missionaries ministers of education and music church secretaries faculty members or employees of Baptist institutions agencies etc) TYPE AND LENGTH OF SERVICE List all positions of such service with one or more years of duration check F (full-time) or P (part-time) Examples

(Position) (Church agency area institution place of service) (Date of service)

F D P [KI 1 pastor County Line Baptist Church Turkey Creek La 1925-1929

F [] P D 2 missionary Ogbomosho Nigeria W Africa 1930-1952

F M P D lI $ S I~ drVJ l -tt)e laquo yeV El5 S() ( l nlnelM 19Lfg--19Lf1 F D P D___----lt 7 lT- ____ _______________Y C

F D P D _________________________ F D P 0 _________________________ F D P 0 _________________________ F D P 0 _________________________

15 OTHER TYPES OF RELIGIOUS SERVICE (In associations assemblies colleges conshyventions (state or Southern) national or world-wide meetings such as speaker music director committee chairman etc)

(Position) (Place of Service) (Date of Service)

16 AUTHORSHIP (Include books booklets lesson courses or curriculum material and tracts) (Book item etc) bull (Publisher) (Date published)

17 CLUB OR GROUP MEMBERSHIP (Service organizations fraternal PTA Civic etc) Listjmportantpo itjonJ ofJeadeJship held aJo +-L- t) + eQ t A l(s - Ii+-shy

A$tlYo~t-t-y flmiddot E middotRmiddot Pftgt I Je~ ~ I Y - - I d I j1

I J I rtD f~ Rot -( e ti S dt cJ~(Q J

18 HOBBIESUAND LEISURE INTERESTS Pt~stJUI (shyFavorite rr ( Ii e ( Others__ ~ 1t-------shy--1EJgt=euro-gta~d___lmiddot y=_S

19 PUBLIC SERVICE (Military educational political etc not previously listed) ___

BOJ SedLAt-S of f)VY~rmiddot ~a - ~ 5 yealS

The information for items 1-19 has beell fill~d in by amp8 I ( C- Jo ~ Yl ~~--v-shyMailing address Ed j 3 b lt6 1- (I ) rtg t-o-vy N e Sources used in compiling the information are (Example personal knowledge minutes Calshy

vary Baptist Church Wisner La Court Records Copiah County Miss etc)

20 DESCRIPTIVE CHARACTERIZATION (Please read special instruction sheet careshyfully and sample biographies before proceeding)

Name of person writing the above characterization _________________________

P O Address _______________________ ____________

Return to

Name

POAddress __________~--------------------_______

20 DESCRIPTIVE CHARACTERIZATION (Please read special instruction sheet careshyfully and sample biographies before proceeding)

Name of person writing the above characterization _________________________

P O Address _______________________ ____________

Return to

Name

POAddress __________~--------------------_______