Apply for Membership

TO: REGISTRAR-GENERAL:
Being a direct lineal bloodline descendant of Signer* Select Signer John Adams Samuel Adams Josiah Bartlett Carter Braxton Charles Carroll of Carrollton Samuel Chase Abraham Clark George Clymer William Ellery William Floyd Benjamin Franklin Elbridge Gerry Button Gwinnett Lyman Hall John Hancock Benjamin Harrison V John Hart Joseph Hewes Thomas Heyward Jr. William Hooper Stephen Hopkins Francis Hopkinson Samuel Huntington Thomas Jefferson Francis Lightfoot Lee Richard Henry Lee Francis Lewis Philip Livingston Thomas Lynch, Jr. Thomas McKean Arthur Middleton Lewis Morris Robert Morris John Morton Thomas Nelson Jr. William Paca Robert Treat Paine John Penn George Read Caesar Rodney George Ross Benjamin Rush Edward Rutledge Roger Sherman James Smith Richard Stockton Thomas Stone George Taylor Matthew Thornton George Walton William Whipple William Williams James Wilson John Witherspoon Oliver Wolcott George Wythe , and supportive of the purposes of the Society of the Descendants of the Signers of the Declaration of Independence, Inc., to honor their memories and preserve and defend the principles of freedom and justice for which they gave their lives, their fortunes, and their sacred honor, I hereby apply for membership in the DSDI, as a

In support of this application, I provide the following data, supported by the enclosed documentation, and request that you prepare a formal Application for my review and signature, and for approval by the Registrar-General; and later presentation to the Board of Governors for acceptance into the Society. I also enclose my check to cover the Application Fee and the selected dues level.

STATEMENT OF BLOODLINE TO SIGNER ANCESTOR
(Give all full names, dates, and places known. Show dates as day, month, year, e.g. 18 Sep 1902)

REFERENCES: Documentation is required for each statement of an event [birth, marriage, death], in each of the numbered generations you are reporting. This "Worksheet" Application has only 5 of the more recent generations for you to complete - that generally should be enough. If it is not, i.e. you need more, add the data and the documentation for the additional generations back to you on a separate sheet of paper. Conversely, you may only need 2, 3, or 4 of the generations to get back to a fully referenced generation removed from your signer in "Pyne's Register" - then do not use the remaining spaces. All the documentation must contain data that supports the statement of the event. Certificates are fine, Federal Census Schedules for and after 1850 (that name all the members of a household), title pages and the pertinent pages of authoritive and properly referenced com piled genealogies; DAR and SAR Record Copies of the more recent applications are also good support. Note that the space for you on this "Worksheet" to report anything much beyond mere notice of the type of documentation being submitted is purposefully not large. This is because you are expected to include, as a part of your application, a Summary of Proofs - a more complete and detailed explanation of the proofs you are providing in support of this application.

I enclose the following references, and a Summary of Proofs, from myself back through the generation from me, numbered by generation in support of this Application. I understand that the Registrar-General will be able to extract data from The Genealogical Register of the Descendants of the Signers of the Declaration of Independence, (Picton Press, 1998 - 2002) to add data for the older generations back to my signer, and thus prepare a full and complete formal Application for approval, and presentation to the Board of Governors for acceptance.

From this 5th Generation on back to my signer ancestor ______________________________________ in the generation, data from The Genealogical Register of the Descendants of the Declaration of Independence, (Picton Press), Volume will be copied by the Registrar-General onto my formal Application for membership. Data I have furnished, and included on this "Worksheet" will also be copied onto that formal Application. Thus a full, documented formal Application (in two copies) will be prepared, submitted to me for review and signature, returned, for approval, and presented by the Registrar-General to the Board of Governors of the Descendants of the Signers of the Declaration of Independence (DSDI) for their acceptance of my admission into the Society.