1910 Census Form PDF Details

The 1910 Census form serves as a historical snapshot, offering a myriad of details that sketch the socio-economic and demographic landscape of early 20th century America. Crafted to collect information on April 15, 1910, the form was meticulously divided into sections that include personal description, nativity, citizenship, occupation, education, and home conditions, among others. It distinguished individuals by their location, including state, county, township or other county divisions, and even by the name of the institution, if applicable. Moreover, personal details extended beyond mere name and address; the census sought to understand the fabric of American society through questions about relationships to the head of the household, sex, age, martial status, and race or color. It ventured into personal histories, enquiring about the number of children, places of birth of individuals and their parents, and even the year of immigration to the U.S. The form also delved into occupational realms, probing into the nature of one’s work, whether they were employers, employees, or self-employed, and their employment status in the year prior. Educational attainment and property ownership were also covered to round out a full picture of the individual's economic status and capabilities. Additionally, the form did not neglect those with disabilities, making note of individuals who were blind, deaf, and dumb. This document, thus, not only served as a tool for governmental record-keeping but as an instrument to understand the complexities and nuances of the American populace at the time, encapsulating a diverse and changing nation.

QuestionAnswer
Form Name1910 Census Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other nameshow to census blank form, census blank form, census blank form blank, 1910 census form pdf

Form Preview Example

Film Roll

 

 

 

 

 

State

 

)

 

)

County

 

)

Township or other division of County

Name of institution,

1910 CENSUS

 

 

UNITED STATES

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

)Supervisor's Dist. No.

Sheet No.

 

 

 

 

 

 

 

 

 

 

)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

)Enumeration Dist. No.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name of Incorporated place

 

 

 

 

 

 

 

 

Ward of City

 

 

 

Enumerated by me on the

 

 

day of

1910

 

 

 

 

 

 

Enumerator

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

LOCATION

NAME

PERSONAL DECSRIPTION

NATIVITY

CITIZEN

OCCUPATION

EDUCATION

HOME

CITIES

 

 

whose place of abode

 

 

 

of each person

IN

 

 

on April 15, 1910,

 

Dwelling No.

 

House No. & street

Family No.

was in this family

 

 

 

 

 

Relation to head of family

Sex

Color or race

Age at last birthday

Single, married,

widowed, divorced

No. years of present marriage

Mother of how many children

No. born

No. living

 

 

Place of birth

Place of birth of father

Place of birth of mother

Year of immigration to the U.S.

Naturalized/Alien

 

 

 

 

 

Speaks English or other

Trade or Profession

General nature of work

Employer, employee or works on own

Out of work Apr. 15

Weeks out of work '09

Can read

Can write

Attended school

Home owned/ rented

Free/mortgaged

Farm/house

No. of farm enum.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Confed. or Union veteran

in both eyes.

and dumb.

Blind

Deaf

10/22/04

Transcribed by

Date

20

 

 

 

 

 

6-0060

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