1910 Census Form PDF Details

The 1910 Census Form is a fascinating piece of history. It provides a snapshot of the United States at that time, including population demographics and economic data. It's also interesting to see how the form has evolved over the years. Thanks to the internet, we can now view a scanned copy of the 1910 Census Form online. This makes it easy to explore in more detail. So take some time to check it out! You'll be surprised at what you find.

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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