1. Type of Document (Check one):

   Newspaper	Map	Advertisement
   Letter	Telegram	Journal/Diary
   Patent	Press Release	Census Report
   Memorandum	Letter	Other

2. Unique Physical Qualities of the Document (Check one or more):

   Interesting letterhead	Notations
   Handwritten	Headline
   Typed	Other
   Seals
   Other important details (ex.: size, location and impact of headline):

3. Dates of Document:
   
4. Author (or Creator) of Document:
   
   Position of Author (Title):
   
5. For what audience was the document written?
   
6. Place the document in historical context:
   
7. Document information
   • List three things the author said that you think are important:
     
   • Why do you think this document was written?
     
   • What evidence in the document helps you know why it was written? Quote from the document.
     
   • List two things the document tells you about life in the United States at the time it was written:
     

Designed and developed by the Education Staff, National Archives and Records Administration, Washington, DC 20408.