American Clan Gregor Society - Membership Qualification Worksheet

[The logo of the American Clan Gregor Society web site. The MacGregor clan crest mounted left upon a background of the MacGregor tartan, with the words "The American Clan Gregor Society" and the war cry "Ard Choille!" also upon the tartan background]

The American Clan Gregor Society

Membership Qualification Worksheet

We are a genealogical society. Our application is a genealogy tracing the applicant's ancestry back to a Gregor (or related name) born in Scotland.  This qualification worksheet is not an application and is provided to assist the potential member in determining his/her own qualifications for application.  This worksheet may be printed and mailed with a request for an official, on acid-free paper, application to the American Clan Gregor Society at the address shown above.  This official application needs to be signed not only by you, but by the Chieftain and the Registrar before your application is complete, so supply as much information as you now know.  Questions may be directed to the Society by mail to the Registrar or by e-mail to: .

A copy of this worksheet is also available in MS Word.  It may be completed e-mailed to the Registrar at the address just given above.

Return Worksheet to

The American Clan Gregor Society
Registrar: Lois Ann Garlitz
238 West 1220 North
American Fork, UT 84003
(e-mail: )
  Tel: 801-763-0663
  Cell: 801-367-9255

APPLICANT

NAME OF APPLICANT _________________________________________________

HOME ADDRESS ______________________________________________________

CITY _______________________________ STATE _____________ ZIP __________

TELEPHONE (___) ___ - ____ x_____ E-MAIL ______________________________

I was born in:

___________________________________________________ Date: __________

Married to:

__________________________________________Date: __________ Place: __________

Who was born in:

___________________________________________________ Date: __________

Who died in:

___________________________________________________ Date: __________

MY PARENTS --

MY FATHER:  ______________________________________________________

Who was born in:

___________________________________________________ Date: __________

Who died in:

___________________________________________________ Date: __________

Married in:

___________________________________________________ Date: __________

MY MOTHER:  ______________________________________________________

Who was born in:

___________________________________________________ Date: __________

Who died in:

___________________________________________________ Date: __________

Married in:

___________________________________________________ Date: __________

MY GRANDPARENTS --

MY GRANDFATHER:  _______________________________________________

Who was born in:

___________________________________________________ Date: __________

Who died in:

___________________________________________________ Date: __________

Married in:

___________________________________________________ Date: __________

MY GRANDMOTHER:  _______________________________________________

Who was born in:

___________________________________________________ Date: __________

Who died in:

___________________________________________________ Date: __________

Married in:

___________________________________________________ Date: __________

MY GREAT GRANDPARENTS --

GREAT GRANDFATHER:  ______________________________________________

Who was born in:

___________________________________________________ Date: __________

Who died in:

___________________________________________________ Date: __________

Married in:

___________________________________________________ Date: __________

GREAT GRANDMOTHER:  ______________________________________________

Who was born in:

___________________________________________________ Date: __________

Who died in:

___________________________________________________ Date: __________

Married in:

___________________________________________________ Date: __________

MY GREAT GREAT GRANDPARENTS (5TH GENERATION) --

GG GRANDFATHER:  ________________________________________________

Who was born in:

___________________________________________________ Date: __________

Who died in:

___________________________________________________ Date: __________

Married in:

___________________________________________________ Date: __________

GG GRANDMOTHER:  ________________________________________________

Who was born in:

___________________________________________________ Date: __________

Who died in:

___________________________________________________ Date: __________

Married in:

___________________________________________________ Date: __________

MY GREAT GREAT GREAT GRANDPARENTS (6TH GENERATION) --

GGG GRANDFATHER:  ________________________________________________

Who was born in:

___________________________________________________ Date: __________

Who died in:

___________________________________________________ Date: __________

Married in:

___________________________________________________ Date: __________

GGG GRANDMOTHER:  ________________________________________________

Who was born in:

___________________________________________________ Date: __________

Who died in:

___________________________________________________ Date: __________

Married in:

___________________________________________________ Date: __________

MY GREAT GREAT GREAT GREAT GRANDPARENTS (7TH GENERATION) --

GGGG GRANDFATHER:  ________________________________________________

Who was born in:

___________________________________________________ Date: __________

Who died in:

___________________________________________________ Date: __________

Married in:

___________________________________________________ Date: __________

GGGG GREAT GRANDMOTHER:  ________________________________________________

Who was born in:

___________________________________________________ Date: __________

Who died in:

___________________________________________________ Date: __________

Married in:

___________________________________________________ Date: __________

SOURCES OF INFORMATION --

Give the Sources of Information you used in making out this Worksheet, such as: (Use continuation sheet as needed.)

Family Bible, belonging to: ________________________________________________

Family Records, name of person who furnished them: ________________________________________________

Will of: ________________________________________________

Church Records: ________________________________________________

Application Paper for the American Clan Gregor Society of: ________________________________________________

D.A.R. Papers of: ________________________________________________

ALSO: (Use continuation sheet as needed.)

YOUR CHILDREN:

Full Name ________________________________________________

To Whom Married ________________________________________________

Present Address ________________________________________________

YOUR SISTERS AND BROTHERS (Use continuation sheet as needed.):

Give date of death, if Deceased ________________________________________________

To Whom Married ________________________________________________

Present Address

The American Clan Gregor Society
Registrar: Lois Ann Garlitz
238 West 1220 North
American Fork, UT 84003
(e-mail: )
  Tel: 801-763-0663
  Cell: 801-367-9255

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[Badge of the Clan Gregor - a lion's head in profile facing left inside a belt device upon which is the motto s'rioghail mo dhream, meaning royal is my race.]Clan Gregor Society (Scotland)        This page is sponsored by [Sponsoring page title: The Capital Scot]

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