CACenturyFarms Questionnaire

Please complete all information to the best of your ability. 

Full name of pioneering family member: __________________________
When/where born: ______________________________________
Usual business/occupation (If other than farming): ________________________

Spouse(s)/marriage date(s) 

1.

2.

Year arrived in California: _________________________
How arrived? (ship, train, wagon train, etc.): ____________________________

Sketch of life and accomplishments. Tell us about their legacy/significant events in their life:

_______________________________________________________

_______________________________________________________

When/where did they die:

______________________________________________________________________________

Year arrived in their county and from where? Do you know what brought them to the County? 

______________________________________________________________________________

Farm Information (What did they grow? What do you grow now? Tell us about the transformation of the property. Location, size & name of original farm)

______________________________________________________________________________

______________________________________________________________________________

Original address: __________________________________________________
Current address: __________________________________________________

Other information/history that you would like noted? ______________________________________________________________________________

Submitted by:
Address:
Phone

*Many Century Farmers include a family tree. While this is optional, it is extremely appreciated.

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