First Families of Pennsylvania
Genealogical Society of Pennsylvania
2100 Byberry Rd Suite 111
Philadelphia, PA 19116
http://www.genpa.org
Application Form

Please use the following form to supply your data.  Type only in white boxes; they will enlarge to fit the data. Do not type in or edit gray boxes.  (Any changes in the gray boxes may be automatically ignored when your application is received.)
   
Qualifying Pennsylvania ancestor for applicant:		
City/town and county 
of ancestor’s earliest known 
residence in Pennsylvania:		
Date of earliest known residence in Pennsylvania:		
Source(s) for earliest known residence in Pennsylvania:		
 
Applicant’s name:		
Applicant’s address:

Applicant’s telephone:		
Applicant’s email:		
Applicant’s signature:		
Please use name as you want it to appear on your certificate. By signing this form you acknowledge that all application materials belong to GSP and may be indexed and scanned for preservation purposes following current privacy standards.

Generation number: 1	Full name [for women, name prior to marriage]	
Applicant (data below)		
Applicant’s spouse (data below)		
 
Gen. no.: 1	Date	Place (City/County/State)	Source(s)	
Applicant’s birth				
Spouse’s birth				
Spouse’s death				
Marriage of applicant and spouse				

Generation number: 2	Full name	Source(s) for child’s parentage	
Child (in prior gen.)			
Father (data below)			
Mother (data below)			
 
Gen. no.: 2	Date	Place (City/County/State)	Source(s)	
Father’s birth				
Father’s death				
Mother’s birth				
Mother’s death				
Marriage of father 
and mother				

Generation number: 3	Full name	Source(s) for child’s parentage	
Child (in prior gen.)			
Father (data below)			
Mother (data below)			
 
Gen. no.: 3	Date	Place (City/County/State)	Source(s)	
Father’s birth				
Father’s death				
Mother’s birth				
Mother’s death				
Marriage of father 
and mother				

Generation number: 4	Full name	Source(s) for child’s parentage	
Child (in prior gen.)			
Father (data below)			
Mother (data below)			
 
Gen. no.: 4	Date	Place (City/County/State)	Source(s)	
Father’s birth				
Father’s death				
Mother’s birth				
Mother’s death				
Marriage of father 
and mother				

Generation number: 5	Full name	Source(s) for child’s parentage	
Child (in prior gen.)			
Father (data below)			
Mother (data below)			
 
Gen. no.: 5	Date	Place (City/County/State)	Source(s)	
Father’s birth				
Father’s death				
Mother’s birth				
Mother’s death				
Marriage of father 
and mother				

Generation number: 6	Full name	Source(s) for child’s parentage	
Child (in prior gen.)			
Father (data below)			
Mother (data below)			
 
Gen. no.: 6	Date	Place (City/County/State)	Source(s)	
Father’s birth				
Father’s death				
Mother’s birth				
Mother’s death				
Marriage of father 
and mother				

Generation number: 7	Full name	Source(s) for child’s parentage	
Child (in prior gen.)			
Father (data below)			
Mother (data below)			
 
Gen. no.: 7	Date	Place (City/County/State)	Source(s)	
Father’s birth				
Father’s death				
Mother’s birth				
Mother’s death				
Marriage of father 
and mother				

Generation number: 8	Full name	Source(s) for child’s parentage	
Child (in prior gen.)			
Father (data below)			
Mother (data below)			
 
Gen. no.: 8	Date	Place (City/County/State)	Source(s)	
Father’s birth				
Father’s death				
Mother’s birth				
Mother’s death				
Marriage of father 
and mother				

Generation number: 9	Full name	Source(s) for child’s parentage	
Child (in prior gen.)			
Father (data below)			
Mother (data below)			
 
Gen. no.: 9	Date	Place (City/County/State)	Source(s)	
Father’s birth				
Father’s death				
Mother’s birth				
Mother’s death				
Marriage of father 
and mother				

Generation number: 10	Full name	Source(s) for child’s parentage	
Child (in prior gen.)			
Father (data below)			
Mother (data below)			
 
Gen. no.: 10	Date	Place (City/County/State)	Source(s)	
Father’s birth				
Father’s death				
Mother’s birth				
Mother’s death				
Marriage of father 
and mother				

Generation number: 11	Full name	Source(s) for child’s parentage	
Child (in prior gen.)			
Father (data below)			
Mother (data below)			
 
Gen. no.: 11	Date	Place (City/County/State)	Source(s)	
Father’s birth				
Father’s death				
Mother’s birth				
Mother’s death				
Marriage of father 
and mother				

Generation number: 12	Full name	Source(s) for child’s parentage	
Child (in prior gen.)			
Father (data below)			
Mother (data below)			
 
Gen. no.: 12	Date	Place (City/County/State)	Source(s)	
Father’s birth				
Father’s death				
Mother’s birth				
Mother’s death				
Marriage of father 
and mother				

Generation number: 13	Full name	Source(s) for child’s parentage	
Child (in prior gen.)			
Father (data below)			
Mother (data below)			
 
Gen. no.: 13	Date	Place (City/County/State)	Source(s)	
Father’s birth				
Father’s death				
Mother’s birth				
Mother’s death				
Marriage of father 
and mother				

Generation number: 14	Full name	Source(s) for child’s parentage	
Child (in prior gen.)			
Father (data below)			
Mother (data below)			
 
Gen. no.: 14	Date	Place (City/County/State)	Source(s)	
Father’s birth				
Father’s death				
Mother’s birth				
Mother’s death				
Marriage of father 
and mother				

Generation number: 15	Full name	Source(s) for child’s parentage	
Child (in prior gen.)			
Father (data below)			
Mother (data below)			
 
Gen. no.: 15	Date	Place (City/County/State)	Source(s)	
Father’s birth				
Father’s death				
Mother’s birth				
Mother’s death				
Marriage of father 
and mother				

Generation number: 16	Full name	Source(s) for child’s parentage	
Child (in prior gen.)			
Father (data below)			
Mother (data below)			
 
Gen. no.: 16	Date	Place (City/County/State)	Source(s)	
Father’s birth				
Father’s death				
Mother’s birth				
Mother’s death				
Marriage of father 
and mother