Home Outreach
Additional Registration Form II

Journey to the Homeland Tours
North Dakota State University Library, Fargo
20 May - 30 May 2009


Additional Registration Form II

Your name:______________________________________
(if married couple, each person should complete this form.)

Current U.S. passport number___________________
(Passports must be valid until July of 2009 or later. If you do not presently have a valid U.S. Passport, please send this information after you have received your passport. Ukraine and Moldova no longer require a visa for U.S. and Canadian citizens.)

Issue date of passport:______________
Expiration date of passport:______________

Are you able to speak and read the German language?
Speak German Yes____No____ (please check)
Read German Yes____No____
Comment on fluency:

Do you plan to take any basic language course in German or Russian?:
Russian language Yes____No____
German language Yes____ No____
Comments:

Do you plan to have a camcorder with you for the tour?:
Yes____ No____

Will you be meeting German relatives in Stuttgart.
Yes____ No____
Comments:


Are these relatives recent German immigrants from the former Soviet Union?
Yes____ No____
Please indicate approximate year they immigrated to Germany and from what location in the former Soviet Union (such as Siberia or Kazakhstan).:

Will you be meeting German relatives in Odessa, Ukraine?
Yes____ No____
Comments:


Return this form to: Michael M. Miller, NDSU Library, P.O. Box 5599, Fargo, ND 58105-5599. Please note that the U.S. Passport number can be sent later, once you have received your new passport.

Permission to use any images from the GRHC website may be requested by contacting Michael M. Miller
North Dakota State University Library
[P.O. Box 5599]
1201 Albrecht Blvd.
Fargo, ND 58105-5599
Tel 701-231-8416
Fax 701-231-7138
Last Updated:
Director: Michael M. Miller
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