Ask Mariah Submission
Thank you for you interest in BlackProGen LIVE's Ask Mariah segment! Please complete the form below for consideration. NOTE: Ask Mariah segments happen during each live taping of BlackProGen LIVE.
* Required
What's your name?
*
Your answer
What's your email address?
*
Your answer
What time zone do you live in?
*
Choose
Pacific Time Zone (UTC -08:00)
Hawaii-Aleutian Time Zone (UTC-10:00)
Alaska Time Zone (UTC-09:00)
Mountain Time Zone (UTC-0700)
Central Time Zone (UTC-06:00)
Eastern Time Zone (UTC-05:00)
How did you hear about BlackProGen LIVE?
*
Choose
Social media (Facebook, Twitter, etc.)
Word of mouth
Group or Organization
Other
What question would you like answered by our research efforts?
*
Please include specific names, dates, and locations for only ONE line of your family.
Your answer
Do you have any documents or items that trace back to the ancestor in question? If so, what are they? Be VERY specific. For example "1880 US Census, death certificate in Louisiana, Freedmens Bureau labor contract, etc."
*
Your answer
Has someone already began the process of tracing the lineage of the ancestor in question?
*
This includes novice and professional genealogists.
Yes
No
Have you taken an autosomal DNA test?
*
Autosomal DNA tests are offered by companies such as AncestryDNA, 23andMe, Family Tree DNA.
Yes
No
Which autosomal DNA test(s) have you taken?
AncestryDNA
23andMe
Family Tree DNA
African Ancestry
MyHeritage DNA
Living DNA
Other:
Fast forward 100 years. What impact will finding out the answer to your research question have had on your family?
*
Your answer
Agreement, Release of Liability
*
In order to be eligible to participate in the Ask Mariah segment, you must agree to: 1) have your findings presented on an episode of BlackProGen LIVE, 2) be present when the findings are released, 3) agree to have your likeness identified (name, voice, etc.) on the simulcast, 4) release, waive, discharge, and covenant not to sue, and agree to hold BlackProGen, its trustees, officers, servants, agents, volunteers and employees from and against any and all liabilities, demands, claims, or injuries, including those of a psychological nature, that you may sustain during or in conjunction with the release of genealogical findings related to the research question you proposed. Features for Ask Mariah are chosen purely at the sole discretion of BlackProGen, its trustees, officers, servants, agents, volunteers and employees Please note that you agree to this by typing "I agree" below.
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
Forms
