You must have JavaScript enabled to use this form. Thank you for being a part of Jacksonville's story! All seven questions (listed below) are entirely optional. Not all questions will be applicable to every respondent. However, you are encouraged to consider every prompt and answer as many as you can. If you're running short on time, go ahead and click "submit." You can revisit this form and submit additional answers at any time. Want to know what the collection will look like? You can check out an early preview here. We will continue to accept responses and update the collection through the end of 2022. If you have questions or would rather use the fillable .pdf form, please email us at SpecColl@coj.net. Name * Email * Phone Family: Describe your family (parents/caregivers, sibling(s), children). Military: Are you currently serving or have you ever served in the military? Has anyone else in your family served? When and where have you served? What is/was your rank in the service? Were you ever in combat? Education: What schools have you attended (including high school, college, technical school, or art school)? What were your experiences in school? Career: What is your current occupation? Would you like to share any of your previous occupations? Who or what has been most influential in your career? What professional achievement(s) are you most proud of? Personal Identity & Values: What personal achievement(s) are you most proud of? What is the hardest obstacle you’ve overcome? What are the most useful or meaningful lessons you’ve learned in life? What would you like people to know about you? What are some personal values that are important to you and how are they represented in your life? Community Life: What Jacksonville community are you most associated with? Are you affiliated with any civic, community, or volunteer organizations? Are there any public figures or community leaders who have made an impact on your life? How have these relationships influenced your experience in Jacksonville? Jacksonville: Please describe your personal experience in Jacksonville (past and present). How has Jacksonville changed during your lifetime and what effect have those changes had on your life here? What are your favorite spots in Jacksonville (past and present)? Do you have a vision for the future of Jacksonville? Digital Rights By submitting the questionnaire, you agree to the following: I unconditionally give the Jacksonville Public Library and its assigned successors, permission to digitize, host and publish online my biographical sketch, in perpetuity. Photos If you'd like to include a photo (such as a professional headshot) with your form, submit them via email to SpecColl@coj.net Leave this field blank
