Immigration Blank
Subject(s): Emigration and immigration
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Form for a ship passenger to provide personal details to the United States government. United States citizens are only required to list their sex and approximate age, while immigrants are asked questions including their race, where they plan to live, and what their occupation is. The front side of the form bears a list of races for the bearer to select from.
Collection
Library of Congress Manuscript Division
Creation Date
1911-07-06
Creator(s)
United States. Department of Commerce and Labor
Language
English
Period
Progressive Party Candidate (1911-1912)
Repository
Library of Congress Manuscript Division
Page Count
2
Production Method
Record Type
Multi-image
Resource Type
Rights
These images are presented through a cooperative effort between the Library of Congress and Dickinson State University. No known restrictions on publication.
Citation
Cite this Record
Chicago:
Immigration Blank. [July 6, 1911]. Library of Congress Manuscript Division.
https://www.theodorerooseveltcenter.org/digital-library/o304999. Theodore Roosevelt Digital Library. Dickinson State University.
MLA:
United States. Department of Commerce and Labor. Immigration Blank. [6 Jul. 1911]. Multi-image.
Library of Congress Manuscript Division. Theodore Roosevelt Digital Library. Dickinson State University. August 3, 2026. https://www.theodorerooseveltcenter.org/digital-library/o304999.
APA:
United States. Department of Commerce and Labor., [1911, July 6]. Immigration Blank.
Library of Congress Manuscript Division. Theodore Roosevelt Digital Library. Dickinson State University.
Retrieved from https://www.theodorerooseveltcenter.org/digital-library/o304999.
Cite this Collection
Chicago:
Library of Congress Manuscript Division. https://www.theodorerooseveltcenter.org/collection/library-of-congress-manuscript-division. Theodore Roosevelt Digital Library. Dickinson State University.
MLA:
Library of Congress Manuscript Division. Theodore Roosevelt Digital Library. Dickinson State University. August 3, 2026. https://www.theodorerooseveltcenter.org/collection/library-of-congress-manuscript-division.
APA:
Library of Congress Manuscript Division. Theodore Roosevelt Digital Library. Dickinson State University. Retrieved from https://www.theodorerooseveltcenter.org/collection/library-of-congress-manuscript-division.
