From the Office of the President General. Keep this information sheet for your records; do not submit with your application

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ORIGINS, PURPOSE AND MISSION: The Sons of the Republic of Texas ( SRT ) consists of members who are direct lineal descendants of those that settled the Republic of Texas prior to February 19, 1846, when Texas merged with the United States as the 28 th state. The SRT traces its origins back to April, 1893, and the Texas Veterans Association, which was comprised of members that actually lived in the Republic of Texas. It was incorporated as a non-profit corporation in 1934. Since its inception, the purpose of the SRT has been to perpetuate the memory and spirit of the men and women who achieved and maintained the independence of Texas. Its mission is to (i) encourage historical research and publication of the earliest records of Texas, (ii) foster the preservation of historic sites, documents and artifacts relating to the period of the Republic, (iii) participate in community activities which will remind the populace of its Republic of Texas heritage, and (iv) mark the observance of certain dates that are important to the history of the Republic of Texas. GOVERNANCE: The SRT is governed by an Executive Committee consisting of nine (9) officers, the Chairman being the current President General. Additionally, all prior Past Presidents General are considered as ex-officio members of the Executive Committee, but have no voting privileges. ORGANIZATION: To accomplish its goals, the SRT issues charters to local chapters within cities and towns across the State and sometimes beyond. One chapter was chartered in Santa Fe, New Mexico, because this was once part of the Republic of Texas. Currently, fifty-eight (58) local chapters exist under the supervision of the Executive Committee. Ten (10) District Representatives, selected from the membership, assist the Executive Committee with its oversight and support of the local chapters. The organization currently records over 5,000 members. ETHICS: By provision of its Constitution, the SRT is committed to conducting its business, purpose, mission and goals in accordance with (i) all applicable state and federal laws, rules and regulations, and (ii) the highest sense of integrity, honesty, loyalty and truthfulness. PRIVACY POLICY: The Sons of the Republic of Texas values and respects the privacy of each of its members. SRT never knowingly keeps your driver s license or social security numbers. Should your social security number, driver s license number, or any other sensitive personnel information that you do not want divulged, be on an application, it is your responsibility to remove it before submitting. Your name and home address are released to SRT District Representatives, chapter presidents, and to other SRT members. SRT communication operations require the need to have your name and address in SRT records. SRT applications are digitized and put on a DVD; these DVDs are in the public domain. By submitting your application for membership, you acknowledge acceptance of this policy. Since one of the goals of the SRT is to promote and facilitate genealogical research, all information contained in your membership application is open to the public. Except for some family Bible information, all of the information you use to compile your application is available from public sources. From the Office of the President General Keep this information sheet for your records; do not submit with your application

REFERENCE NUMBERS: OFFICE USE: SRT #: DRT #: CRT #: Paid Chap HG # Code Supp SRT# The Sons of the Republic of Texas Application for Membership (Must be submitted on white 8½ x 11 acid-free paper) First Middle Last Full birth name of applicant name used Name preferred for use in mailings 1234 Street Ave, Sometown, Somestate 78945 Mailing address: street, apartment or suite, city, state, zip code Descendant of: ( 123 ) 456-7890 Home Telephone REP OF TEXAS RESIDENT ( 234 ) 567-8901 Office Telephone yoururl@email.com Email Address Application Types and Fees: $50 Regular $30 Junior $30 Supplemental $100 Posthumous Life by Age: $1000 Under 18 $750 18-40 $600 Over 40 $50 Life processing fee if no prior membership Full name of qualifying Republic of Texas ancestor Some Name, Some Town #XX Name and location of chapter with which affiliation is desired, if any Recommended by the following SRT members (not required for supplemental applications): 1. 2. 3. Approved by the following SRT officers: 1. Signature of SRT Historian General 2. Signature of SRT Secretary General 3. Signature of SRT President General SRT Headquarters 1717 8 th Street Bay City, Texas 77414 Phone: (979) 245-6644 Fax: (979) 244-3819 http://www.srttexas.org srttexas@srttexas.org

INSTRUCTIONS FOR COMPLETION Show day, month and full year where possible, e.g. 02 MAR 1836. Show names in full, including wives maiden names. Return completed application, documentation and fee to SRT Headquarters. TO THE SONS OF THE REPUBLIC OF TEXAS: I hereby apply for membership in the Sons of the Republic of Texas by right of lineal descent from my qualifying Republic of Texas ancestor as set out below: DATE CITY/COUNTY STATE 1. Applicant: Your Full Name` born 01 Jan 1978 Fort Worth/Tarrant TX (If Posthumous) and 1st wife Her Maiden Name born 02 Feb 1976 Tyler/Smith TX married 03 Mar 1990 Houston/Harris TX 2. Son of Your fathers full name born 04 Apr 1958 Waco/McLennan TX and 1st wife Your mothers maiden name born 05 May 1956 Salado/Bell TX 06 Jun 1970 Sundown/Hockley TX 3. Grandson of Your grandfathers full name born 07 Jul 1930 Mesquite/Dallas TX 08 Aug 1995 Sundown/Hockley TX and 2nd wife Your grandmothers full name born 09 Sep 1932 Monroe/Ouachita LA 10 Oct 1998 Sundown/Hockley TX 11 Nov 1952 Salado/Bell TX 4. Great-Grandson of Your ggf full name born etc etc ETC etc etc ETC and etc wife Your ggm maiden name born etc etc ETC etc etc ETC etc etc ETC 5. Great 2 Grandson of etc.. born 6. Great 3 Grandson of etc.. born 7. Great 4 Grandson of etc.. born 8. Great 5 Grandson of Texas Ancestor born 9. Great 6 Grandson of born and wife born 10.Great 7 Grandson of born and wife born married SRT Application Version 04/2007 Page 2

ELIGIBILITY FOR MEMBERSHIP Any male person of good moral character who is a direct descendant of a loyal resident citizen of Texas prior to her merger with the United States of America on February 19, 1846, is eligible for membership in the Sons of the Republic of Texas. Upon application of a parent or guardian, a boy less than eighteen (18) years of age who is otherwise qualified may be admitted to Junior Membership, automatically to become a full member upon his eighteenth birthday. A deceased person otherwise qualified and who lived after the SRT founding on March 30, 1922, may hold Posthumous Membership. ABOUT THE QUALIFYING ANCESTOR Give a brief biographical sketch below of the ancestor from whom the applicant is claiming descent. Sources of the information may include traditional family beliefs as well as documented history. Came to Texas in 1838 in a wagon with his wife and five kids. Taught school, worked in the fields. Belonged to the Free Spirit Church. Burial location unknown. Was an active church member. Worked hard, but was poor. Only four kids lived to be an adult; one of scurvey, one of whooping cough, and another from a rabid chicken. Wife took in laundry, sewing, and cleaned city houses. PROOF OF ANCESTOR IN THE REPUBLIC OF TEXAS State the proof being submitted for this ancestor s service or residence in the Republic of Texas. Texas 1840 Tax Rolls SRT Application Version 04/2007 Page 3

ABOUT THE APPLICANT List below all documents being furnished as proof for each generation such as birth certificates, death certificates, marriage licenses, Bible records, public records, census records, published reference books (not family genealogies), etc, to establish and verify the applicant s lineal descent from the ancestor being claimed. Submit only photocopies; originals cannot be returned. Cite SRT, DRT or CRT numbers for any generation where applicable. Please furnish only one valid proof for each generation. 1st Generation (Applicant) Birth certificate of Person (your name) that shows father (his name) and mother (her name) 2nd Generation Birth certificate of Parent (his name) shows father (his name) and mother (her name) 3rd Generation Death certificate of GrandParent (her name) shows father (his name) and mother (her name) 4th Generation 1920 Texsd Census shows Person (her name) is daughter of father (his name) and mother (her name) 5th Generation 1890 Texsd Census shows Person (her/his name) is daughter/son of father (his name) and mother (her name) 6th Generation 1860 Texsd Census shows Person (her/his name) is daughter/son of father (his name) and mother (her name) 7th Generation 1850 Texsd Census shows Person (her/his name) is daughter/son of Texas Ancestor (his name) and mother (her name) 8th Generation (not necessary to show parents of Texas Ancestor) 9th Generation 10th Generation ALL APPLICATIONS AND PROOFS IN SUPPORT THEREOF BECOME THE PROPERTY OF THE SRT I hereby attest that the above submitted information and attached proofs are accurate and true to the best of my knowledge and request that the same be considered in this application for membership. Signature of Applicant Date STATE OF (seal) COUNTY OF On the day of, 20, personally appeared who signed this application before me and on his oath stated that the contents and information furnished herein are true to the best of his knowledge and belief. Notary Public SRT Application Version 04/2007 Page 4