Eureka

Questionnaire EUREKA RESEARCH DIRECTORY A Directory for researchers of those associated with Eureka Published and updated annually. Do you have an association with Eureka? If so please fill out the questionnaire below so that your association will be listed in the directory. 1a. Have you previously forwarded information to Children of Eureka, or Bob O'Brien in the past? Yes/No 1b If yes, do you agree to Ballarat Heritage Services using the information in the Eureka Research Directory? Yes/No 2a. What is the name of the person associated with Eureka that you have an interest in i) ........................................................................................................................ ii) ....................................................................................................................... iii) ....................................................................................................................... 2b. What was their association with Eureka (eg soldier, participant, eye-witness, etc.) i) ........................................................................................................................ ii) ....................................................................................................................... iii) ...................................................................................................................... 3. Where possible attach any known information about the person associated with Eureka; including: * where born * when arrived in Australia/Ballarat * Location at time of Eureka (eg Gravel Pits) * date born/died/married * who married * where buried * what happened to the person after Eureka * other This information may be published in the directory so please clearly state the person you are writing about. 4. How do you know the person was associated with the Eureka battle? Tick the appropriate box/s and list references where possible underneath the appropriate category. Oral/family history Documents Obituary Books Newspaper Articles 6. In the Eureka Research Directory it will be possible to list yourself as researching a person associated with Eureka. This will be done by allocating an identifying number to you, which corresponds to a postal address at the back of the directory. This will enable other people researching the same person associated with Eureka to communicate with you and "swap notes." If you would like to be included please give your name and postal address below. Please print clearly. Your name ........................................................................................................................... Your postal address ............................................................................................................................ Your email address ............................................................................................................................ I am willing for the information in this questionnaire to be included in the 'Eureka Research Directory' Signed .................................................................................................................. Ballarat Heritage Services PO Box 2209 Ballarat Mail Centre Ballarat, 3354. Fax 03 5331 6150 Email ballaratheritage Ballarat Heritage Services is an organisation dedicated to local history, especially that of the Ballarat district. For further information regarding this questionnaire please contact Thank-you for completing this questionnaire.