INFORMATION BLANK Crozer Theological Seminary Please fill blanks and mail to ELI S. REIN HOLD, Registrar, Chester, Pa. Name in full Birthplace i~ki Date & Immigration date Graduated from Crozer, Class of HI/. Other educational advantages: // // v / // t . £ Ordained, Date c * /..&~/.K... Church > Degrees From . Author of Pastorates, (give years of each, thus: 1904-10) Employment since graduation, if not a //] 'ttv%rLn.tf(wjL$/7w/ju£