19 Sep 1. TITLE OF DOCUMENT (5 pts)

Name_____________________________________________________ Date____________

 

1. TITLE OF DOCUMENT (5 pts)

 

 

 

 

2. TYPE OF DOCUMENT (10 pts) (Check one):

 

[ ] Letter [ ] Speech [ ] Other (Describe):

 

[ ] Report [ ] Newspaper

 

3. DATE(S) DOCUMENT WAS ORIGINALLY WRITTEN OR PUBLISHED (10pts)

(Month, day, and year, if given)

 

 

 

 

4. (a) AUTHOR OF DOCUMENT (Who originally wrote it?) (5 pts)

 

 

 

 

(b) AUTHOR’S JOB TITLE OR OCCUPATION (5 pts)

 

 

 

 

(c) EDITOR OF DOCUMENT (if applicable) (5 pts)

 

 

 

 

5. FOR WHAT AUDIENCE DID THE AUTHOR WRITE THIS DOCUMENT? (10 pts)

(Try to be specific)

 

 

 

 

 

 

 

 

 

 

6. DOCUMENT INFORMATION (There are many possible ways to answer A-E.)

Please write your answers to Part 6 in complete sentences, double-space your responses, and use quotation marks and page or paragraph numbers whenever you quote directly.

 

A. List three important things the author stated and explain why in your own words: (15 pts)

 

(1)

 

 

 

 

(2)

 

 

 

 

(3)

 

 

 

 

B. Why did the author write this document? (10 pts)

 

 

 

 

C. What evidence in the document helps you know why it was written? Quote from the document. (10 pts)

 

 

 

 

D. In your own words, explain two things that the document tells you about American life at the time it was written. (10 pts)

 

(1)

 

 

 

 

(2)

 

 

 

 

E. Write a question to the author that is left unanswered by the document. (10 pts)