v2794-759

209

application for Employment

FOR OFFICE USE ONLY

DW-

Occupation.

fee. No

Rot*

I in Full

:Jl-

FOR OFFICE USE ONLY

Application Filed.

Application Accepted.

Clock No.

rwent Addressi^

Social

Security

-VC NO

face Of Birt h 'f?nG. ^*.

r*hen were you naturalized?

at* of Birt h; f)T. j j-

-Phone

-Where?.

IL.

-Citizen of U.S.?

-Height.^ Z_Weight-

-Sex_

mot Physical defects have vou? ^ ' * '

brri-B}- Single D DivorcedD Separated Q Widowed Q

ow Mony Persons do you Support? Wife // -' r ' .Children ^Z

ove you any outside business interests? Explain

ind of work desired___

-Others.

viously employed heir*? / S~-

ive You Any Relatives or J Name

Itndi in Our Employ?

Name.

-FrorruZi

Cose of Accident notify.;

Uress SA M A~

;/ / F_

Woges expected

' fo^ _Dept

Relationsh ip

Relationship

Phone

I you served an apprenticeship^ /^ S~. _ H ow long?^ZiL_Trode?___

-mrm* X^ icffTi'/t F _Whenserv,?Z^

shonicol Experience.

INCLUDE ADO.TIONAL REMARKS ON OTHER SIDE OF APPLICATION

(See Other Side)

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archive.org Volume Name: govuscourtsca9briefs2794

Volume: http://archive.org/stream/govuscourtsca9briefs2794

Document Link: http://archive.org/stream/govuscourtsca9briefs2794#page/n758/mode/1up

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Document Status: UGLY