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PRINT NAME HERE PAN AMERICAN - GRACE AIRWAYS INC. IF YOU HAVE REASON TO BELIEVE THAT YOUR APPLICATION FOR A SURETY BOND MAY BE REFUSED, DO NOT MAKE APPLICATION FOR A POSITION. Date .......... 19 ..... Application for employment as ....... Salary desired ...... Name in full ................ Residence ........... Te.l. No. .......... Birthplace ..... Age ..... Weight ...... Height ...... Color hair ...... Single, Married, Widow, Widower, Divorced or Separated? ......... Citizen of ....... By birth or By naturalization? ............ Date ...... Name Lodge, Club and Church Affiliations ................... Who are dependent upon you for support? ....................... Name and address of person to be notified in an emergency [[4 column table]] | NAME | RELATION | OCCUPATON | ADDRESS | Birthplace of father ........ Birthplace of mother ........ Specify any physical defects and give particulars of any serious illness during past three years ................................ Do you use alcoholic liquors? ........ Occasionally? ........ Habitually? ................... Give names, if any, of relatives connected with this company ...... Relation ................ Is there any indebtedness whatever against you? ........... Amount of same $......... Give particulars ............... Have you ever been discharged or requested to resign? ........... Have you ever been employed by Pan American-Grace Airways Inc.? ............................... [[8 column table]] | EDUCATIONAL RECORD | FROM MONTH | FROM YEAR | TO MONTH | TO YEAR | DID YOU GRADUATE? | WHAT GRADE OR YEAR DID YOU COMPLETE? | NAME OF SCHOOL LAST ATTENDED | | High School | | | | | | | | | Preparatory School | | | | | | | | Business School | | | | | | | | | College | | | | | | | | | Graduate Work | | | | | | | | Special courses completed? ................................ Specify languages you write or speak .......................... (OVER)
