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Name and Relationship of any relatives in Colonial Airlines _______________________________________________ Will you accept transfer to any Company station _______________________________________________ The station you would prefer to work ___________ In what capacity _________________ Present title _______________________ Description of job ___________________________ Do you own your own home? _____ Do you rent ___ Do you own car ____ Do you own furniture ________ List any schooling in progress or completed since employment with Colonial ______________________________________________Name and location of school Type of school ______________________ Did you graduate ______ From To Month year Month year Degrees received ______ Do you have hospitalization ______ Name of Co. ______________ Do you pay for it by payroll deduction _______ Type of coverage _____________________________ SINGLE FAMILY SURGICAL Do you have health insurance? ____ Life insurance _____ Amount ______ Draft Status ________ Reserve Status _________ Do you expect to be called up? _______________ When _______________________ List defense or war plants in your area