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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