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I EDUCATIONAL BACKGROUND ' <br /> & <br /> <br /> - Ho~ tony c'~-~d,,~t.~COtmSE'OR'flXJOR <br /> TYPE OF S~L N~E ~ ADD~, Y~m Attend~ <br /> <br />G~MMAR O~ GRADE ~ p~L(y ~,fl.~ p ~Y~ ~No <br />HIGH SCH~L /~ ~ g ~. (ff /~? ~ < ~ ~Y~ ~No <br />COLLEGE ~ Y~ ~ No <br />POST GRADUATE ~Y~ ~No <br />BUSINESS OR T~DE ~Y~ ~No <br />O~ER' ~Y~ ~No <br /> <br />I <br /> <br />MILITARY SERVICE RECORD <br />'Havo you ever served in the armed forces? [] Yes [] No If yes, what b~anch? <br /> Dates of duty: From nb~.~l~ '&~ iq6~ To n~L, o20 Iq-lO Rank. at discharge': <br /> }~fotath Day Year Month Day Year <br />What were your duties in the Service (include special training and duty station)?. ]'4o~.~¢. k~,. i- ,, <br /> <br />Have you had any schooling under the G.I. Bin of Rights? )~ o' If yes'~ describe. ' ' <br /> <br /> TO THE APPLICANT: <br />Do not answer any italicized question below the double line unless the employer has checked the box next to the question. <br />A check indic_rites that the information requested is needed for. 1) a bonafide occupational qualification, 2) is in compliance <br />with national security laws, or 3) other legally permissible reasons. <br /> <br />~] Are you' over 21 years o] age? {~] Yes [] No I! no, employment is subject to verification that you are of minimum Legal age. <br /> <br />Month Day Y~ <br /> <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br /> <br />IVhen w~e you ~ed? CE~ .~,) I q ] 0 Y~ <br /> <br />How ~y dep~s ~ y~ h~ (i~l~;ng yourself)? <br /> <br />[] Separated [] DivOrced <br /> <br />Are you a Un;ted States Cil$zen~ [] Y~I [] No <br /> <br />Have you registered for the Draft? [vA Yes [] No · <br /> <br />What is your Selective Ser~ce cgaesi~c~tJo~?. <br /> <br />Please tell us when you attended school <br />[] Elementary - - Fr~m f q 3 ~' <br />~ H~gh School - F~ /q g g <br /> <br />[] College .... From <br /> <br />[-l~ (other) - From- <br /> <br />[] Widowed <br /> <br />$o <br /> <br />[] Hac, e you ever been bonded? [] Yes [] No 11 yes, for what Sob(O? <br />0 EmpLoyer may .ask other hona~ute occupat~ona~ quest~ below: <br /> <br /> <br />