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EDUCATIONAL BACKGROUND <br /> <br /> How Many Graduated COURSB OR MAJOI <br />TYPE OF SCHOOL NAME AND ADDRESS Years Attended <br />POST GRADUATE f-lYes ['qNo <br />BUSINESS OR TRADE I-lyes [-]No <br />OTtIER [-lyes [-}No <br /> <br />MILITARY SERVICE RECORD <br />Have you ever served in the armed forces? [] Yes [] No If yes, what branch? <br /> <br />Dates of duty: From To <br /> Month ' Day Year Month Da}, Year <br /> <br />What were your duties in the Service (include special training and duty station)? <br /> <br />Rank at discharge <br /> <br />Have you had any schooling under the G. 1. Bill of Rights? <br /> <br />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 questiot <br />A check imlicates that the information requested is needed for 1) a bonafide occupational qualification, 2) is ia complianc <br />with national security laws, or 3) other legally permissible reasons. <br /> <br />[~ Are you ov~' 21 year, ot ~ge? [] Yes <br />[~] l~h~ wer~ you <br /> M~th Day Y~r <br />~ How oM ~ you? <br /> <br />~ How ~ dep~s do you b~ (i~l~;~g you~el])? <br />~ H~e you r~g~st~ed [~ the ~dl? ~ Y~ ~ No <br /> <br /> ~ High School - <br /> <br />[-I No 1] no, employment is subject to verification lha~ you are of minimum legal age. <br /> <br />[] Engaged [] Married {-I Separated [] Divorced <br /> <br />'[-! Coll~g# ~ . . . Fn~n ~o <br />EI~ (other) . Prom to <br /> <br />[-'] H,~,e you ~wr been bonded? [] Yes [] No Il y~s, .for wh~t job(D? <br />[] Employer m~ ask other bona~d~ occupatlomd quottlo~ b~low: <br /> <br /> <br />