Francesco/who-killed-jfk huggingface dataset:
[104-10116-10261.pdf — page 3]
#The friendship of peoples of the Near and Middle East toward the United States and to combat Communism. It was incorporated as a voluntary, non-profit membership corporation under the laws of New York State. Dorothy THOMPSON, columnist, was selected as Chairman. In early 1967 AFME received a good deal of newspaper publicity concerning its Agency affiliation including articles in the Soviet press, TASS and USSR INTERNATIONAL AFFAIRS. Syria was the only country in which AFME is active that raised the question of the organization's continue existence in the light of allegations of Agency financial supports although, there were rumblings in Iraq.## San Jacinto FundThere is no OS subject file on the San Jacinto Fund. The attached memorandum dated 30 January 1967 from Chief, Central Cover Group to Deputy Director, Plans "Threat of Exposure of Agency Operations" stated that RAMPARTS has expressed intense interest in the Sen Jointo Fund, and its sources of income in particular, because it funds 5 HBEPITOME activities (youth affairs).## M. D. ANDERSON FoundationThere is no OS subject file on the M. D. ANDERSON Foundation but OS indices reflect a file on the M. D. ANDERSON Hospital and Tumor Institute.A study program to determine the effects in diverse Biological Systems resulting from exposure to high intensity coherent radiation was contracted with the M.D. ANDERSON Hospital and Tumor Institute, University of Texas, Houston, Texas in October 1963 but as of 16 April 1964 there was a hold order against going ahead with the contract because of a question as to why the Agency should bear the whole cost of the contract which was to be for Inter-departmental use. In May 1967 a note in the file indicated that M. D. ANDERSON Hospital and Tumor Institute will be engaged in classified work for the Agency. There was no record of a clearance issued.## MARSHALL FOUNDATIONSee attached memorandum dated 30 January 1967 from Chief, Central Cover Group to Deputy Director, Plans "Threat of Exposure of Agency Operations". The MARSHALL Foundation of Houston, Texas is considered one of the most vulnerable to exposure.A "New York Times" article for 26 February 1967 disclosed that the MARSHALL Foundation of Houston, Texas channeled funds from the Agency to the School of Industrial and Labor Relations at Cornell University from 1961 to 1963.(See Douglas B. MARSHALL)SECRET
[104-10116-10261.pdf — page 4]
# BROWN, George Rufus - #04216Ceorge Rufus BROWN, Executive Vice President of BROWN and ROOT, Inc., Houston, Texas, was granted a Covert Security Clearance on 23 October 1953 for use as a covert associate in the United States on Project LPCOIN. On 22 April 1965 he was granted a Provisional Covert Fecurity Approval to permit contact and assessment of BROWN in connection with his possible use in serving on the Board of Directors for a proprietary being set up to support staff employees working in Udorn, Thailand, Laos and a Covert Security Approval for this use was issued on 16 June 1965. These clearances were cancelled 2 June 1967 as BROWN was not used.# BROWN, Herman - #95239Herman BROWN, President and Director of BROWN and ROOT, Inc., Houston, Texas and President and Trustee of the BROWN Foundation, Houston, Texas, was granted a Covert Security Approval on 3 December 1953 for use as a Covert Associate in the U. S. under Project LPCOIN. This clearance was cancelled 15 February 1966.# CLARK, EdNegative# SHIVERS, Allan - #373051Governor Allan SHIVERS of Texas was on the Advisory Board of FACTS FORUM NEWS in September 1955. He was listed as a trustee of the American Good Government Society in April 1965.Allan SHIVERS, Governor of Texas, was a signor of a statement appearing in the NEW YORK TIMES for 20 October 1949 sponsored by the Iron Curtain Refugee Campaign of the International Rescue Committee. The IRC was described as basically good, humanitarian organization but many individuals of questionable loyalty have been associated with it.A NEW YORK TIMES clipping for 12 February 1954 stated that Allan SHIVERS, Governor of Texas, said he planned to ask his Legislature to make membership in the Communist Party a death penalty offense. He was quoted as saying "In politics we often speak of bipartisan issues. I can think of nothing that should be more bipartisan than catching a Communist. There can be no valid issue between Americans over Communists. Americans are either pro-Communist or anti-Communist."No clearance was requested or issued for SHIVERS. His file contains reference cards only.# MOODY, DanNegativeSECRET
[104-10116-10261.pdf — page 5]
# CABOT Thomas D., Jr. 7430000Thomas D. CABOT, Jr. vos approved for contact use on 17 August 1961. At the time be van Vice President and Director of Intemational Relaticon Taxas Butadiene and Chemical Corporation. He was residing in Lausanne, Switzerland. Contact interent was for briefing him on Agency interests in economia end political developments in various European countries; chemical Industriol development, etc. He was the subject of a favorable background investigation in 1952.## CABOT, Thomas Dudley - 16790lThomas Dudley CABOT was granted a Covert Senutty Approval for use under Project LPCOIN. On 26 Ame 1959 he was issued & Covert Security Approval for use with Project VNGLANT. He was to serve as the President or Chairman of an American Committee whose objective was to foster Franco-American relations at the management level. CABOT had been approved for contact use in 1950 and received a clearance for use on the Executive Committee of H.I.T. in April 1954. A continuation of this clearance vas granted on 29 October 1958.## MITH, William Α.- €76555William A. SMITH was granted an Operational Clearance on 22 August 1952 for use is an agent in Latin Americans under commercial cover. On 14 January 1955 a Covert Becurity Clearance vas issued to MTN to permit his ves us & Covert Associats in the United States under Project LFFUNNEL...At the time he had a maber of cusiness interests in Kouston, Texas, La Cep William A. GIRTH Construction Company, Houston, Texia; Texas Eastera Tranmadeción Corporation, Citizens State Bank of Houston, etc.## FORPHAM, Cus $Negative## JAWORSKE, Leon #168199Leon JAVORSKI was granted a Covert fecurity Approval on 31 March 1953 in order that he could be made witting of Agency Interest in tha M. D. ANDERSON Foundation. His file contains a newspaper clipping from the HASTELIKITON OTAR for 3 December 1963 mich concerns his appointment as special comsel for a Texte State Court of Inquiry into the assassination of President MINNEDY. He had achieved prominence when he was prosecutor at the Mronburg War Trials. De article also stated that in 1960 JAVORSKI successfully represented Lyndsa B. JOHNSON in a court challenge of Mr. JOHNSON's right to have his not appear on the general election ballot in Tems both as a candidate for Vice-President and for reelection to the V. 6. Denate. Another itan in U. 6. NEWA & WORLD REPORT for 7 July 1964 reported that Houston lawyer, Leca JAWOREKI, vie de close to Lyndon JOINDON was being considered for the job of Attorney Genaral.
[104-10116-10261.pdf — page 6]
# FREEMAN, John Henry - $257181John Henry FREEMAN was granted a Covert Security Approval on 28 June 1957 to permit the utilization of his services under Project LFCOIN. At the time he was a partner in the large and leading law firm of FULBRIGHT, CROOKER, FREEMAN, BATES and JAWORSKI at Houston, Texas and was a trustee of the M. D. ANDERSON Medical Foundation.## COCKRELL, Ernest Dashiell, Jr. - $91571 and E403051-AErnest Dashiell COCKRELL, Jr. was approved for contact use (CAUTION) on 10 June 1953 and was granted a Covert Security Clearance on 4 August 1953 for use in the U. S. under Project QEENCHANT. At the time he was President of two oil companies in Houston, Texas: 011 Production Maintenance, Inc. and Production Maintenance Company.## MARSHALL, Douglas B. - $173597Douglas B. MARSHALL was granted a Covert Security Approval on 28 November 1958 in order that he could be made witting of Agency interest in the CULLEN Foundation. MARSHALL was Vice President of the Quintona Petroleum Corporation of Houston, Texas which is the holding company owned by the Hugh Roy CULLEN family. MARSHALL's wife, Margaret Cullen MARSHALL, is a daughter of Hugh Roy CULLEN.## HOBBY, Oveta Culp - #klopi and 241189Oveta Culp HOBBY was granted a continuing liaison clearance on 7 April 1953 when she was Director of the Federal Security Agency. A Covert Security Approval was issued 18 July 1961 to permit her use under Project LPCORSIT to aid in funding arrangements through the HOBBY Foundation of Houston, Texas of which she is President. On 26 October 1965 a Provisional Security Approval was granted to permit contact, assessment and briefing of Mrs. HOBBY as President of the HOBBY Foundation in connection with her possible utilization on an advisory committee of a broadcasting activity, University of the Air, directed at the students and intellectuals of Cuba. A Covert Security Approval was issued 31 March 1966 primarily to use the prestige of her name and position as cover for WH/Cuba activities and it was not expected that Mrs. HOBBY would take an active day by day role in the activities.## DULER, George A.Negative## HOBBY, William Pettus, Jr. - $125337 and $275074.Oveta Culp HOBBY's son, William Pettus HOBBY, Jr., born 19 January 1932 at Houston, Texas, was security approved for contact use on 23 May 1960. At the time he was Associate Editor of the HOUSTON POST, Houston, Texas. On 29 June 1962 he was granted a Covert Security Approval to permit his witting use under Project CAWAGTAIL which was to be supported by theSECRET
[104-10116-10261.pdf — page 7]
HOBBY Foundation. On 22 October 1965 a POSA was issued to HOBBYfor the same use in WH/Cuba activities as that outlined for his mother.This Provisional clearance was firmed into a Covert Security Approvalon 4 February 1966 for the same use.Sarah K. HallAtte:Dec 67 RAMPARTSMomo dtd 24 Nov 67 (SF-633-67)Memo dta 30 Jan 67 to DD/PHYT 2/26/67HYT 2/19/67SECRET
[104-10117-10075.pdf — page 0]
# SUPPLEMENTAL PERSONAL HISTORY STATEMENT## INSTRUCTIONSSubmit in duplicate. Answer all questions completely. If question does not apply, write "NA." Write "UNKNOWN" only if you do not know the answer and it cannot be obtained from personal records. If additional space is required use extra pages the same size as this page and sign each such page. Reference each continued item by section and item number to which it relates.## SECTION 1.1.  FULL NAME (last-first-middle)    Flores, Daniel2.  DATE OF BIRTH    04 Aug 19353.  PLACE OF BIRTH (City, State, Country)    (San Marcos) Texas4.  SOC SEC NO.    (460-48-6230)5.  PRESENT STATUS (Single, widowed, divorced, or annulled) SPECIFY: Married6.  STATE DATE. PLACE. AND REASON FOR ALL DIVORCES OR ANNULMENTS    "NA"## SECTION 11.SPOUSE1.  NAME OF SPOUSE (last-first-middle-maiden)    Flores, (Dorothy Arnett)2.  DATE OF BIRTH    31 Jan 19353.  PLACE OF BIRTH (spouse)    Portland, Oregon4.  DATE AND PLACE OF MARRIAGE    18 November 1960    (Lima, Peru)5.  CITIZENSHIP OF SPOUSE (If naturalized, indicate date & place of naturalization & certificate no.)    USA6.  STATE DATE, PLACE, AND REASON FOR ALL SEPARATIONS, DIVORCES OR ANNULMENTS    "NA"7.  OCCUPATION    Legal Secretary8.  PRESENT EMPLOYER    (Arnold and Porter)9.  EMPLOYER'S OR BUSINESS ADDRESS (No., Street, City, State & Zip Code - Country if not U.S.)    (1229 19th) Street NW, Washington, D.C.## SECTION 111. RESIDENCE (Since date of last PHS, if overseas residence indicate only city and country)| ADDRESS                      | LAST RESIDENCE FIRST (number,street,city,state,country) Ind. Apt. # | INCLUSIVE DATES (month & year) |           || ---------------------------- | ------------------------------------------------------------------- | ------------------------------ | :-------: || (Guayaquil, Ecuador)         |                                                                     | FROM-                          |    TO-    ||                              |                                                                     | May 1969                       | May 1971  || (Lima, Peru)                 |                                                                     | Sept. 1971                     | Feb. 1974 || Vienna, Va (8151 Larkin La.) |                                                                     | Feb. 1974                      |           |## SECTION IV. CHILDREN AND OTHER DEPENDENTS (Provide information for all children and dependents)| NAME                | RELATIONSHIP | DATE & PLACE OF BIRTH          | CITIZENSHIP | ADDRESS                       || ------------------- | ------------ | ------------------------------ | ----------- | ----------------------------- || (Kendra) Flores     | Daughter     | 3 March 1971 Washington, D.c.  | USA         | (8151 Larking La) Vienna, Va. || (Zola Marie) Flores | Daughter     | 15 March 1974 Washington, D.c. | USA         | ""                            |
[104-10117-10075.pdf — page 1]
SECTION V.RELATIVES BY BLOOD, MARRIAGE OR ADOPTION WHO EITHER (1) LIVE ABROAD,(2) ARE NOT U.S. CITIZENS OR (3) WORK FOR A FOREIGN GOVERNMENT1. NAME (Last-First-Middle)   GUERRERO, Richard2. RELATIONSHIP   Nephew3. DATE OF BIRTH   UK4. PLACE OF BIRTH (City, State, Country)   New Orleans, La5. CITIZENSHIP (Country)   USA6. ADDRESS OR COUNTRY IN WHICH RELATIVE RESIDES   Ansbach, Germany7. EMPLOYED BY   U.S. Army8. FREQUENCY OF CONTACT   Periodic9. DATE OF LAST CONTACT   March 19741. NAME (Last-First-Middle)2. RELATIONSHIP3. DATE OF BIRTH4. PLACE OF BIRTH (City, State, Country)5. CITIZENSHIP (Country)6. ADDRESS OR COUNTRY IN WHICH RELATIVE RESIDES7. EMPLOYED BY8. FREQUENCY OF CONTACT9. DATE OF LAST CONTACT1. NAME (Last-First-Middle)2. RELATIONSHIP3. DATE OF BIRTH   4-PLACE OF BIRTH (City, State, Country)5. CITIZENSHIP (Country)6. ADDRESS OR COUNTRY IN WHICH RELATIVE RESIDES7. EMPLOYED BY8. FREQUENCY OF CONTACT9. DATE OF LAST CONTACTSECTION VI.PERSONAL DECLARATIONS1. HAVE YOU BEEN ARRESTED, INDICTED, OR CONVICTED FOR ANY VIOLATION OF LAW (Other than for minor traffic violation) SINCE, THE DATE OF YOUR LAST PHS   YES (explain below) X NO2. SINCE THE DATE OF YOUR LAST PHS. HAVE THERE BEEN ANY UNFAVORABLE INCIDENTS IN YOUR LIFE WHICH MIGHT REQUIRE EXPLANATION.   YES (explain below) X NO3. NAME OF YOUR PRESENT IMMEDIATE SUPERVISOR (include Room Number and Extension) Mr. Nestor Sanchez X-7451 RM 3D30SECTION VII. PERSONS TO BE NOTIFIED IN CASE OF EMERGENCY1. NAME (Last-First-Middle)   Same as previous PHS.2. RELATIONSHIP3. HOME ADDRESS (Number, Street, City, State, ZIP Code)4. HOME TELEPHONE NUMBER5. BUSINESS ADDRESS (Number, Street, City, State, ZIP Code)-INDICATE NAME OF FIRM OR EMPLOYER. IF APPLICABLE6. BUSINESS TELEPHONE NUMBER & EXT.7. IN CASE OF EMERGENCY, OTHER CLOSE RELATIVES (spouse, mother, father...) MAY ALSO BE NOTIFIED. IF SUCH NOTIFICATION IS NOT DESIRABLE BECAUSE OF HEALTH OR OTHER REASONS, PLEASE IDENTIFY THE PERSONS NOT TO BE NOTIFIED AND THE REASON.SECTION VIII.ADDITIONAL REMARKSDATESIGNATURE OF EMPLOYEE
[104-10117-10075.pdf — page 2]
# SUPPLEMENTAL PERSONAL HISTORY STATEMENT1. NAME (First-middle-last)   Daniel (nmn) Flores2. MARITAL STATUS* SINGLE* MARRIED* OTHER3. IF MARRIEDNAME OF SPOUSE (First-middle(maiden)last)Dorothy A. Moran FloresDATE OF MARRIAGE18 November 1960PLACE OF MARRIAGELima, Peru4. RESIDENCE (Since date of last PHS, if overseas residence indicate only city & country)SINCE (Date)PRESENT August 1961NUMBER AND STREET2828 Connecticut Ave., N.W.CITY AND STATEWashington, D.C. 20008NUMBER AND STREETCITY AND STATENUMBER AND STREETCITY AND STATE5. HAVE YOU BEEN ARRESTED: INDICTED, OR CONVICTED FOR ANY VIOLATION OF LAW (Other than for minor traffic violation) SINCE THE DATE OF YOUR LAST PHS|     | YES (Explain below) | NO  || --- | :-----------------: | :-: ||     |          X          |     |6. SINCE THE DATE OF YOUR LAST PHS, HAVE THERE BEEN ANY UNFAVORABLE INCIDENTS IN YOUR LIFE WHICH MIGHT REQUIRE EXPLANATION|     | YES (Explain below) | NO  || --- | :-----------------: | :-: ||     |          X          |     |7. NAME OF YOUR PRESENT IMMEDIATE SUPERVISOR   Harry 1. Mahoney   EXT. 7176   RM. 3D548. ADDITIONAL REMARKS (Use reverse if necessary)DATE29 March 1967FORM 444e4-61
[104-10117-10075.pdf — page 3]
# SUPPLEMENTAL PERSONAL HISTORY STATEMENT1. NAME (First-middle-last)   Daniel (nmn) Flores2. MARITAL STATUS* MARRIED3. IF MARRIED   NAME OF SPOUSE (First-middle(maiden)-last)   Dorothy A. Moran FloresPLACE OF MARRIAGELima, PeruDATE OF MARRIAGE18 November 19604. RESIDENCE (Since date of last PHS, if overseas residence indicate only city & country)SINCE (Date)PRESENT August 1961NUMBER AND STREET2828 Connecticut Ave., N.W.CITY AND STATEWashington, D.C. 20008FROMDATE TO DATENUMBER AND STREETCITY AND STATEFROMDATE TO DATENUMBER AND STREETCITY AND STATE5. HAVE YOU BEEN ARRESTED, INDICTED, OR CONVICTED FOR ANY VIOLATION OF LAW (Other than for minor traffic violation) SINCE THE DATE OF YOUR LAST PHSYES (Explain below)XNO6. SINCE THE DATE OF YOUR LAST PHS, HAVE THERE BEEN ANY UNFAVORABLE INCIDENTS IN YOUR LIFE WHICH MIGHT REQUIRE EXPLANATIONYES (Explain below)XNO7. NAME OF YOUR PRESENT IMMEDIATE SUPERVISOR   Harry T. Mahoney   EXT.7176 RM.#3D548. ADDITIONAL REMARKS (Use reverse if necessary)> RETURN PHS AND ATTACHMENTS TO HEADQUARTERSDATE29 March 1967SIGNATURE OF EMPLOYEEDaniel FloresFORM 444e
[104-10117-10076.pdf — page 3]
# PERSONAL HISTORY STATEMENTINSTRUCTIONSTHIS DATE (Fill in)September 6, 19611.  Answer all questions completely or check appropriate box. If question is not applicable, write "NA". Write "Unknown" only if you do not know the answer and it cannot be obtained from personal records. Use blank space at end of form for extra details on any question for which you have insufficient space.2.  Type, print or write carefully; illegible or incomplete forms will not receive consideration.3.  Consider your answers carefully. Your signature at the end of this form will certify to their correctness. Careful completion of all applicable questions will permit review of your qualifications to the best advantage.SECTION I GENERAL PERSONAL AND PHYSICAL DATA1. FULL NAME (Last-First-Middle)FLORES, Daniel2. AGE263. SEX**X**MALE FEMALE4. HEIGHT5'8"5. WEIGHT165 pds.6. COLOR OF EYESBrown7. COLOR OF HAIRBlack8. TYPE COMPLEXIONDark9. TYPE BUILDMedium10. SCARS (Type and Location) Right cheek, one-half inch scar; left upper lip, one-quarter inch scar: both received playing football11. OTHER DISTINGUSHING PHYSICAL FEATURESNone12. CURRENT ADDRESS (No., Street, City, Zone, State and Country)(2828 Connecticut Avenue, N. W.. #203)Washington 8, D. C.13. PERMANENT ADDRESS (No., Street, City, Zone, State and Country) AND PHONE NO.(2828 Connecticut Avenue, N. W. #203) - Washington 8, D.C.14. CURRENT PHONE NO.(265-8322)0815. OFFICE PHONE NO. & EXT.None16. LEGAL RESIDENCE (State, Territory or Country)Washington, District of Columbia17. NICKNAMESDan18. OTHER NAMES YOU HAVE USEDNone19. INDICATE CIRCUMSTANCES (Including Length of Time) UNDER WHICH YOU HAVE EVER USED THESE NAMES.Personal acquaintances - twelve years20. IF LEGAL CHANGE, GIVE PARTICULARS (Where and by What Authority).NASECTION II POSITION DATA1. INDICATE THE TYPE OF WORK OR POSITION FOR WHICH YOU ARE APPLYINGAny phase of communications; administration; or personnel work.2. INDICATE THE LOWEST ANNUAL ENTRANCE SALARY YOU WILL ACCEPT (You will not be considered for any position with a lower entrance salary).$ 4,250.003. DATE AVAILABLE FOR EMPLOYMENTImmediately4. INDICATE YOUR WILLINGNESS TO TRAVELOCCASIONALLY **X**FREQUENTLY CONSTANTLY OTHER:5. INDICATE YOUR WILLINGNESS TO ACCEPT ASSIGNMENT IN THE FOLLOWING LOCATIONS (Check (**X**) each item applicable)**X** WASHINGTON. D.C. ANYWHERE IN U.S. CERTAIN LOCATIONS ONLY (Specify):**X** OUTSIDE CONTINENTAL U.S.6. INDICATE WHAT RESERVATIONS YOU WOULD PLACE ON ASSIGNMENTS OUTSIDE THE WASHINGTON, D.C. AREA.I would be willing to travel within the United States provided said travel would not involve a permanent move whereby my legal residence would be changed. However, it is my wish to live overseas on a permanent basis.
[104-10117-10076.pdf — page 4]
# SECTION III1. DATE OF BIRTHAugust 4, 19854. CITIZENSHIP ACQUIRED BYX BIRTH7. COURT ISSUING NATURALIZATION CERTIFICATENA9. HAVE YOU HELD PREVIOUS NATIONALITYYES X NO11. GIVE PARTICULARS CONCERNING PREVIOUS NATIONALITY.NACITIZENSHIP2. PLACE OF BIRTH (City, State, Country)(San Marcos) Texas5. DATE NATURALIZEDNA8. ISSUED AT (City, State, Country)NA10. IF YES, GIVE NAME OF COUNTRYNA3. PRESENT CITIZENSHIP (Country)United States of America6. NATURALIZATION CERTIFICATE NO.NA12. HAVE YOU TAKEN STEPS TO CHANGE PRESENT CITIZENSHIPYES X NO14. IF YOU HAVE APPLIED FOR U.S. CITIZENSHIP, WHAT IS PRESENT STATUS OF YOUR APPLICATION (First Papers, Etc.)?NA15. DATE OF ARRIVAL IN U.S.NA18. LAST U.S. VISA (No., Type, Place of Issue)NA# SECTION IV16. PORT OF ENTRYNAEDUCATION13. GIVE PARTICULARSNA17. ON PASSPORT OF WHAT COUNTRYNA19. DATE VISA ISSUEDNA1. CHECK (X) HIGHEST LEVEL OF EDUCATION ATTAINEDLESS THAN HIGH SCHOOL GRADUATEHIGH SCHOOL GRADUATETRADE, BUSINESS, OR COMMERCIAL SCHOOL GRADUATEX TWO YEARS COLLEGE OR LESSOVER TWO YEARS OF COLLEGE - NO DEGREEBACHELOR'S DEGREEGRADUATE STUDY LEADING TO HIGHER DEGREEMASTER'S DEGREEDOCTOR'S DEGREE2. ELEMENTARY SCHOOL1. NAME OF ELEMENTARY SCHOOL(San Marcos) Elementary School3. DATES ATTENDED (From-and-To)Sept., 1942 - May, 19512. ADDRESS (City, State, Country)(San Marcos) Texas, U.S.A.X YES4. GRADUATENO3. HIGH SCHOOL1. NAME OF HIGH SCHOOL(San Marcos) High School3. DATES ATTENDED (From-and-To)Sept., 1951 - May, 19552. ADDRESS (City, State, Country)(San Marcos) Texas, U.S.A.X YES4. GRADUATENO1. NAME OF HIGH SCHOOLNA3. DATES ATTENDED (From-and-To)2. ADDRESS (City, State, Country)YES4. GRADUATENO4. COLLEGE OR UNIVERSITY STUDY| NAME AND LOCATION OF COLLEGE OR UNIVERSITY | SUBJECT MAJOR   MINOR | DATES ATTENDED FROM   TO | DEGREE REC'D | DATE REC'D | SEM/QTR HOURS (Specify) || ------------------------------------------ | --------------------- | ------------------------ | ------------ | ---------- | ----------------------- ||                                            |                       |                          |              |            |                         ||                                            |                       |                          |              |            |                         ||                                            |                       |                          |              |            |                         ||                                            |                       |                          |              |            |                         |SECTION IV CONTINUED TO PAGE 3