[104-10182-10007.pdf — page 78]
# EMPLOYMENTEMPLOYMENT - In the spaces provided below describe every position which you have held since you first began to work, including any active or military service. Start with present position and worn back to the first position which you held. Account for any periods of unemployment. USE CONTINUATION SHEET IF NECESSARY.## A. DATES OF EMPLOYMENT (MONTH, YEAR)FROM:7-1-64TO PRESENT TIMEEXACT TITLE OF YOUR POSITIONPublic RelationsSALARY OR EARNINGSSTARTING $ 450.-FINAL $PER YR.PER YR.NAME AND ADDRESS OF EMPLOYMENTFerth Shore Villes 6913 Indian Creek Dr. Miomi Beach Fla.NAME AND TITLE OF IMMEDIATE SUPERVISORT. HenitcaDUTIES PERFORMED BY YOUPromote businessREASON FOR CHANGING EMPLOYMENTstill employed## B. DATES OF EMPLOYMENT (MONTH, YEAR)FROM: 1-1-63TO: 8-1-64EXACT TITLE OF YOUR POSITIONOperations Mgr.SALARY OR EARNINGSSTARTING $ 700.-FINAL $ 300PER YR.PER YR.NAME AND ADDRESS OF EMPLOYMENTHanaven Airlines, Panaha.NAME AND TITLE OF IMMEDIATE SUPERVISORCarlos ldcresoDUTIES PERFORMED BY YOUOps. Xer. and Pilot.REASON FOR CHANGING EMPLOYMENThad to move to Panama.## C. DATES OF EMPLOYMENT (MONTH, YEAR)FROM: 9-14-53TO: 1-1-59EXACT TITLE OF YOUR POSITIONAirline PilotSALARY OR EARNINGSSTARTING $FINAL $PER YR.PER YR.NAME AND ADDRESS OF EMPLOYMENTCuvena AirlinesNAME AND TITLE OF IMMEDIATE SUPERVISORJose MilazowDUTIES PERFORMED BY YOUAirline PilotREASON FOR CHANGING EMPLOYMENTPoliticalHAVE YOU EVER BEEN DISCHARGED OR FORCED TO RESIGN FOR MISCONDUCT OR UNSATISFACTORY SERVICE FROM ANY POSITION?IF ANSWER IS "YES" GIVE FULL DETAILS:NO ☐ YES ☐HAVE YOU NOW OR EVER HAD ANY PHYSICAL OR MENTAL DEFECTS OR DISABILITIES WHATSOEVER!GIVE FULL DETAILS:NO ☐ YES ☐HAVE YOU EVER BEEN ARRESTED OR DETAINED BY ANY POLICE OR MILITARY AUTHORITY? IF SO NAME THE ARRESTING AUTHORITYGIVE TIME, PLACE AND REASON FOR SUCH ARREST OR DETENTION, AND THE DISPOSITION OR COURT ACTION.NO ☐ YES ☐JOB APPLIED FOR:PilotMINIMUM ACCEPTABLE SALARY $PER YR.REFERENCES. LIST FIVE PERSONS, NOT RELATED TO YOU BY BLOOD OR MARRIAGE, WHO ARE PARTICULARLY QUALIFIED TO SUPPLYDEFINITE INFORMATION REGARDING YOUR CHARACTER AND ABILITY. DO NOT GIVE NAMES OF SUPERVISORS LISTED ABOVE.| NAME                                              | ADDRESS                          | OCCUPATION || ------------------------------------------------- | -------------------------------- | ---------- || Col. Fed G. Hook, In.                             | U.S. National Cwmqim, Washinton, | "          || "Howard Slaten Gesso Airftrce Jose, New Hampshire | "                                | "          || Timothy Donohue Cris Airforce Base, Mass.         |                                  | "          ||                                                   |                                  |            ||                                                   |                                  |            |FATHER'S NAMEDATE OF BIRTHPLACE OF BIRTH (CITY, COUNTRY)PRESENT ADDRESSHow Smirn ecch. Fla.PRESENT OCCUPATIONNATIONALITY AT BIRTHPRESENT NATIONALITYMOTHER'S FULL NAMEKria. InsuaDATE OF BIRTHSon Pablo B. R.PLACE OF BIRTH (CITY, COUNTRY)PRESENT ADDRESSPRESENT OCCUPATIONNATIONALITY AT BIRTHPRESENT NATIONALITYIN CASE OF EMERGENCY NOTIFYInola lndoro 47 Antilla Coral es MT- 6705NAMEADDRESSPHONE NO.IF THE ASOVE SPACE IS NOT SUFFICIENT USE CONTINUATION SHEET.I authorize investigation of all statements contained in this application. I understand that misrepresentation or omission of facts called for is cause for dismissal.5-23-1964DATESignature