Part 101, page 151

Transcript

The scan is the source; the transcript is machine-generated from it.

BOEING TECHNICAL - PROFESSIONAL EMPLOYMENT APPLICATION

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DATE 7/26/62 PREFERRED LOCATIONS: SEATTLE [X] WICHITA [ ] PHILADELPHIA [ ] NO PREFERENCE [ ] OTHER [guess: Borlington ofc]

NAME: Peterson, Sheridan, Louis (MAIDEN) ______ LAST FIRST MIDDLE PRESENT ADDRESS: 5002 15th Ave. N.E. Seattle 5, Wash. NO. STREET CITY ZONE STATE PRESENT PHONE NO. ([redacted]) LA 2-3492 SOCIAL SECURITY NO. 566-30-8586

PERMANENT HOME ADDRESS: 408 Albert, Richland, Wash. NO. STREET CITY ZONE STATE AGE: (36) DATE OF BIRTH: 5 / 2 / 26 MALE [X] FEMALE [ ] U.S. CITIZEN? YES [X] NO [ ]

IF YOU ARE NOT A U.S. CITIZEN, INDICATE TYPE OF VISA ___________

MARITAL STATUS: [redacted] NO. OF DEPENDENTS INCLUDING SELF AND SPOUSE [redacted]

FULL NAME OF SPOUSE: [redacted] LAST FIRST

U.S. MILITARY SERVICE? YES [X] NO [ ] BRANCH OF SERVICE: U.S. Marine Corps

TYPE OF DISCHARGE: honorable SELECTIVE SERVICE CLASSIFICATION: [guess: unclassified] 4-25-44 to 12-16-46

EMPLOYMENT DESIRED: PERMANENT [X] SUMMER [ ] OTHER ______ BEGINNING WHEN? immediately

ARE YOU A FORMER BOEING EMPLOYEE? YES [ ] NO [X] IF YES, WHAT COMPANY DIVISION ______

IF YES, UNDER WHAT NAME ______

HAVE YOU EVER MADE OTHER EMPLOYMENT INQUIRIES TO BOEING? YES [X] NO [ ] IF YES, EXPLAIN BELOW

[guess: Approx] [guess: six or eleven] weeks ago to the clos[guess: e of] the[guess: ir] publication

ANY RELATIVES EMPLOYED BY BOEING? YES [ ] NO [X] IF YES ______ NAME AND RELATIONSHIP

HAVE YOU ANY PHYSICAL DEFECTS? YES [ ] NO [X] IF YES, EXPLAIN ______

OTHER THAN MINOR TRAFFIC VIOLATIONS HAVE YOU EVER BEEN ARRESTED? YES [ ] NO [X] (IF YES, EXPLAIN BELOW, GIVING EACH CHARGE, DATE, PLACE AND DISPOSITION)

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DB COOPER-45613

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IN CASE OF EMERGENCY NOTIFY: [redacted] LAST FIRST ADDRESS: [redacted] Wash. PHONE NO. ([illegible]) STREET CITY ZONE STATE