Part 25, page 381
FBI 164-81, Vault Part 25 p. 381 (DB Cooper-8451), Form — cooper.theunsolved.net/parts/Cooper-Part-25/pages/381
Transcript
The scan is the source; the transcript is machine-generated from it.
THE BOEING COMPANY EMPLOYMENT APPLICATION HAND LETTER IN INK
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DATE: [illegible/redacted] PREFERRED LOCATIONS: SEATTLE [X] WICHITA [ ] PHILADELPHIA [X] NO PREFERENCE [ ] OTHER: [checked] [partially illegible, possibly a Boeing facility code]
NAME: [redacted] PRESENT ADDRESS: [redacted], Seattle, Wash. PRESENT PHONE NO.: [redacted] (co-op[illegible]) SOCIAL SECURITY NO.: [redacted]
PERMANENT HOME ADDRESS: [redacted], Wash.
AGE: [redacted] DATE OF BIRTH: [redacted] MALE: [X] FEMALE: [ ] U.S. CITIZEN? YES [X] NO [ ]
IF YOU ARE NOT A U.S. CITIZEN, INDICATE TYPE OF VISA: [blank]
MARITAL STATUS: [redacted] NO. OF DEPENDENTS INCLUDING SELF AND SPOUSE: [redacted]
FULL NAME OF SPOUSE: [redacted] (LAST, FIRST, MIDDLE)
U.S. MILITARY SERVICE? YES [X] NO [ ] BRANCH OF SERVICE: U.S. [guess: marine] Corps
TYPE OF DISCHARGE: [guess: honorable] SELECTIVE SERVICE CLASSIFICATION: [guess: unclassified]
EMPLOYMENT DESIRED: PERMANENT [X] SUMMER [ ] OTHER [ ] BEGINNING WHEN? [guess: immediately]
ARE YOU A FORMER BOEING EMPLOYEE? YES [ ] NO [X] IF YES, WHAT COMPANY/DIVISION: [blank]
IF YES, UNDER WHAT NAME: [blank]
HAVE YOU EVER MADE OTHER EMPLOYMENT INQUIRIES TO BOEING? YES [X] NO [ ] IF YES, EXPLAIN BELOW: [blank]
ANY RELATIVES EMPLOYED BY BOEING? YES [ ] NO [X] IF YES: [blank] (NAME AND RELATIONSHIP)
HAVE YOU ANY PHYSICAL DEFECTS? YES [ ] NO [X] IF YES, EXPLAIN: [blank]
OTHER THAN MINOR TRAFFIC VIOLATIONS HAVE YOU EVER BEEN ARRESTED? YES [ ] NO [X] (IF YES, EXPLAIN BELOW, GIVING EACH CHARGE, DATE, PLACE AND DISPOSITION)
IN CASE OF EMERGENCY NOTIFY: [redacted] (LAST, FIRST, MIDDLE, RELATIONSHIP) ADDRESS: [redacted], Wash. PHONE NO.: ([guess: none])
U3 4092 5000 DB Cooper-8451 1-1600