FormBoeing Company employment application with education, employment history and referencespage 1 of 4
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Part 25, page 381

DB Cooper-8451

Open in FBI Vault (Part 25, page 381 of the PDF)

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