Part 25, page 384

Transcript

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

REFERENCES

PROFESSIONAL REFERENCES previous supervisors preferred

NAME | COMPANY OR FIRM NAME | HOME ADDRESS FIRST MIDDLE LAST [redacted b6/b7C]

Credentials and Confidential references are on file at placement bureau, [guess: Montana] state univ[ersity], missoula, mont.

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CHARACTER REFERENCES do not list relatives or former employers

NAME | OCCUPATION | HOME ADDRESS [redacted b6/b7C]

MAY WE CONTACT YOUR PRESENT EMPLOYER PRIOR TO COMPLETION OF EMPLOYMENT NEGOTIATIONS? YES [checked] NO [ ]

IF NO, EXPLAIN I am unemployed

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SIGNATURE

IMPORTANT before signing below, please check this application carefully for completeness.

[signature: Fred]

[redacted b6/b7C] I HEREBY AUTHORIZE MY PRESENT OR ANY FORMER EMPLOYER OR ANY OTHER PARTY TO RELEASE ANY AND ALL RECORDS OF MY SERVICE AND OTHER INFORMATION CONCERN- ING ME, EXCEPT THAT WHICH WOULD INDICATE AGE, RACE, CREED, COLOR, OR NATIONAL ORIGIN, TO THE BOEING COMPANY. FURTHER, I HEREBY RELEASE THE SAID PARTY FROM ALL LIABILITY FOR ANY DAMAGE WHICH MIGHT RESULT FROM FURNISHING SAID IN- FORMATION. I PLEDGE MY LOYALTY TO THE UNITED STATES GOVERNMENT, TO THE PRINCIPLES UPON WHICH OUR GOVERNMENT IS FOUNDED, AND THE ESTABLISHED FORM OF GOVERNMENT. FALSE STATEMENTS OR CONSEQUENTIAL OMISSIONS OF ANY KIND ARE SUFFICIENT GROUNDS FOR DISMISSAL.

PLEASE SIGN HERE *[signature area - redacted/blank]

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DO NOT WRITE BELOW THIS LINE

EVALUATION AND REMA[RKS] [redacted b6/b7C]

DB Cooper-8454