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i • <br /> r <br /> -f <br /> ASB Quarter orse <br /> Bow Ed mon -. L8_2,11/ 2 Room and board �oh Hand <br /> (yam\�� y�+1�Y �/�] T . / <br /> Supervisor Deeds igel w Reason for L v � .4/ r �. :~� in Ra <br /> Name and Address of EmployerFrom/To Sal ar Position <br /> Nickerson ;tate Park <br /> rewsterM671 #82m-9/82 1205*00 Conservationhelper <br /> p sitlon seasonal-T <br /> p e -v i s o ar John Paterson 'Reason for L av g 'Seek gear--round employment <br /> Name and Address of Emp12,yer From/To Salary Position <br /> Same as above � �� �.� , 8 � � conservation el r <br /> { posltiwon seasonal)' <br /> Supervisorr �� a .hove Reason four Leaving Return t oll <br /> C �r t f i a t e s or Licensesheld : .fie 'ro s 4 anc� . �'i rt iCi- ray.1 <br /> nrrrn.i.nr.rr.�• .. �ns�r-i���rr.rrr.,•rr�. rr��^w..n�n.nirnrirrrrtirr.ri���Y++ir! <br /> Trade or Professional Organizations of which you are a - member, includi <br /> offices : <br /> Salem Geographical roe et, <br /> EDUCATION NAMES LOCATIONS DATES COURSES DID Y100 DATE OF <br /> OF S.CHOOLS ATTENDED GRADUATE LEAVING <br /> Cf SCHOOL <br /> rsr "�. et�.r . <br /> Brewster MA 02651 -,65Yes <br /> - I <br /> HIGH SCHOOL Col1acre <br /> "/7 <br /> Eastham !.1A 02651 � �� l a <br /> * � .r. ... <br /> COLLEGE ale tate Col1 esTH Vireo;r�,i -e <br /> wt +�..t'�i 4' �' ...r. w <br /> __;al;.c�. i01970 7 - n � �e <br /> TRADE BUSINESS � , ',.-!an <br /> OTHERSCHOOL _ Mari e StU ie3 :•1i or <br /> dRdbW <br /> agree that any false statement i ' this application shall be sufficient - <br /> for <br /> uffictent - <br /> or rejection or. dismissal . 1 hereby grant permission to investigate any of <br /> -the information inclu.ded 'in this application' and to submit to medical , 'exam- <br /> ,nation, <br /> escam-,n ion, <br /> x <br /> � k <br /> ig a r o — ppli an <br /> r <br />