◆ SpookStack

15. ENFLOYMENT (List MLL ° see dates starting with your present @ diwtnn he Give both month and year for all date addr when unemploy ed. Give name under which | employe if diferent from name now used.) ‘NAME OF EMPLOYER (Picm ency) — AND SUPERVISOR (Full name, Anowa) owned omplored) Hotel. Pierre New York City 450 Park Ave. . J New York City. : Roberts. &. Hodge. - (and predecessors). Part-time employ~- ne won -ment: Stanford U. (teaching assistant) * . | Ec gemar Dairy... , (Milkman) oat 16. HAVE YOU EVER SEEN DISCHARGED (FIRED) FROM EMPLOYMENT FoR ANY REASON? Cjyves f)NO. 17. HAVE YOU EVER RESIGNED (QUIT) AFTER BEING INFORMED aT YOUR EMPLOYER INTENDED TO DISCHARGE (FIRE You FOR ANY REASON? Oo YES Eno. Uf your anewer to 16 or 17 above is “Yes” five details in item 38. Show the neme and address of omplater. approximate date, « ends reasons is a : each case. Thisinformation should aaree with the statements made in item 15 EMPLOYMENT.) + 18. HAVE YOU EVER BEEN ARRESTED, TAKEN INTO CUSTODY, HELD FOR INVESTIGATION OR QUESTIONING, OR CHARGED BY ANY LAW ENFORCEMENT AUTHORITY? (Tou may omit: (1) Traffic violations for which you paid a fine of $30 or less; and (2 anything that happened before your 16 th birthday. All other incidents must be included, even though they were dismissed or you merely foeteited collateral.) Oo ves B3K0. on oe oe BE ‘FY OUR ANSWER 1S “YES,” GIVE FULL DETAILS BELOW: oo ete , LAW ENFORCEMENT...