EFTA00187104 # EMPLOYMENT AND PERSONAL HISTORY FORM USE A BALL POINT PEN PLEASE PRINT NAME: ESTEIN JEFFREID STATE: NEW YORK CITY: MILFORD ZIP: 1224 POSITION: TECHNICIAN RELATIONSHIP: ANGELA LANE LOCATION: BROOKLYN COMPANY: BEAR, STEARN & CO. EMPLOYMENT AND PERSONAL HISTORY FORM DATE OF WEEK 1-20-53 ## EDUCATION (Begin with High School(5) and Include Correspondence Schools etc) ### TYPE OF SCHOOL High School ### NAME AND INCLUDE Lakeview High School ### MAJOR Art ### DEGREE OR DOCUMENT RECEIVED No ### ATTENDANCE No ### GOODNESS Yes ### NO Yes ### COLLEGE Green Valley High School ### D. Physics 3 ### GIF 1 ### NO Yes ### GW School New York High School ### N4. Art 4 ### NO Yes ## EMPLOYMENT Fill in below a complete, consecutive statement of your employment history for the past ten years, if self-employed, and address under this form was conducted. If self-employed, must be accompanied by: - If self-employed, must be accompanied by: ## TITLE OF LEAVING TECHNICIAN ## FROM NO TO NO TO EFTA00187105 # UNEMPLOYMENT Account for your time during any period of unemployment, employment or family employment. Other than those when you are attending school. These periods of time must be verified by someone other than a relative or an employee of Earl Stearns & Co. | FIELD | VALUE | TYPE | | :--- | :--- | :--- | | NO | NO | EXPANSION | | YES | YES | NAME | | YES | YES | ADDRESS | | YES | YES | NAME | | YES | YES | ADDRESS | ## RESIDENCE RESIDENCE RECORD FOR PAST TEN YEARS—UNITED STATES ONLY | FROM | TO | STATE | CITY | AFT. | OWN | ACT | PERMIT | | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | | NO | YES | STATE | STATE | AFT. | OWN | ACT | PERMIT | | 78 | 96 | 300 | 55 | | | | | | 72 | 75 | 3817 | 1224 | | | | | | ## GRANT STATUS **GRANT OF MILITARY SERVICES** FROM: NAME YOUR HEAVY BETWEEN AT EARL STEARN'S CO. (NO) IF YES FROM: NAME YOUR HEAVY BETWEEN AT EARL STEARN'S CO. (NO) IF YES TO: NAME YOUR HEAVY BETWEEN AT EARL STEARN'S CO. (NO) IF YES DO YOU HAVE ANY PHYSICAL LIMITATIONS? IF YES DECLARE: THE GATE OF IMPERIANCE NOTICE NAME YOUR HEAVY BETWEEN AT EARL STEARN'S CO. (NO) IF YES DECLARE: EFTA00187106 # EMPLOYMENT AND PERSONAL HISTORY FORM USE A BALL POINT PEN PLEASE PRINT EMPLOYMENT AND PERSONAL HISTORY FORM HAROLD J. WILKINS 1234 SQUARE NEW YORK, NY 1027 PHONE: (518) 654-1234 NAME AND ADDRESS OF THE PERSON JOHN M. STEARN 1234 SQUARE NEW YORK, NY 1027 POSITION TAKEN FOR TEACHER SCHOOL NAME ALMGATE CENTER LOCATION NEW YORK, NY 1027 COMPANY BEAKE STEARN & CO. - 55 WATER STREET - NEW YORK, N.Y. 10041 DATE OF WORK 11/20/20 Education (School) Name and Location of High School(s). Include Correspondence Schools, etc. HIGH SCHOOL BROOKLYN UNIVERSITY BROOKLYN, NY 1027 COLLEGE NEW YORK UNIVERSITY NEW YORK, NY 1027 GIRL SCHOOL NEW YORK UNIVERSITY NEW YORK, NY 1027 EMPLOYMENT Fill in below a complete, concise statement of your business history for the past ten years. All time, including periods of unemployment, must be accounted for. If employed, show name and address under which business was conducted. COMPANY DALE'S SCHOOLS PERSONAL OR LABOR POSITION NO. TO DATE PERSONAL POSITION NO. TO DATE PERSONAL POSITION NO. TO DATE PERSONAL POSITION NO. TO DATE PERSONAL POSITION NO. TO DATE PERSONAL POSITION NO. TO DATE PERSONAL POSITION NO. TO DATE PERSONAL POSITION NO. TO DATE PERSONAL POSITION NO. TO DATE STATEMENT OF EMPLOYMENT DEPT. OF TEACHING DEP. OF SUPERVISION DEP. OF POSITION DEP. OF SUPERVISION DEP. OF POSITION DEP. OF SUPERVIS 16-57-355 AS AN EQUAL OPPORTUNITY EMPLOYER, BEAR, STEARNS & CO. DOES NOT DISCRIMINATE BECAUSE OF AGE, COLOR, CREED, SEX, RELIGION, OR NATIONAL ORIGIN. EFTA00187107 # RESIDENCE RECORD FOR PART TEN YEARS - UNITED STATES ONLY ## RESIDENCE ### RESIDENCE RECORD FOR PART TEN YEARS - UNITED STATES ONLY | FORM | NO | WO | TH | EXPIRATION | | :--- | :--- | :--- | :--- | :--- | | NAME | | | | | | ADDRESS | | | | | | NAME | | | | | ### SERVICE | SERVICE TYPE | BREACH OF SERVICE | YEAR OF ACTIVE MILITARY SERVICE | | :--- | :--- | :--- | | A | FROM | TO | | MAKE YOUR BEER BEEN ESTABLATED AT BEAK STEAMERS & CO. | IF YES | FROM | TO | | MAKE YOUR BEER BEEN ESTABLATED AT BEAK STEAMERS & CO. | IF YES | FROM | TO | ### HOW DO YOU HAPPEN TO PAY BEAK STEAMERS & CO.? | HOW DO YOU HAPPEN TO PAY BEAK STEAMERS & CO.? | NAME | RELEASON | | :--- | :--- | :--- | | 1. You have a deposit here are additional fees on $2. | NO | Yes | | 2. Have you been deposited a bad bill once received? | Were | No | | 3. Where are your deposits? | Were | No | | 4. Has any judgment or criminal conviction been incurred? | Were | No | | 5. How is your appropriate mileage obligation on other? | Were | No | | 6. Has your salary ever been paid or ordered on $2. | Yes | Yes | | 7. Are you required on $2. | Yes | Yes | ### PRE-EMPLOYMENT STATEMENT I understand and agree that Beak Steamers & Co. will make a thorough investigation of my past employment. I also understand that under the Fair Credit Reporting Act, Public Law, §910.84, it is an investigation of my past employment request to know the name of the investigative service employed and the scope of their regard. I will write this request to know the name of the investigative service employed and the scope of their regard. I will write this request to know the name of the investigative service employed and the scope of their regard. I consent to take any pre-employment examination and will be considered a probationary period and that, should Beak Steamers & Co. decide, this period may be a lack of suspicion, with either party my employment may be terminated by myself or through without notice or with a written agreement. Applicant's Signature For office use only --- **PROCESS** | TRAINER | ANXIE FOX | GRADE | | :--- | :--- | :--- | | TIME OF EXPACT | | | | EMPLOYEE TELEPHONE | FULL TIME | YES | | EMPLOYEE REPLACED | HONOLULU TIME | NO | | EMPLOYEE REPAIDED | PRODUCTION CAPITAL | REPAIRED | | EMPLOYEE TRANSFERED | TRANSFERENCE CAPITAL | TRANSFERENCE CAPITAL | | EMPLOYEE DEATH | DEATH CAPITAL | DEATH CAPITAL | **DATE** MAR 26 2024 EFTA00187108