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EFTA01700759 | EFTA01700776 •••• it . - employment Or :amity employment. Account for ycur time during any periods of unemployment. ;elf school. Other than those when you were attending a relative or an employee of Bear. Stearns E. CO. These periods of time must be verified by someone other than ix0IVIOUAL TO VOW? ut:ENPLOTHENT. TO Er AAAAAA ioN SELI EMPLO• WERI OR tAMµl EmPLOTMENT. TR. MO. MANE UNEMPLOYMENT 'NON MO `R 4 ' •OORESS NAME AO DROSS RESIOENCE RECORD POP PAST TEN YEARS- UNITED STATES RESIDENCE FROM TO 7 2 Sec s.5 OWN APT • STATE City STREET ADDRESS ONLY RENT WITH PARENTS it) 4.-1 77 A/. n - • ..011AF 17ATUS _ TEARS Of ACTIVE MILITARY SERVICE 'HUNCH Or SERVICE NAVE YOU EVER SEEN CIAPLOVE0 AT SEAR. SAAAAAA • CO.t 'DO IOU NAVE ANT PHYSICAL LIMITATIONS? If "TES". OESCRISE TESCI NEWSPAPER AO AGENCY . g .,E U,' OTHER N I. 0* you or spouse have an additional income? ill "Tel: explain on Pg. 3) YES 0 2. Do you have any outitanding debts to any Corporation. Lan Gampayillank..MC . (licluding Mortgage. Auto, tn. stallment and Charge Accounts) explain on Pg. 3) YES il O If yes, 3. Yam is your approximate monthly otegalson on debts? 4. HIS TOUT salary ever been garnisheed? Of "Yes." explain on Pg. 3) YES fel/ O 0,00 . RELATIO ADORE S. Have yOu ever ban /Mused a bond or had one mailed? led? YES H O Where TES O E. Have you ever been a only dmation proceeding to an a ir by a Governmental Admin. istraat Agency or Securities regulatory agate O1 - Yes. explain on Pg. 3) Yr 9. Nu a lathanc's hen Ora Tax lien ever been iced ,. against you? (II - YeS: explain on Pg 3) TES ta/ O O 6. Has DM IIJOEMOOI or criminal conviction ever been entered against you? 7 Mat you ever been Sued or a lawsuit? party to7 explain on Pg. 3) III - Yes YES l'el O ❑ JO Have you ever WOO In bus" ness. made a compromdemith creditors. or taken advantage of a barikrupley act? III - Tea: explain on Pg. 3) "" ii3,/ • . . .. NAME Ate you bondable? ) C.-- USD an CAS When (11"Yes:' TO PROM RAVE YOU MAO A MAJOR ILLNESS In TNE EAST I AAAAA > it ••110.'• OESCRIOEI PIO NOW MO too HAPPEN TO APPLY TO SEAR. AAAAAA S • CO,? O O . 0TES e O . ri :=1:17. A AAAA !TORO AAAAA I-..I CONOITIONS. TEXPLAIN•ON• PAGE il ❑ O OTHER IESPLA/N ON fl oe II TO PROM M TYPE Or RIOT RE OISCHANCIE 50Are you a Bader or I. Corpo d ration? on PE. 3) (II - Yes: explain • 12. Do you trade in the . i Securely Markel? il - yes. what Brokerage EWA? YES N ❑ • Do you hate an =WM? YES ti 13. Have you had arty indusinal 'aeodents covered by mittma's Compensation? (II "YeS: explain on Pg. 3) YES g O YES N 0 . 0 YES NE/ 0 TES 18/ 0 a• YES ti • IA 00 you receive any pension for a past disabdily? 111 - Yes. explain an Pg 3Y PRE-EMPLOYMENT STATEMENT investigation of'my past employ-. I' understand and agree hat Bear. Stearns & Co.. and/or its agents will make a thorough ment and activities. and I agree to cooperate in such an investigation. I. as an employee. have the sight upon I also understand that under the "Fair Credit Reporting Act' Public Law 1191.508. of their report should one De used. written request to know the name of the investigative service'employed and the scope in canection with the above investigaor application this on misstatement or falsification any that I further understand tion will be grounds for immediate discharge. physical examinations as may be required I consent to take any pre-employment physical examination and such future by Bear. Stearns S. Co. and that, should Bear. Stearns & I also underStand that the first three months will be considered a probationary period With either party. my employment may be terminated . ' ring his period, that a lack of suit Co. or I decide, ice. with a hout ni,eand by myself or th 2/ r r• I • P / Date M• / , •• . Applicant's Signature / / .10A Office USE ONLY. Z PLITYMENT/SAANCIT _.- • ... POSITION 1 le_niict..E._- _,__ IS TINS A WNW 7 L. SUMMER r- YES Li ADD TO STAFF SMART -- REPLACEMENT 1._.; NO r• PROMOTED EMPLOYEE REPLACED GRADE FuLL IINIE fiEpL•CIO EMPLOYEE *At ir -tersacycle .ATERV:EwERS e4NNEN:S O Ei HOURLY TIME i 4 cs-Q.,,,iii._. $,/../5"/ 76. Pi-ril & V ILL oci2._ZOt • EWE OF EMPLOY...IVO —, PERMANENT 1 . TEMPORARY StAR T r G OM; STAR TUFO SALARY GRACE CLEAVE OF ABSENCE O RETIREMENT n DEATH - . ._.: SEPARATED ON O TRANsFERREO TO NAN 0 OTHER uoutviCASO es EFTA01700776 Epstein Web iOS app on the App Store.
March 7, 2026 at 8:43 AM