________ do hereby apply for a position as ________ and
if employed do agree to faithfully observe all rules and
regulations of the Combined Press, to maintain strict integrity
of character, to abstain from the use of intoxicating liquors
and profane swearing, not to assign my wages, and that I will
perform my duties to the best of my ability.
I was born the ____ day of ____ year of ____ in County of ____
State of ____ My height is ____ feet ____ inches; weight ____
pounds.
Married or single. (If married, give full name and address of
wife or husband, and how you like it.)
Name and address of parents, if living. If dead, state so, and
why.
Names of those wholly dependent upon and supported by me. (This
must be answered in full.)