This text was obtained via automated optical character recognition.
It has not been edited and may therefore contain several errors.

---

I
row 04 KlviNS I l-M
MM I
Kit
EMERGENCY RELIEF ADMINISTRATION
OP THE STATE OF LOUISIANA
(To be *?wutel by applirant in own hanJwritin* I
Application For Employment
, noue .
iv?. f*6.7 ?3S__________________________
Division	__	*'7?	-----
namr.	?Hrsrf// _-.	............_	_____ C/a/rrtrc>4C- ______________ .
<I-a?t)	(Ki(?t)	<	Middle	I
II..in.- A.Mr.-*,	/3S	<?*{'*___________________________________________________	_________________
(Street and Number)	M?ltyi	?	Telephone	No.>
?	r,in	Nl!iml,,l,'Jl'	_____	...	_______________T____
(BusinCTM Address)	<	u(-rui<ation	?	(Salary)
|Vrs..|) Notify in < asr ?>f Kmor^?iu'y:
/7/?//?'7CV3S _ Jjr/'* _	-?2*r'9.A7'$$_	_____
(tullNamri	(	Kelutionxhip)	(NoJ	(St.	or	Ave* ' . r-.*v*	(State*	iTel.	No.)
+S	I?lncf	of	I?.irth	.	I>.tte	of	llirlh.
s. x	_	Knee	tJ'Jr'Stz	Smirk	.	"?	Marm	Wni'-wc-l	.	_	"Divorced	_TTT?.
Any phyoirdi ilffeot?. 2?* _________	_	...........	_..	wi.utr____	_______________________________________
Any ivwnt iIlnt*oT__________________Z . _______	____________________What?. -	.	.._ _________________________________
An you a citizen of tlie I'nited States' _____________	_	.................._If not a citizen of the
I	ii:t..t St.ito, have you declared your intention of becoming h citizen? . _. _______________________	,___	.	.	............	.....
Wii.-n an.I where wa? tins* declaration made?. ____________	________ .	..	-	--------	-	_	.	.	.
Ilow line liu\e you resided in the State of Louisiana? SZ,	?	_________	________________
II.n. you any relative* in the employ ol the State of l^ouisiana ? r any of ;N }?*.1 s*n -j. ?.il?iivisi..ns ?
|i?.	names,	relationship,	departi:i>-ni employed, and position ?	?	-
II.i\. y ni i.ii\ relnti'.e> iii llie employ of thi.s Administration?	If	-...	state	names,	relationship,
?	? | .-in.?lit employed. and [xtsilion?. .. ____________________	-
?I.i ? i .my r* latis<?> eitl.i r in l.ou.Mjti. i or elwwhere, erapl< >?-.( I.y an> <*? ??	At"r I * pir'm*ii? ?0
I	- -	n.-iiii.-.	relatii	ii>liip. department employed, and position'