Are you prevented from lawfully becoming employed in this country
because of Visa or immigrant status?
Subjects of special study or research work:
Activities: (Civic, Athletic, etc.)
*exclude organizations, the name of which indicates the race, creed, sex,
age, marital status, color or nation of origin of its members
List below last three employers, starting with the most recent one first.
Give the names of three persons not related to you, whom you have known for at
least one year.